Effects Of Power Ball Exercises In Addition To Routine Physical Therapy In Patients With Carpal Tunnel Syndrome

Effects Of Power Ball Exercises In Addition To Routine Physical Therapy On Pain, Grip Strength And Functional Disability In Patients With Carpal Tunnel Syndrome

The purpose for doing this study is to determine that whether use of Power Ball in form of resistance training will be effective in increasing grip strength in carpel tunnel syndrome patient and possible benefits of the regime as effective means of rehabilitation for wrist and hand injuries. Moreover for increasing grip strength it can be used as an adjunct for physical therapy treatment.

Study Overview

• Status: Completed
• Conditions: Carpal Tunnel Syndrome
• Intervention / Treatment: Other: Routine Physical Therapy; Other: Powerball Exercises

• Study Type: Interventional
• Enrollment (Actual): 86
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Punjab
    • Lahore, Punjab, Pakistan, 54000
      • The University of Lahore

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 45 years to 60 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

1. Age group 45-60 years
2. Both male and female
3. Clinically diagnosed carpal tunnel syndrome
4. Carpal Tunnel Syndrome for a duration of more than 02 months
5. Tingling sensation and numbness over the dorsal surface of thumb, index, middle, and lateral 1/3rd of ring fingers
6. Positive Tinel's sign
7. Positive Phalen's Maneuver

Exclusion Criteria:

1. Any previous trauma, fracture, subluxation, dislocation, surgery or bony abnormalities around wrist joint in the past 5 years.
2. Symptomatic Arthritis of wrist joint
3. Cervical radiculopathy
4. Corticosteroid injection within 3 months

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Group A; Routine physical therapy will be given to the participants of group A	Other: Routine Physical Therapy; Participants will receive routine physical therapy which includes ultrasound, nerve gliding, tendon mobilization, stretching, mobility and strengthening exercises for the wrist. Each session will last for 30 minutes with 12 sessions on alternate days (3 sessions / week).
Experimental: Group B; Powerball exercises with routine physical therapy will be given to the participants of group B	Other: Powerball Exercises; Participants will be using the Powerball™ for 5 minutes per hand, 3 times a week along with routine physical therapy exercises.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain Intensity	Pain Intensity will be measured by Numeric Rating Scale (NRS)	Change in pain will be measured at initial visit, at sixth session and at the twelfth session.
Grip Strength	Grip Strength will be measured by using handheld dynamometry (HHD)	Change in grip strength will be measured at initial visit, at sixth session and at the twelfth session.
Functional Disability	Functional disability will be measured by Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ)	Change in functional disability will be measured at initial visit, at sixth session and at the twelfth session.

Collaborators and Investigators

• Sponsor: University of Lahore
• Investigators: Study Director: Ashfaq Ahmed, PhD, The University of Lahore

Study record dates

Study Major Dates

• Study Start (Actual): December 23, 2021
• Primary Completion (Actual): May 23, 2022
• Study Completion (Actual): December 23, 2022

Study Registration Dates

• First Submitted: July 1, 2022
• First Submitted That Met QC Criteria: July 12, 2022
• First Posted (Actual): July 15, 2022

Study Record Updates

• Last Update Posted (Actual): April 6, 2023
• Last Update Submitted That Met QC Criteria: April 5, 2023
• Last Verified: April 1, 2023

More Information

Terms related to this study

• Keywords: Physical therapy; Carpal Tunnel Syndrome; Median Neuropathy; Power Ball Exercise
• Additional Relevant MeSH Terms: Pathologic Processes; Nervous System Diseases; Wounds and Injuries; Disease; Neuromuscular Diseases; Mononeuropathies; Peripheral Nervous System Diseases; Median Neuropathy; Nerve Compression Syndromes; Cumulative Trauma Disorders; Sprains and Strains; Syndrome; Carpal Tunnel Syndrome
• Other Study ID Numbers: Muhammad Jahanzaib Rasool

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: Immediately after publication
• IPD Sharing Time Frame: Beginning 9 months and ending on 36th month
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No