Ignite Creation Date:
2024-05-06 @ 4:52 PM
Last Modification Date:
2024-10-26 @ 2:17 PM
Study NCT ID:
NCT05115396
Status:
COMPLETED
Last Update Posted:
2023-05-15
First Post:
2021-10-29
Brief Title:
Effectiveness of Mirror Therapy in Patients With Carpal Tunnel Syndrome
Sponsor:
University of Valencia
Organization:
University of Valencia
Study Overview
Official Title:
Effectiveness of Mirror Therapy in Patients With Carpal Tunnel Syndrome
Status:
COMPLETED
Status Verified Date:
2021-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Carpal tunnel syndrome CTS is the most prevalent entrapment neuropathy CTS presents with motor and sensory disturbances including pain paraesthesia and numbness in the fingers and hand Therefore CTS has a great impact on the activities of daily living
There are non-surgical treatments that can be effective in people who experience mild or moderate symptoms derived from CTS Among them flexor tendon and median nerve sliding exercises may offer an improvement in pain severity and symptoms strength wrist joint range functionality and quality of life for people with CTS However there are few studies on the effectiveness of treatments focused on the mechanisms of neuroplasticity through techniques aimed at rehabilitating different deficits
Mirror therapy MT may be beneficial in musculoskeletal injuries that occur with pain and reduced functionality of a body segment For example in people with acute stroke orthopaedic hand injuries or complex regional pain syndrome type 1 However its effect has not been studied in patients with CTS in mild or moderate stages
Thus the objective of this study is to analyze the effectiveness of MT with conventional CTS exercises in symptoms of median nerve compression pain mobility strength and motor functionality in patients with CTS
There are non-surgical treatments that can be effective in people who experience mild or moderate symptoms derived from CTS Among them flexor tendon and median nerve sliding exercises may offer an improvement in pain severity and symptoms strength wrist joint range functionality and quality of life for people with CTS However there are few studies on the effectiveness of treatments focused on the mechanisms of neuroplasticity through techniques aimed at rehabilitating different deficits
Mirror therapy MT may be beneficial in musculoskeletal injuries that occur with pain and reduced functionality of a body segment For example in people with acute stroke orthopaedic hand injuries or complex regional pain syndrome type 1 However its effect has not been studied in patients with CTS in mild or moderate stages
Thus the objective of this study is to analyze the effectiveness of MT with conventional CTS exercises in symptoms of median nerve compression pain mobility strength and motor functionality in patients with CTS
Detailed Description:
Carpal tunnel syndrome CTS is the most prevalent entrapment neuropathy CTS presents with motor and sensory disturbances including pain paresthesia and numbness in the fingers and hand In addition since complex movements and tactile sensation of the hand are essential to perform everyday tasks STC has a great impact on the activities of daily living
Previuos studies have shown that CTS is not merely a local compression of the median nerve since associated peripheral and central sensitization phenomena have been verified In this sense the decrease in the use of a body segment as a form of protective response to pain favors the reduction of cortical thickness affecting the primary motor and somatosensory area In this way in patients with CTS it has been described that the modification of the sensory input ends up having an impact on the level of the central nervous system producing different brain plastic changes
There are non-surgical treatments that can be effective in people who experience mild or moderate symptoms derived from CTS Among them flexor tendon and median nerve sliding exercises may offer an improvement in pain severity and symptoms strength wrist joint range functionality and quality of life for people with CTS However there are few studies on the effectiveness of treatments focused on the mechanisms of neuroplasticity through techniques aimed at rehabilitating different deficits
Mirror therapy MT which involves the activation of mirror neurons and contributes to the cortical representation of movement has been shown to be beneficial in musculoskeletal injuries that occur with pain and reduced functionality of a body segment Furthermore it has been shown to be effective in motor recovery of the upper limb in patients with acute stroke the restoration of joint range and hand function in patients with orthopedic hand injuries and in the improvement of pain in patients with complex regional pain syndrome type 1
Similarly in CTS the application of MT decreases pain at rest during the night and improves sensitivity and function in patients undergoing CTS hand surgery However its effect has not been studied in patients with CTS in mild or moderate stages where surgical treatment is not urgent or indicated
Thus the objective of this study will analyze the effectiveness of MT in combination with conventional exercises compared to conventional exercises on aspects related to symptoms of median nerve compression pain joint range tension strength and motor functionality of the hand in patients with CTS
Therefore this study is a randomized clinical trial in which two groups of twenty people in each group will participate with different interventions
Mirror therapy group
Cross-education group without mirror Participants will receive six-week intervention 2 supervised sessions per week and 3 unsupervised sessions per week
Participants will be evaluated in three moments at baseline postintervention and one-month-follow-up
Data analysis will be performed with SPSS statistic program v26 Normality and homoscedasticity will be analyzed by Shapiro-Wilk t-test and Levene test respectively For comparation between groups Bonferroni will be used If any confusion factor that not meet requirements to be analysed like a covariable exist ANCOVA will be used When p005 statistical significant differences will be assumed
Previuos studies have shown that CTS is not merely a local compression of the median nerve since associated peripheral and central sensitization phenomena have been verified In this sense the decrease in the use of a body segment as a form of protective response to pain favors the reduction of cortical thickness affecting the primary motor and somatosensory area In this way in patients with CTS it has been described that the modification of the sensory input ends up having an impact on the level of the central nervous system producing different brain plastic changes
There are non-surgical treatments that can be effective in people who experience mild or moderate symptoms derived from CTS Among them flexor tendon and median nerve sliding exercises may offer an improvement in pain severity and symptoms strength wrist joint range functionality and quality of life for people with CTS However there are few studies on the effectiveness of treatments focused on the mechanisms of neuroplasticity through techniques aimed at rehabilitating different deficits
Mirror therapy MT which involves the activation of mirror neurons and contributes to the cortical representation of movement has been shown to be beneficial in musculoskeletal injuries that occur with pain and reduced functionality of a body segment Furthermore it has been shown to be effective in motor recovery of the upper limb in patients with acute stroke the restoration of joint range and hand function in patients with orthopedic hand injuries and in the improvement of pain in patients with complex regional pain syndrome type 1
Similarly in CTS the application of MT decreases pain at rest during the night and improves sensitivity and function in patients undergoing CTS hand surgery However its effect has not been studied in patients with CTS in mild or moderate stages where surgical treatment is not urgent or indicated
Thus the objective of this study will analyze the effectiveness of MT in combination with conventional exercises compared to conventional exercises on aspects related to symptoms of median nerve compression pain joint range tension strength and motor functionality of the hand in patients with CTS
Therefore this study is a randomized clinical trial in which two groups of twenty people in each group will participate with different interventions
Mirror therapy group
Cross-education group without mirror Participants will receive six-week intervention 2 supervised sessions per week and 3 unsupervised sessions per week
Participants will be evaluated in three moments at baseline postintervention and one-month-follow-up
Data analysis will be performed with SPSS statistic program v26 Normality and homoscedasticity will be analyzed by Shapiro-Wilk t-test and Levene test respectively For comparation between groups Bonferroni will be used If any confusion factor that not meet requirements to be analysed like a covariable exist ANCOVA will be used When p005 statistical significant differences will be assumed
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None