Ignite Creation Date:
2024-05-06 @ 7:08 PM
Last Modification Date:
2024-10-26 @ 3:01 PM
Study NCT ID:
NCT05904561
Status:
COMPLETED
Last Update Posted:
2023-08-25
First Post:
2023-06-01
Brief Title:
Effect of Low Level Laser Therapy Versus Pulsed Ultrasound
Sponsor:
Egymedicalpedia
Organization:
Egymedicalpedia
Study Overview
Official Title:
Effect of Low Level Laser Therapy Versus Pulsed Ultrasound on Postpartum Carpal Tunnel Syndrome
Status:
COMPLETED
Status Verified Date:
2023-08
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 the most common entrapment neuropathy of the upper extremity is caused by compression of the median nerve as it travels through the carpal tunnel
CTs was clinically diagnosed in more than half of women 62 Neurophysiological evaluation diagnosed that CTs in around half of women 43 was positive in one hand at least also it was reported that about half of women with CTs during pregnancy still complained of CTs symptoms one year after delivery
CTs was clinically diagnosed in more than half of women 62 Neurophysiological evaluation diagnosed that CTs in around half of women 43 was positive in one hand at least also it was reported that about half of women with CTs during pregnancy still complained of CTs symptoms one year after delivery
Detailed Description:
Carpal tunnel syndrome pain and discomfort during postpartum period may interfere with the mother ability to successfully breastfeed due to increased physical load on the mothers hands and repetitive need for flexion during breastfeeding and carrying of the baby
Observation of peripheral oedema in about 80 of pregnant women especially in the period of third trimester is common it is due to hormonal changes that cause reduction of venous return fluid retention which decrease the carpal tunnel diameter and increase compression of the median nerve Also increase production of relaxin hormone leads to relaxation of the transverse carpal ligament and flattening of it that increase compression of the median nerve
Symptoms of CTs differ from tingling numbness and palmar side pain in radial 35 fingers Typically at night patients are awakened by a numb hand Complaints like decrease in hand strength difficulty of holding things and dropping are common Sensory distribution median nerve hypoesthesia positive provocative tests and atrophy or weakness of the thenar muscles may be shown in physical examination
Nerve conduction study NCS has been showed as the gold standard in the diagnosis of CTs since it provides information about the physiological health of median nerve over the carpal tunnel NCS measures sensory and motor nerve action potential which determines the severity of nerve entrapment
Conservative treatment of CTs includes local steroid injection non-steroidal anti-inflammatory drugs splinting modification of activity physical therapy modalities like ultrasound low level laser therapy and stretching exercises
Low level Laser therapy LLLT has analgesic and anti- inflammatory effect Also LLL improves the metabolic processes and increases protein synthesis that improves blood flow blood vessel health and cell regeneration
Observation of peripheral oedema in about 80 of pregnant women especially in the period of third trimester is common it is due to hormonal changes that cause reduction of venous return fluid retention which decrease the carpal tunnel diameter and increase compression of the median nerve Also increase production of relaxin hormone leads to relaxation of the transverse carpal ligament and flattening of it that increase compression of the median nerve
Symptoms of CTs differ from tingling numbness and palmar side pain in radial 35 fingers Typically at night patients are awakened by a numb hand Complaints like decrease in hand strength difficulty of holding things and dropping are common Sensory distribution median nerve hypoesthesia positive provocative tests and atrophy or weakness of the thenar muscles may be shown in physical examination
Nerve conduction study NCS has been showed as the gold standard in the diagnosis of CTs since it provides information about the physiological health of median nerve over the carpal tunnel NCS measures sensory and motor nerve action potential which determines the severity of nerve entrapment
Conservative treatment of CTs includes local steroid injection non-steroidal anti-inflammatory drugs splinting modification of activity physical therapy modalities like ultrasound low level laser therapy and stretching exercises
Low level Laser therapy LLLT has analgesic and anti- inflammatory effect Also LLL improves the metabolic processes and increases protein synthesis that improves blood flow blood vessel health and cell regeneration
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