尺骨側手根痛に対する神経滑走運動の効果
尺側手根痛を有する患者における神経滑走運動が疼痛、機能、関節位置覚および荷重耐性に及ぼす影響の調査
The purpose of this study is to learn if adding specific "nerve gliding" exercises to a standard physical therapy program helps reduce pain and improve hand function in people with ulnar-sided (pinky side) wrist pain.
Participants who have had wrist pain for at least 3 months will be randomly assigned to one of two groups. Both groups will receive a standard treatment program that includes patient education, activity modification, massage, and ice application. One group will also perform specific nerve gliding exercises for the ulnar nerve.
Researchers will evaulate pain level, hand function, strength, weight-bearing tolerance, and joint position sense at the beginning and after 4 weeks of treatment to see if the exercises provide extra benefit. The study treatment period lasts for 4 weeks.
調査の概要
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
-
-
-
Ankara、トルコ（Türkiye）
- Gazi University Health Sciences Faculty Physiotherapy and Rehabilitation Department
-
-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Being over 18 years of age.
- History of ulnar-sided wrist pain lasting for at least 3 months.
- Diagnosis of ulnar-sided wrist pain confirmed by a hand surgeon, which may include: fractures or dislocations of the 4th and 5th metacarpals, hamate, triquetrum, lunate, pisiform, distal ulna, or distal radius; Lunotriquetral ligament tears; Kienböck's disease; Ulnar impaction syndrome; Triangular Fibrocartilage Complex (TFCC) injury; carpal instabilities; DRUJ instability; pisotriquetral arthritis; DRUJ arthritis; extensor carpi ulnaris (ECU) tendon subluxation; or tendinitis of the ECU, extensor digiti minimi, and flexor carpi ulnaris.
- Adequate cognitive level (scoring 22 or above on the Montreal Cognitive Assessment scale).
Exclusion Criteria:
- Presence of other diseases involving the hand and wrist (e.g., carpal tunnel syndrome, Dupuytren's disease).
- History of traumatic injury to the hand, wrist, and/or forearm within the last 3 months.
- History of surgery on the hand, wrist, and/or forearm within the last 6 months.
- Currently receiving treatment for hand and wrist problems.
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：ダブル
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
アクティブコンパレータ：Control Group
Participants in this group will receive standard treatment consisting of patient education, activity modification, massage, and ice application for 4 weeks. |
Includes patient education, activity modification, classic massage along the ulnar nerve trace, and ice application (10-12 minutes) at the end of each session. |
|
実験的：Mobilization Group
Participants in this group will receive standard treatment including patient education, activity modification, massage, and ice application. In addition, they will perform ulnar nerve gliding exercises for 4 weeks. |
Includes patient education, activity modification, classic massage along the ulnar nerve trace, and ice application (10-12 minutes) at the end of each session. Ulnar nerve gliding exercises will be performed twice a week in the clinic for 4 weeks. Participants will also perform these exercises as a home program 3 times daily. |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Pain Level
時間枠：From enrollment to the end of treatment at 4 weeks
|
Pain level will be evaluated using the Visual Analog Scale (VAS) for pain at rest, during activity, and at night. |
From enrollment to the end of treatment at 4 weeks
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Wrist Function
時間枠：Baseline and 4 weeks.
|
Patient-Rated Wrist Evaluation (PRWE) questionnaire (0-100 scale, higher scores indicate greater disability) |
Baseline and 4 weeks.
|
|
Grip Strength
時間枠：Baseline and 4 weeks
|
Measured with a Jamar hydraulic hand dynamometer in kg (average of 3 trials) |
Baseline and 4 weeks
|
|
Wrist Strength
時間枠：Baseline and 4 weeks
|
Wrist flexion and extension strength will be measured with handheld dynamometer. |
Baseline and 4 weeks
|
|
Weight Bearing Tolerance
時間枠：Baseline and 4 weeks
|
Measured in kg using an analog scale where participants apply maximum force with the wrist. |
Baseline and 4 weeks
|
|
Joint Position Sense
時間枠：Baseline and 4 weeks.
|
Measured as degrees of deviation from a 30° target position using a goniometer. |
Baseline and 4 weeks.
|
協力者と研究者
スポンサー
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- 2025-1761
個々の参加者データ (IPD) の計画
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この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。