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Conventional, High-Intensity Laser, and Magnetic Field Therapies in Carpal Tunnel Syndrome

13. juli 2026 opdateret af: KTO Karatay University

Comparative Effectiveness of Conventional, High-Intensity Laser, and Magnetic Field Therapies in Carpal Tunnel Syndrome: A Retrospective Study

This retrospective study aims to compare the clinical effectiveness of conventional physical therapy, high-intensity laser therapy (HILT), and pulsed magnetic field therapy (PMFT) in individuals with carpal tunnel syndrome (CTS). The study evaluates changes in pain, symptom severity, functional status, hand grip strength, and electrophysiological findings following treatment. Researchers will compare the outcomes of the three treatment approaches to determine whether HILT or PMFT provides additional clinical benefits beyond conventional therapy. The findings may help clinicians select the most appropriate conservative treatment strategy for patients with CTS.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Carpal tunnel syndrome (CTS) is the most common peripheral entrapment neuropathy and is characterized by pain, numbness, tingling, weakness, and functional limitations resulting from compression of the median nerve at the wrist. Conservative treatment is recommended for patients with mild-to-moderate CTS and commonly includes physical therapy modalities. Although conventional physiotherapy remains a standard treatment approach, newer modalities such as high-intensity laser therapy (HILT) and pulsed magnetic field therapy (PMFT) have gained increasing attention because of their potential analgesic, anti-inflammatory, and tissue-healing effects.

This retrospective observational study evaluates and compares the clinical outcomes of patients with CTS who received one of three conservative treatment approaches: conventional physical therapy alone, conventional physical therapy combined with HILT, or conventional physical therapy combined with PMFT. Clinical records will be reviewed to assess treatment-related changes in pain intensity, symptom severity, functional status, hand grip strength, and electrophysiological parameters before and after treatment.

The primary objective of the study is to compare the effectiveness of these treatment approaches in improving clinical outcomes in patients with CTS. The findings are expected to provide evidence regarding the relative effectiveness of HILT and PMFT as adjunctive treatment options to conventional physical therapy and to support clinical decision-making in the conservative management of carpal tunnel syndrome.

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

48

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Tyrkiet (Türkiye)
    • Karatay
      • Konya, Karatay, Tyrkiet (Türkiye), 42030
        • Kto Karatay University

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

The study population included adult patients with mild-to-moderate carpal tunnel syndrome who completed conservative treatment and had complete pre- and post-treatment clinical assessment records. Participants were classified according to the treatment received: conventional physical therapy, conventional physical therapy plus HILT, or conventional physical therapy plus PMFT.

Beskrivelse

Inclusion Criteria:

  • Diagnosis of carpal tunnel syndrome (CTS)
  • Mild-to-moderate CTS not requiring surgical intervention
  • Positive Tinel's sign
  • Received treatment at the participating center(s) within the past five years
  • Complete pre-treatment and post-treatment clinical assessment records
  • Completion of the prescribed treatment protocol

Exclusion Criteria:

  • Previous carpal tunnel surgery or indication for surgical intervention Incomplete medical records
  • Failure to complete the treatment protocol
  • Presence of concomitant upper extremity disorders that could affect study outcomes
  • Presence of neurological, orthopedic, or systemic conditions that could influence the clinical assessments

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
High-Intensity Laser Therapy (HILT) Group
Participants received high-intensity laser therapy in addition to the conventional physical therapy program.
Andet: Conventional Physical Therapy
A standardized conservative treatment program including therapeutic ultrasound, TENS, nerve and tendon gliding exercises, and neutral wrist splinting.
Andet: High-Intensity Laser Therapy (HILT)
High-intensity laser therapy was applied according to the standard treatment protocol as an adjunct to conventional physical therapy.
Pulsed Magnetic Field Therapy (PMFT) Group
Participants received pulsed magnetic field therapy in addition to the conventional physical therapy program.
Andet: Conventional Physical Therapy
A standardized conservative treatment program including therapeutic ultrasound, TENS, nerve and tendon gliding exercises, and neutral wrist splinting.
Andet: Pulsed Magnetic Field Therapy (PMFT)
Pulsed magnetic field therapy was applied according to the standard treatment protocol as an adjunct to conventional physical therapy.
Conventional Physical Therapy Group
Participants received a conventional physical therapy program consisting of therapeutic ultrasound, transcutaneous electrical nerve stimulation (TENS), nerve and tendon gliding exercises, and the use of a neutral wrist splint.
Andet: Conventional Physical Therapy
A standardized conservative treatment program including therapeutic ultrasound, TENS, nerve and tendon gliding exercises, and neutral wrist splinting.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Pain Intensity
Tidsramme: Baseline and immediately after completion of treatment (4 weeks)
Pain intensity was assessed using a 10-cm Visual Analog Scale (VAS), with higher scores indicating greater pain severity.
Baseline and immediately after completion of treatment (4 weeks)

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Hand Grip Strength
Tidsramme: Baseline and immediately after completion of treatment (4 weeks)
Hand grip strength was measured using a hand dynamometer according to standardized testing procedures. Higher values indicate greater grip strength.
Baseline and immediately after completion of treatment (4 weeks)
Symptom Severity and Functional Status
Tidsramme: Baseline and immediately after completion of treatment (4 weeks)
Symptom severity and functional status were evaluated using the Symptom Severity Scale of the Boston Carpal Tunnel Questionnaire. Higher scores indicate more severe symptoms.
Baseline and immediately after completion of treatment (4 weeks)

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

KTO Karatay University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

20. januar 2020

Primær færdiggørelse (Faktiske)

20. oktober 2024

Studieafslutning (Faktiske)

20. oktober 2025

Datoer for studieregistrering

Først indsendt

13. juli 2026

Først indsendt, der opfyldte QC-kriterier

13. juli 2026

Først opslået (Faktiske)

16. juli 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

16. juli 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

13. juli 2026

Sidst verificeret

1. januar 2020

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 2026/022

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

IPD-planbeskrivelse

Individual participant data will not be shared because the study is based on retrospective medical records, and data sharing is restricted to protect participant confidentiality and comply with institutional and ethical requirements.

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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Kliniske forsøg med Karpaltunnelsyndrom (CTS)

Kliniske forsøg med Conventional Physical Therapy

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Sponsorer og samarbejdspartnere

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Betingelser

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Placeringer

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