Evaluation of the effect of ultrasound therapy and nerve gliding techniques in patients with mild to moderate carpal tunnel syndrome

Evaluation of the effect of ultrasound therapy and nerve gliding techniques in patients with carpal tunnel syndrome

Clinical trial with control group, with parallel groups, single-blind, randomized, phase 3 on 48 patients. The block method will be used for randomization.

A study in Imam Reza Birjand Hospital, South Khorasan Province, on 48 patients who were randomly divided into two treatment groups: ultrasound and neurogliding techniques. Patients are evaluated at the beginning of the study and 4 weeks after the start of the study

Patients suffering from carpal tunnel syndrome refer to Imam Reza hospital clinic in Birjand city. Inclusion criteria: No need for surgery, no use of non-steroidal anti-inflammatory drugs or steroids, balanced mental status and consent to participate in the research and exclusion criteria: Patients under 18 years of age, pregnant women, reports of previous treatment of the syndrome with ultrasound or laser or regular use of analgesic and anti-inflammatory drugs, use of local steroid injections inside the carpal tunnel during the last year or during the study, severe atrophy of the thenar region, history of to malignant tumors, suffering from peripheral system neuropathy, suffering from any disease that affects the results of the study Irregular attendance in treatment programs.

Patients with carpal tunnel syndrome referring to Imam Reza Hospital Clinic, Birjand city, were randomly assigned to two ultrasound groups A (frequency of 1 megahertz, current intensity of 1 watt per square centimeter, 3 times a week for 10 sessions of 5 minutes). , the group of neuro-gliding techniques (3 times a week for 10 sessions of 20 minutes) will be placed.

pain Severity of symptoms (paresthesia)

Placement of people in each group will be simple random and in a block method, in one of the two group A, ultrasound therapy (with a frequency of 1 Mhtz, current intensity of 1 wt/cm2) 3 times a week for 10 sessions and Each session for 5 minutes), group B will receive neuro-gliding techniques (3 times a week for 10 sessions and each session for 20 minutes). In this way, first, various blocks of four (AABB, BBAA, ABAB, BABA, ABBA and BABA) are created on different cards. One of these blocks will be randomly selected using the lottery method and the patients will be divided into one of two groups A or B. Then randomization is done for other patients as well. This will be done by the study manager.

Outcome evaluator: The physical medicine specialist examines and records the desired variables without knowing the placement of patients in two groups.

There is no need to publish individual patient information