Effect of Myofascial Release Versus Acupressure on Carpal Tunnel Syndrome in Postnatal Period
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Night splint, Myofascial release technique, Acupressure, Home advice.
- Who it may be relevant to
- Registry conditions: Carpal Tunnel Syndrome. Basic parameters: 25 years — 35 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Overview
This study will be conducted to compare the effect of myofascial release and acupressure on postnatal carpal tunnel syndrome.
Detailed description
Various factors, such as an increase in body mass index (BMI), hormones (relaxin), fluid redistribution, and maternal age, are involved in the etiology of pregnancy related carpal tunnel syndrome (CTS). In terms of prognosis, although it has been reported that pregnancy related CTS generally regresses completely spontaneously or with conservative treatment methods after birth, residual symptoms and neurophysiological findings that require surgical decompression up to a year after birth have also been reported.
In clinical practice guidelines, conservative treatment is recommended for mild and moderate cases, while a surgical approach is recommended for patients with severe CTS . Some clinical conditions such as hormonal alteration and edema for menopause and pregnancy due to alteration of the fluid balance in the body.
Myofascial release is considered a safe, non-invasive, and simple method for decreasing pain intensity and numbness sensation severity and for improving hand function in pregnant women with CTS.
Acupressure is the supportive therapies based on Chinese medicine. Pressure is applied to the affected areas without the use of needles. PC7 or the Daling point is especially considered when managing CTS; it was found to cause an increase of endomorpin-1, beta-endorphin, serotonin, dopamine, and enkephalin levels in the brain tissues and plasma. Acupressure was found to be more effective compared to the placebo and splints re- garding the functional status and nerve conduction studies.
Interventions
- Other Night splint
All participants will be treated conservatively by wrist splint in a neutral position. - Other Myofascial release technique
The participant will receive myofascial release using M2T blade. It will be applied on the carpal tunnel over and above the wrist creases on the ventral aspect of the forearm for 15 minutes, 3 sessions weekly for 6 weeks (total of 18 sessions). - Other Acupressure
It will be applied on the pericardium 6 point (PC-6) for 3 minutes, three times per week for 6 weeks (total of 18 sessions). It is located on the palm side of the wrist a couple of inches toward the body in between the two tendons (palmaris longus \& flexor carpi radialis) that run approximately down the center of the forearm. - Other Home advice
The participants will be asked to follow important advices like supporting the wrists during activity and ensuring proper posture, avoiding wrist flexion and extension, avoiding hard clutches, holding or carrying objects for a long time, catching with fingers, repetitive hand and wrist movement such as knitting or sewing, driving, activities and hobbies such as golf, tennis, table tennis.
Primary outcome measures
- Pain intensity [Time frame: 6 weeks]
- Sensory conduction velocity [Time frame: 6 weeks]
- Sensory distal latency [Time frame: 6 weeks]
- Median nerve amplitude [Time frame: 6 weeks]
Secondary outcome measures (1)
- Assessment of severity of carpal tunnel syndrome symptoms [Time frame: 6 weeks]
Eligibility criteria
Inclusion criteria
- Postpartum women with mild to moderate carpal tunnel syndrome (CTS).
- Their ages will range from 25 to 35 years old.
- Their body mass index (BMI) will range from 25 to 30 Kg/m2.
- The electrophysiological evidence of mild or moderate median nerve lesion at wrist (mild: sensory nerve conduction velocity slow on finger/wrist measurement, sensory nerve latency >3.5 ms, normal terminal motor latency; moderate: sensory potential preserved with motor slowing, distal motor latency to abductor pollicis brevis (APB) < 6.5 ms)
- Positive phalen's test.
- Positive tinel's test.
- Unilateral or bilateral carpal tunnel affection will be included.
Exclusion criteria
- History of brachial plexopathy or malignancy.
- Radial, ulnar neuropathy, proximal median neuropathy or polyneuropathy.
- Previous wrist surgery or steroid injection for CTS.
- History of trauma, fracture, deformity or inflammation in the wrist, such as rheumatoid arthritis.
- Coagulation abnormalities, pregnancy, fever and infections.
- Skin disease and skin cancer.
- Spots, birthmarks or tattoos over the work points.
- Pacemaker and implementable medical devices.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- Amr Kamal Abd El-Aal — Cairo
Identifiers
NCT: NCT07086846 · 012/005373