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IRCT20250222064806N1 IRCT 2025-05-07 Semnan University of Medical Sciences Investigating the effect of concurrent myofascial release of the shoulder girdle and hand compared to myofascial release of the hand on functional and electrodiagnostic parameters of patients with mild and moderate carpal tunnel syndrome Investigating the effect of concurrent myofascial release of the shoulder girdle and hand compared to myofascial release of the hand on functional and electrodiagnostic parameters of patients with mild and moderate carpal tunnel syndrome 2025-05-05 anticipated 45 Complete https://irct.ir/trial/82218 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, randomization is done by a dice, so that in this 3-group study, numbers 1 and 2 are considered for the first group, numbers 3 and 4 for the second group, and numbers 5 and 6 for the third group, Blinding description: In this study, the evaluator and the therapist are two separate individuals, and the evaluator is blind, so the present study will be single-blind. N/A Carpal Tunnel Syndrome. Intervention 1: Intervention group 1: concurrent myofascial release of the shoulder girdle and hand Myofascial release of the shoulder girdle area is performed on the upper terapezius, pectoralis major, supraspinatus, and subscapularis. The same hand release will be performed on the carpal ligament area of ​​the wrist. The release will last 90 to 120 seconds, followed by a ten-second rest, and this technique will be repeated 5 times per session.The group will undergo 10 treatment sessions, 3 sessions per week for 4 weeks. Intervention 2: Intervention group: Intervention group2: Hand Myofascial Release Myofascial release will be performed on the carpal ligament area of ​​the wrist. The release will last for 90 to 120 seconds, followed by a ten-second rest, and this technique will be repeated 5 times per session.The group will undergo 10 treatment sessions, 3 sessions per week for 4 weeks. Intervention 3: Control group: In the control group, only routine physiotherapy is performed. Routine physiotherapy is performed in the form of applying a high-frequency TENS current for fifteen minutes with a frequency of 100 HZ and a diurnance of 100 with an amplitude of 15 mA and 5 minutes with a frequency of 1 HZ and a diurnance of 200 with an amplitude of 5 mA in a two-channel manner on the wrist and palm area.Then, pulsed ultrasound current with a frequency of 1 MHz and an intensity of 0.8 watts/square centimeter will be used for 3 minutes on the carpal ligament area of ​​the wrist. After that, infrared will be used for 15 minutes at a distance of 50 cm.The group will undergo 10 treatment sessions, 3 sessions per week for 4 weeks. No - There is not a plan to make this available Justification or reason for not sharing IPD is "There is no further information."
public Azadeh Mokhtari
Neuromuscular Rehabilitation Research Center, Tabatabaei Clinic, Qods Boulevard
Semnan Iran (Islamic Republic of) 9837535196 +98 23 3365 4180 azadehmokhtari27@gmail.com Semnan University of Medical Sciences scientific Azadeh Mokhtari
Neuromuscular Rehabilitation Research Center, Tabatabaei Clinic, Qods Boulevard
Semnan Iran (Islamic Republic of) 9837535196 +98 23 3332 8502 azadehmokhtari27@gmail.com Semnan University of Medical Sciences Iran (Islamic Republic of) Age: 18-50 years old Mild & moderate idiopathic CTS VAS above 3 18 years 50 years Both Cervical radiculopathypoly Polyneuropathy Diabetes mellitus Hypothyroidism Chronic kidney failure Chronic alcoholism Acromegaly Connective tissue disease Inflammatory diseases Pregnant Breast feeding History of fracture or surgery in the hand More than 20% absence in practice sessions Unwillingness to continue G56.0 Carpal tunnel syndrome Treatment - Other Treatment - Other Treatment - Other Intervention group 1: concurrent myofascial release of the shoulder girdle and hand Myofascial release of the shoulder girdle area is performed on the upper terapezius, pectoralis major, supraspinatus, and subscapularis. The same hand release will be performed on the carpal ligament area of ​​the wrist. The release will last 90 to 120 seconds, followed by a ten-second rest, and this technique will be repeated 5 times per session.The group will undergo 10 treatment sessions, 3 sessions per week for 4 weeks. Intervention group: Intervention group2: Hand Myofascial Release Myofascial release will be performed on the carpal ligament area of ​​the wrist. The release will last for 90 to 120 seconds, followed by a ten-second rest, and this technique will be repeated 5 times per session.The group will undergo 10 treatment sessions, 3 sessions per week for 4 weeks. Control group: In the control group, only routine physiotherapy is performed. Routine physiotherapy is performed in the form of applying a high-frequency TENS current for fifteen minutes with a frequency of 100 HZ and a diurnance of 100 with an amplitude of 15 mA and 5 minutes with a frequency of 1 HZ and a diurnance of 200 with an amplitude of 5 mA in a two-channel manner on the wrist and palm area.Then, pulsed ultrasound current with a frequency of 1 MHz and an intensity of 0.8 watts/square centimeter will be used for 3 minutes on the carpal ligament area of ​​the wrist. After that, infrared will be used for 15 minutes at a distance of 50 cm.The group will undergo 10 treatment sessions, 3 sessions per week for 4 weeks. Pain. Timepoint: After the initial evaluation, individuals in all three groups will undergo 10 treatment sessions, 3 sessions per week for 4 weeks. Four weeks after the last treatment session, the evaluations will be repeated and the results will be reviewed. Method of measurement: Visual Analog Scale(VAS). Function. Timepoint: After the initial evaluation, individuals in all three groups will undergo 10 treatment sessions, 3 sessions per week for 4 weeks. Four weeks after the last treatment session, the evaluations will be repeated and the results will be reviewed. Method of measurement: Boston CTS questionnaire. Myofascial Release. Timepoint: After the initial evaluation, individuals in all three groups will undergo 10 treatment sessions, 3 sessions per week for 4 weeks. Four weeks after the last treatment session, the evaluations will be repeated and the results will be reviewed. Method of measurement: Manual. Nerve Conduction Velocity. Timepoint: After the initial evaluation, individuals in all three groups will undergo 10 treatment sessions, 3 sessions per week for 4 weeks. Four weeks after the last treatment session, the evaluations will be repeated and the results will be reviewed. Method of measurement: Electrodiagnostic studies with an EMG device. Latency. Timepoint: After the initial evaluation, individuals in all three groups will undergo 10 treatment sessions, 3 sessions per week for 4 weeks. Four weeks after the last treatment session, the evaluations will be repeated and the results will be reviewed. Method of measurement: Electrodiagnostic studies with an EMG device. Amplitude. Timepoint: After the initial evaluation, individuals in all three groups will undergo 10 treatment sessions, 3 sessions per week for 4 weeks. Four weeks after the last treatment session, the evaluations will be repeated and the results will be reviewed. Method of measurement: Electrodiagnostic studies with an EMG device. Semnan University of Medical Sciences Approved 2025-02-26 Ethic committee of Semnan University of Medical Sciences Semnan University of Medical Sciences, Basij Blvd. Semnan Semnan Iran (Islamic Republic of)