Effectiveness of Matrix Rhythm Therapy on Carpal Tunnel Syndrome
Effectiveness of Matrix Rhythm Therapy on Symptom Severity and Function in Carpal Tunnel Syndrome: A Randomized, Placebo-Controlled, Assessor-Blinded Trial
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Ertan Şahinoğlu, PhD
- Numero di telefono: 14101 +90 232 493 00 00
- Email: ertan.sahinoglu@bakircay.edu.tr
Backup dei contatti dello studio
- Nome: Ayşe Kayalı Vatansever, PhD
- Numero di telefono: 14046 +90 232 493 00 00
- Email: ayse.vatansever@bakircay.edu.tr
Luoghi di studio
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Izmir, Turchia (Türkiye), 35665
- Reclutamento
- Izmir Bakircay University
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Contatto:
- Bülent Toğram
- Numero di telefono: +90 232 493 00 00
- Email: sbf@bakircay.edu.tr
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
- Adulto
Accetta volontari sani
Descrizione
Inclusion Criteria:
- Having a diagnosis of unilateral carpal tunnel syndrome confirmed by an orthopedist based on clinical examination and electromyography (EMG) testing.
- Being classified with mild-to-moderate carpal tunnel syndrome severity.
- Having symptoms persisting for at least 12 weeks.
- Having a Mini-Mental State Examination (MMSE) score greater than 24.
- Being literate (able to read and write).
Exclusion Criteria:
- History of prior carpal tunnel release surgery.
- History of corticosteroid injection into the affected hand/wrist.
- Having received physiotherapy for carpal tunnel syndrome within the last 6 months.
- Presence of any neurological signs or symptoms in the upper extremity other than carpal tunnel syndrome.
- History of prior surgery in the hand or wrist region due to other conditions.
- Diagnosis of any systemic neurological disease.
- Diagnosis of rheumatic diseases (e.g., rheumatoid arthritis, systemic lupus erythematosus).
- Having ongoing pain in the arm or hand due to any other underlying cause.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Doppio
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
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Sperimentale: Matrix Rhythm Therapy Group
This group will receive a conventional physiotherapy treatment combined with active matrix rhythm therapy.
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Active matrix rhythm therapy applied for 40 minutes per session (10 min paraspinal muscles, 10 min over the flexor retinaculum, 10 min to extensor muscles, and 10 min to flexor muscles), 2 sessions per week for 6 weeks.
Participants use a night splint holding the wrist in neutral position.
On clinic days, conservative physiotherapy sessions are administered immediately following the active or sham matrix rhythm therapy sessions, 2 days per week for 6 weeks.
These supervised sessions include median nerve sliding exercises (3 sets, 5 reps) and passive stretching for wrist flexors/extensors (15-sec hold, 3 sets, 5 reps).
In addition to clinical sessions, the same exercise protocol is performed at home twice daily and continued independently up to the 12th-week follow-up.
Compliance with both splint wear and home exercises is strictly monitored using participant usage logs and exercise diaries.
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Comparatore fittizio: Sham Matrix Rhythm Therapy Group
This group will receive a conventional physiotherapy treatment combined with a placebo application using the Hypervolt 2 Pro device.
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Participants use a night splint holding the wrist in neutral position.
On clinic days, conservative physiotherapy sessions are administered immediately following the active or sham matrix rhythm therapy sessions, 2 days per week for 6 weeks.
These supervised sessions include median nerve sliding exercises (3 sets, 5 reps) and passive stretching for wrist flexors/extensors (15-sec hold, 3 sets, 5 reps).
In addition to clinical sessions, the same exercise protocol is performed at home twice daily and continued independently up to the 12th-week follow-up.
Compliance with both splint wear and home exercises is strictly monitored using participant usage logs and exercise diaries.
Placebo application using the Hypervolt 2 Pro device for 40 minutes per session (10 min paraspinal, 10 min flexor retinaculum, 10 min extensors, 10 min flexors), 2 sessions per week for 6 weeks.
It mimics the physical vibration and head shape of the matrix rhythm therapy device to maintain blinding.
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Change from Baseline in the Boston Carpal Tunnel Questionnaire - Symptom Severity Scale at 6 and 12 Weeks
Lasso di tempo: Baseline, Post-treatment (Week 6), and Follow-up (Week 12)
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This scale evaluates the severity of symptoms including pain, numbness, and paresthesia over the past two weeks.
It consists of 11 items, each scored on a Likert scale from 1 (no symptoms) to 5 (most severe symptoms).
The total score is calculated by dividing the sum of individual item scores by 11.
Final scores range from 1 to 5, where higher scores indicate greater symptom severity.
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Baseline, Post-treatment (Week 6), and Follow-up (Week 12)
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Change from Baseline in the Boston Carpal Tunnel Questionnaire - Functional Status Scale at 6 and 12 Weeks
Lasso di tempo: Baseline, Post-treatment (Week 6), and Follow-up (Week 12)
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This scale assesses hand-related functional limitations during daily activities.
It consists of 8 items, each scored on a Likert scale from 1 (no difficulty) to 5 (cannot perform activity at all).
The total score is calculated by dividing the sum of individual item scores by 8. Final scores range from 1 to 5, where higher scores indicate greater functional impairment.
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Baseline, Post-treatment (Week 6), and Follow-up (Week 12)
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Change from Baseline in Hand Grip Strength at 6 and 12 Weeks
Lasso di tempo: Baseline, Post-treatment (Week 6), and Follow-up (Week 12)
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Measured using a hand dynamometer.
The participant is seated with the shoulder adducted at 0 degrees, elbow flexed at 90 degrees, and forearm/wrist in neutral position.
The measurement will be repeated three times for the affected hand with 5-second intervals, and the arithmetic mean will be recorded.
Higher values indicate greater grip strength measured in kilograms (kg).
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Baseline, Post-treatment (Week 6), and Follow-up (Week 12)
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Change from Baseline in Pinch Strength at 6 and 12 Weeks
Lasso di tempo: Baseline, Post-treatment (Week 6), and Follow-up (Week 12)
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Assessed using a pinch gauge to measure tip pinch strength.
The participant is seated with the shoulder adducted at 0 degrees, elbow flexed at 90 degrees, and forearm/wrist in neutral position, and asked to squeeze the device with maximum effort using the tips of the thumb and index finger.
The measurement will be repeated three times for the affected hand with 5-second intervals, and the arithmetic mean will be recorded.
Higher values indicate greater pinch strength measured in kilograms (kg).
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Baseline, Post-treatment (Week 6), and Follow-up (Week 12)
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Change from Baseline in the EQ-5D-5L Index Score at 6 and 12 Weeks
Lasso di tempo: Baseline, Post-treatment (Week 6), and Follow-up (Week 12)
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Evaluated using the EuroQol (EQ-5D-5L) scale, which covers 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression.
Each dimension has 5 response levels.
These responses are converted into a single health-state index score using the country-specific value set.
Index scores typically range from less than 0 to 1, where higher scores indicate a better health-related quality of life.
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Baseline, Post-treatment (Week 6), and Follow-up (Week 12)
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- 2963
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