Effect of Acupressure on Carpal Tunnel Syndrome in Pregnant Women

This study will be conducted to investigate the effect of acupressure on carpal tunnel syndrome in pregnant women.

Study Overview

• Status: Not yet recruiting
• Conditions: Carpal Tunnel Syndrome
• Intervention / Treatment: Other: Acupressure; Other: advices for relieving carpal tunnel syndrome

Detailed Description

The pregnant women are more prone to develop carpal tunnel syndrome because they retain more fluid during the later stages of their pregnancies. The more fluid retained , the more swelling occurs , squeezing the nerves that run through the hand and finger. Also most women who experience pain, numbness and tingling in the hand for the first time due to pregnancy have no idea that they have carpal tunnel syndrome.

Given the importance of treating CTS and preventing the limitations caused by this syndrome, and since it can turn into a debilitating disease if left untreated, acupressure can be recommended as a safe and noninvasive technique for reducing the severity of clinical symptoms.

Till now, there is no previous studies explored the effect of acupressure on carpal tunnel syndrome in pregnant women. So, this study will be conducted to provide new information about the efficacy of acupressure in management of carpal tunnel syndrome in pregnant women, which will help such pregnant women to overcome this problem and will add new evidence to the field of physical therapy.

• Study Type: Interventional
• Enrollment (Estimated): 50
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: bassant ahmed, Master; Phone Number: +201141292300; Email: besobassant88@gmail.com
• Study Contact Backup: Name: mohamed fawzy, PHD; Phone Number: +201001414404; Email: drmohamedfawzy61@icloud.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Pregnant women who are clinically diagnosed as having carpal tunnel syndrome .
• Their age will be ranged from 20 to 35years old.
• Their body mass index will not exceed 30kg/m2.
• All of them are in their 3rd trimester of pregnancy.(28-40weeks)
• All of them suffer from mild and moderate CTS.
• Degree of carpal tunnel pain will be 2 or more on Visual Analogue scale.

Exclusion Criteria:

• Dermatological abnormalities in the skin of acupionts.
• Internal fixation at the area of acupressure application.
• Smokers .
• Metabolic diseases such as Diabetes mellitus.
• Females who had history of fracture or trauma to the hand .

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Acupressure group; The pregnant women will receive acupressure and advice for 12 weeks	Other: Acupressure; The pregnant women will receive acupressure on the (Pc-6/Lung-7 )acupoints one minute for each point with 3 repetitions on both side( about 30minutes /session),2 times per week in addition to advices for 12 weeks.; Other: advices for relieving carpal tunnel syndrome; The pregnant women will receive advices for 12 weeks as follows: Avoid heavy lifting.; Avoid repetitive tasks.; Sit on chairs with armrests and elevate affected hand on the armrest; Avoid sleeping on the side of the affected hand.; Keep the wrist in a neutral (straight) position.; Avoid positions of full flexion and extension.; Reduce general swelling by:eating less salty food .elevating legs when sitting .wearing compression garments.; Apply cold water over the wrist.
Active Comparator: Advice group; The pregnant women will receive advice only for 12 weeks	Other: advices for relieving carpal tunnel syndrome; The pregnant women will receive advices for 12 weeks as follows: Avoid heavy lifting.; Avoid repetitive tasks.; Sit on chairs with armrests and elevate affected hand on the armrest; Avoid sleeping on the side of the affected hand.; Keep the wrist in a neutral (straight) position.; Avoid positions of full flexion and extension.; Reduce general swelling by:eating less salty food .elevating legs when sitting .wearing compression garments.; Apply cold water over the wrist.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Assessment of pain severity	The pain intensity will be assessed for all participants in both groups before and after treatment through VAS. It is a 10 cm horizontal line on which the participant's pain intensity will be represented by a point between the extremes of "no pain at all" and "worst imaginable pain". Each participant will be asked to mark a point on a VAS line between the extremes that related to her current pain intensity	12 weeks
median nerve conduction study	Computerized Electromyography (Dantce): ATOENINIES neuro screen system will be used to perform median nerve conduction study before and after the treatment program for all participants in both groups	12 weeks

Collaborators and Investigators

• Sponsor: Cairo University
• Investigators: Study Chair: Azza Nashed, Professor, Cairo university

Study record dates

Study Major Dates

• Study Start (Estimated): August 1, 2024
• Primary Completion (Estimated): November 1, 2024
• Study Completion (Estimated): December 1, 2024

Study Registration Dates

• First Submitted: August 13, 2024
• First Submitted That Met QC Criteria: August 13, 2024
• First Posted (Actual): August 15, 2024

Study Record Updates

• Last Update Posted (Actual): August 15, 2024
• Last Update Submitted That Met QC Criteria: August 13, 2024
• Last Verified: August 1, 2024

More Information

Terms related to this study

• 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: P.T.REC/012/005286

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• 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