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Набор скоро начнётся NCT07014774

Efficacy of Laser Acupuncture on Carpal Tunnel Syndrome Following Hand Flexor Tendon Repair

Без фазы С лечением Laser Acupuncture Flexor Tendon Repair Hand Surgery Carpal Tunnel Syndrome (CTS)

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Laser acupuncture, Traditional Therapy.
Кому может быть актуально
Состояния в реестре: Laser Acupuncture, Flexor Tendon Repair, Hand Surgery, Carpal Tunnel Syndrome (CTS). Базовые параметры: 20 лет — 40 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Египет
Следующий шаг
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Обзор

The purpose of this study is to determine the efficacy of laser acupuncture in alleviating CTS symptoms following flexor tendon repair in the hand.

Подробное описание

This study holds significant importance for clinical practice, patient care, and research.

* Clinical Practice: It provides a potential framework for physical therapists to design targeted and effective interventions for laser acupuncture on CTS following flexor tendon repair in the hand. * Patient Care: Improved rehabilitation outcomes can enhance patients' physical functionality, independence, and overall quality of life, addressing a critical gap in post-operative complications. * Research Advancement: By contributing to the limited body of literature on laser acupuncture in this context, the study can stimulate further research and innovation in carpal tunnel syndrome following hand flexor tendon repair.

Вмешательства

  • Устройство Laser acupuncture
    Laser acupuncture is a modern, non-invasive approach to acupuncture that uses low-level laser therapy (LLLT) instead of traditional needles to stimulate acupuncture points. This technique combines the principles of traditional Chinese medicine with modern technology to provide pain relief and promote healing (Chon et al., 2019). * Device: UNIPHY PHYACTION 740, made in EEC device. * Laser type: Gallium aluminum arsenide laser. * Wavelength: 808 nm. * Power Output: 200 mW. * Dose/energy density:
  • Другое Traditional Therapy
    * Splinting/Bracing: Patients in the two groups will advised to wear a static wrist splint locked at 0\_ wrist flexion for at least 8 h at night throughout the entire length of the study as the primary management which reduce pressure on the median nerve. * Physical Therapy: Engaging in specific exercises, such as nerve glide exercises and wrist stretches, can improve mobility and reduce symptoms. These exercises aim to restore normal movement of the median nerve and alleviate compression

Первичные конечные точки

  • Symptom Relief: [Срок оценки: At baseline and after 8 weeks]
Вторичные конечные точки (2)
  • - Grip Strength: [Срок оценки: Measured at baseline and at the end of the intervention (8 weeks).]
  • - Nerve Conduction Velocity (NCV): [Срок оценки: baseline and 8 weeks.]

Критерии участия

Критерии включения

  • Adults aged 20-40 years who have undergone flexor tendon repair surgery.
  • Patients who have undergone primary or secondary repair of flexor tendons in the hand at zone 4 (zone of carpal tunnel as it often be complicated by postoperative adhesions due to close quarters and synovial sheath of the carpal tunnel) (Fulchignoni C et al., 2020).
  • Surgery occurred within a specific timeframe, often within 6-12 weeks prior to inclusion (Peters SE, Jha B, Ross M., 2021).
  • Patient have clinical and electro diagnostic evidence of CTS.
  • All patients enrolled to the study will have their informed consent.

Критерии исключения

  • Pre-existing neurological disorders.
  • Systemic illnesses affecting nerve function (e.g., diabetes).
  • Contraindications to laser therapy.
  • Pregnancy or breastfeeding.
  • Active infections or open wounds in the hand or wrist.
  • Previous history of carpal tunnel release surgery or received an injection of steroid for CTS.
  • Previous history of brachial plexus injury or median nerve injury.
  • Other severe neurological or musculoskeletal conditions.
  • Epilepsy or any psychological disorders.
  • Cancer.
  • Spots over the treated points.
  • Pacemaker or implanted devices.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Простое слепое
Основная цель
Лечение

Центры проведения

Египет · 1 центр
  • Learning Hospitals Al Kaser Al Ayni Hospitals — Cairo

Идентификаторы

NCT: NCT07014774 · Mahmoud-005745 · Internal2025-Tendon

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗