Combined Effects of Neurodynamics With PNF on Pain and ROM in Patients With CTS.
Combined Effects of Neurodynamics With Proprioceptive Neuromuscular Facilitation Technique on Pain and Range of Motion in Patient With Carpal Tunnel Syndrome.
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
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Punjab Province
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Chak Four Hundred Fifty-four、Punjab Province、パキスタン、63100
- Bahawal Victoria Hospital
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参加基準
適格基準
就学可能な年齢
- 大人
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- Diagnosed cases of carpal tunnel syndrome.
- Patients having positive Tinel's test and Phalen's test.
- Symptoms persisted for at least 4 weeks.
- Availability and motivation of patients to participate in a 2-week program.
Exclusion Criteria:
- Patient with contraindications to rehabilitation treatment.
- Patients with a history of previous upper limb surgery.
- Patient received steroid injection or have any systemic disease that can influence condition.
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:独身
武器と介入
参加者グループ / アーム |
介入・治療 |
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実験的:Neurodynamic with PNF
PNF technique include Rhythmic Initiation along with agonistic reversals.
Neurodynamics includes the distal nerve tension technique along with nerve sliding.
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These 2 exercises were provided in 10 repetitions for 2 weeks (duration), 5 days per week (frequency). i) PNF techniques used in carpal tunnel treatment includes
(1) Distal nerve tension technique :Hand was placed in six different positions each position maintained for 7 second and have 5 repetitions for each step this is done in median nerve tension technique (2) nerve slide
他の名前:
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アクティブコンパレータ:Baseline treatment
Wrist splint along with ultrasound therapy, cold therapy, and medication like NSAIDs.
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They were provided with common conservative physical therapy treatment for 2 weeks, 5 days per week, following carpal tunnel syndrome. These treatments included use of a wrist splint, especially at night, along with 10-15 min of cold and ultrasound therapy. Medications like NSAIDs were given for 5 days.
他の名前:
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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 |
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Quick DASH Questionnaire
時間枠:2nd week
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Changes from Baseline Quick DASH questionnaire (Quick Disabilities of the Arm, Shoulder, and Hand) is a concise version of the DASH questionnaire. It consists of 11 items, with each item scored from 1 (no difficulty) to 5 (unable to perform), assessing daily activities, pain, and social functioning, along with optional modules for work or sports/performing arts. The total score ranges from 0 to 100, where 0 indicates no disability and 100 indicates the most severe disability. Score Ranges: 0-20: Minimal disability 21-40: Mild to moderate disability 41-60: Moderate to severe disability 61-100: Extreme disability The score is calculated by summing responses, dividing by the number of items (n), subtracting 1, and multiplying by 25. |
2nd week
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Visual Analog Scale
時間枠:2nd week
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The Visual Analog Scale (VAS) is a frequently utilized tool in clinical and research settings to measure subjective experiences like pain.
It was first developed in 1921 by psychologists Mary H.S. Hayes and Donald G. Paterson as a "graphic rating" method for subjective assessments, later adopted and adapted for measuring pain and clinical symptoms in the 1960s.
It consists of a 10 cm line where patients spot their pain intensity, from 0 "no pain" at one end to 10 "unbearable pain" at the other.
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2nd week
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協力者と研究者
捜査官
- 主任研究者:Arnab Altaf, ppdpt、Riphah International University
出版物と役立つリンク
一般刊行物
- Hamzeh H, Madi M, Alghwiri AA, Hawamdeh Z. The long-term effect of neurodynamics vs exercise therapy on pain and function in people with carpal tunnel syndrome: A randomized parallel-group clinical trial. J Hand Ther. 2021 Oct-Dec;34(4):521-530. doi: 10.1016/j.jht.2020.07.005. Epub 2020 Jul 30.
- Shabbir S, Naeem F, Aroob A. Comparative Effects of Neurodynamics With and Without Wrist Splint in patients with Carpal Tunnel Syndrome. Pakistan Journal of Medical & Health Sciences. S Shabbir, F Naeem, A Aroob Pakistan Journal of Medical and Health Sciences, 2022•academia.edu
- Aditi, K., Manish, J. K., Vaibhav, A., & Yadav, N. Analysing the Effects of Neuro-dynamics in Carpal Tunnel Syndrome in Pain and Disability: A Randomized Control Trial.
- Zaheer SA, Ahmed Z. Neurodynamic Techniques in the Treatment of Mild-to-Moderate Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis. J Clin Med. 2023 Jul 25;12(15):4888. doi: 10.3390/jcm12154888.
- Nunez de Arenas-Arroyo S, Cavero-Redondo I, Torres-Costoso A, Reina-Gutierrez S, Alvarez-Bueno C, Martinez-Vizcaino V. Short-term Effects of Neurodynamic Techniques for Treating Carpal Tunnel Syndrome: A Systematic Review With Meta-analysis. J Orthop Sports Phys Ther. 2021 Dec;51(12):566-580. doi: 10.2519/jospt.2021.10533. Epub 2021 Nov 16.
便利なリンク
- Comparative Effects of Neurodynamics With and Without Wrist Splint in patients with Carpal Tunnel Syndrome
- Effectiveness of proprioceptive neuromuscular facilitation pattern on upper extremity and scapula in patients with adhesive capsulitis: a single-centre assessor-blinded randomised controlled trial (RCT)
- Comparison of Two Different Applications of Proprioceptive Neuromuscular Facilitation Techniques to Increase Upper-Extremity Muscle Strength Bezmialem Science 2021;9(2):190-197 DOI: 10.14235/bas.galenos.2020.3854
- Changes in Median Nerve Excursion with Neurodynamic techniques in patients with carpal tunnel syndrome and healthy adults: influencing factors H Farghaly, H Rashed, H Elgendy, A Mohamed Egyptian Journal of Physical Therapy, 2023•ejpt.journals.ekb.eg
- Effect of Neurodynamic Technique on Carpal Tunnel Syndrome" Single Case Report"
- Comparison of Two Different Applications of Proprioceptive Neuromuscular Facilitation Techniques to Increase Upper-Extremity Muscle Strength Bezmialem Science 2021;9(2):190-197
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
追加の関連 MeSH 用語
その他の研究ID番号
- REC/RCR & AHS/24/0293
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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