Treatment of Carpal Tunnel Syndrome With Dynamic Splinting

The recruitment status of this study is unknown because the information has not been verified recently.
Verified May 2008 by Advanced Centers for Orthopaedic Surgery and Sports Medicine.
Recruitment status was  Recruiting
Sponsor:
Collaborator:
Dynasplint Systems, Inc.
Information provided by:
Advanced Centers for Orthopaedic Surgery and Sports Medicine
ClinicalTrials.gov Identifier:
NCT00558116
First received: November 12, 2007
Last updated: May 10, 2008
Last verified: May 2008
  Purpose

The Purpose of this study is to examine the effect of using the Carpal Tunnel Dynasplint® System on patients diagnosed with CTS in a randomized, controlled, cross-over study.


Condition Intervention
Carpal Tunnel Syndrome
Device: Dynamic splinting

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single Blind (Investigator)
Primary Purpose: Treatment
Official Title: Treating Carpal Tunnel Syndrome With Dynamic Splinting: A Randomized, Controlled, Trial

Resource links provided by NLM:


Further study details as provided by Advanced Centers for Orthopaedic Surgery and Sports Medicine:

Primary Outcome Measures:
  • Change in Nerve Conduction Test results [ Time Frame: 60 days ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Change in score of Levine-Katz outcome survey [ Time Frame: 60 days ] [ Designated as safety issue: No ]

Estimated Enrollment: 80
Study Start Date: May 2007
Estimated Study Completion Date: December 2008
Estimated Primary Completion Date: November 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1
Treatment with Dynasplint device
Device: Dynamic splinting
The Dynasplint carpal tunnel device will be worn for 30 minutes, twice daily, for 60 consecutive days.
No Intervention: 2
Control group; does not receive conservative or surgical treatment.
Device: Dynamic splinting
The Dynasplint carpal tunnel device will be worn for 30 minutes, twice daily, for 60 consecutive days.

Detailed Description:

This study will compare the efficacy of treating Carpal tunnel Syndrome with the Dynasplint® Systems device as compared to a non-treatment control group utilizing a randomized, controlled, cross-over study design. The dependant variables in this study are each patient's score on a Levine-Katz disability and pain scale test, and the change in nerve conduction of the median nerve that was tested upon diagnosis. The independent variables will include three different patient groups separated by randomization. The first group of subjects (selected randomly) will be fit with a therapeutic, functional Carpal Tunnel Dynasplint® versus the second, control patients will not be treated with dynamic splinting for the first sixty (60) days. After the initial sixty (60) days, the original control patients will be fit with a functional Carpal Tunnel Dynasplint® system and this will allow examiner to evaluate for further variance between subject groups, allowing the third group to be a Cross-Over group.

The METHODS for this multi-centered study include recruiting patients from multiple hand surgeons and neurologists and these patients will have been diagnosed with following the physicians' physical examination and a nerve conduction test of the median nerve. The subjects then will be briefed on this study and sign an informed consent as required by the IRB before participating. Subjects who do consent will then be given the Levine-Katz disability and pain scale test, and prior to being fit with the Carpal Tunnel Dynasplint® Subjects will be taught how to use a Carpal Tunnel Dynasplint® properly and after being fit with the Carpal Tunnel Dynasplint® each subject will be required to complete a weekly report showing compliance to the wearing and treatment schedule, and they must attend regular, monthly examinations by the referring physician. After the initial sixty (60) days in the study each subject will repeat the three lead conduction test of the median nerve.

Control subjects at this point will be fit with the Carpal Tunnel Dynasplint® systems becoming Cross-Over subjects and their final nerve conduction test will be administered after they have worn the Carpal Tunnel Dynasplint® system for sixty (60) days. Upon discharge from this study all subjects will also retake the Levine-Katz disability and pain scale test.

Eighty (80) SUBJECTS will be recruited following diagnosis of CTS (using nerve conduction testing of the median nerve for differential diagnosis) and group assignment will be determined through randomization following each patient's completion of the informed consent required by the IRB. All patients randomly selected to start in the experimental group will be fit with functional Carpal Tunnel Dynasplint® and the control group subjects will not be fit until after sixty (60) days. When they are ultimately fit, they will then be categorized as "Cross-Over" subjects to measure continued variance between all groups.

The DURATION for patients enrolled in this study will be sixty (60) days for the experimental subjects and the control subjects will spend their first sixty (60) days as a control role without treatment. However, following sixty days the initial control subjects but then they will be refit with a functional Carpal Tunnel Dynasplint® as a "Cross-Over" subject for an additional sixty (60) days, which makes the control subjects duration in this study 120 days.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Patients must exhibit one of the following symptoms of CTS: numbness, tingling, or pain in the wrist or hand
  • Patients will be ≥18 years old and of either gender
  • Patients will agree and be able to sign a voluntary consent to participate form
  • Nerve Conduction study results as follows:

Sensory conduction latency to peak greater than 3.7ms when measured with ring pick up on the volar surface of the index finger measured 14cm from stimulation across the wrist at the median nerve Motor conduction latency to take off greater than 4.2ms when measured with disc pick up on the abductor pollicis brevis muscle measured 8 cm from stimulation across the wrist at the median nerve

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Exclusion Criteria:

  • Patients that have thenar atrophy of the hand
  • Patients that are currently undergoing manual, hand therapy
  • Patients that have been previously diagnosed with cervical radiculopathy
  • Patients whose examination shows evidence of a "Double Crush" syndrome
  • Pregnancy
  • Nerve Conduction study results as follows:

Sensory conduction latency to peak less than 3.7ms when measured with ring pick up on the volar surface of the index finger measured 14cm from stimulation across the wrist at the median nerve Motor conduction latency to take off less than 4.2ms when measured with disc pick up on the abductor pollicis brevis muscle measured 8cm from stimulation across the wrist at the median nerve

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00558116

Contacts
Contact: Stacey H Berner, MD 410-484-8088 ext 1040 sberner@acossm.com
Contact: Jacen A Martinez, PA-C 410-484-8088 ext 1040 jmartinez@acossm.com

Locations
United States, Maryland
Advanced Centers for Orthopaedic Surgery and Sports Medicine Recruiting
Owings Mills, Maryland, United States, 21117
Sponsors and Collaborators
Advanced Centers for Orthopaedic Surgery and Sports Medicine
Dynasplint Systems, Inc.
Investigators
Principal Investigator: Stacey H Berner, MD Advanced Centers for Orthopaedic Surgery and Sports Medicine
  More Information

No publications provided

Responsible Party: Stacey H Berner, MD, Advanced Centers for Orthopaedic Surgery and Sports Medicine
ClinicalTrials.gov Identifier: NCT00558116     History of Changes
Other Study ID Numbers: 101010
Study First Received: November 12, 2007
Last Updated: May 10, 2008
Health Authority: Institutional Review Board, Lifebridgehealth USA:

Keywords provided by Advanced Centers for Orthopaedic Surgery and Sports Medicine:
Carpal Tunnel Syndrome
Dynamic Splinting
Nerve Conduction Studies
Splinting
Levine Katz Survey

Additional relevant MeSH terms:
Cumulative Trauma Disorders
Carpal Tunnel Syndrome
Syndrome
Disease
Median Neuropathy
Mononeuropathies
Nerve Compression Syndromes
Nervous System Diseases
Neuromuscular Diseases
Pathologic Processes
Peripheral Nervous System Diseases
Sprains and Strains
Wounds and Injuries

ClinicalTrials.gov processed this record on October 22, 2014