Efficacy of the Interferential Laser Therapy in Pain Reduction in Carpal Tunnel Syndrome
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Purpose
The purpose of this study is to determine the efficacy of the interferential laser therapy in the wrist and hand pain and disability reduction and force improvement in the carpal tunnel syndrome. Subjects are patients diagnosed of carpal tunnel syndrome who have been prescribed laser therapy. Settings: Ramon y Cajal Hospital. Department of Rehabilitation. Physical therapy unit. Electrotherapy section. Occupational Therapy. Department of Neurology.
| Condition | Intervention | Phase |
|---|---|---|
|
Carpal Tunnel Syndrome Neuropathic Pain |
Device: Interferential Laser Therapy |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Efficacy of the Interferential Laser Therapy in Pain Reduction in Carpal Tunnel Syndrome |
- Visual Analogue Scale (VAS) [ Time Frame: 5 minutes ] [ Designated as safety issue: Yes ]Visual Analogue Scale during wrist analitical movements.
- Disability Arm Shoulder and Hand questionnaire (DASH) [ Time Frame: 15 minutes ] [ Designated as safety issue: Yes ]
- Boston Carpal Tunnel Questionnaire [ Time Frame: 5 minutes ] [ Designated as safety issue: Yes ]
- Dinamometry [ Time Frame: 5 minutes ] [ Designated as safety issue: Yes ]Power grip and pinch grip.
| Estimated Enrollment: | 100 |
| Study Start Date: | February 2010 |
| Study Completion Date: | April 2011 |
| Primary Completion Date: | April 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Sham Comparator: Conventional Laser Therapy |
Device: Interferential Laser Therapy
PROCEDURE: Interventional group: Two independents and identical probes. Energy dose per point and per probe: 5 J. Continuous emission. Treatment time:8 minutes. Sessions: 10. Frequency of the sessions: daily. Irradiation technique: handily, in contact and at 7 points over distal pathway of median nerve.Control group: Sham laser:650 nm.Scanning mode.Outpout power:1 mW.
Other Name: INTERFERENTIAL LASER THERAPY
|
| Active Comparator: Interferential Laser Therapy |
Device: Interferential Laser Therapy
PROCEDURE: Interventional group: Two independents and identical probes. Energy dose per point and per probe: 5 J. Continuous emission. Treatment time:8 minutes. Sessions: 10. Frequency of the sessions: daily. Irradiation technique: handily, in contact and at 7 points over distal pathway of median nerve.Control group: Sham laser:650 nm.Scanning mode.Outpout power:1 mW.
Other Name: INTERFERENTIAL LASER THERAPY
|
Detailed Description:
The spatiotemporal superposition of two independent and opposite beams of laser generates a constructive interference pattern that increases the therapeutic effects in the irradiated tissue. Patient suffering pain from diagnosed carpal tunnel syndrome will receive conventional or interferential laser therapy. This is a comparative randomized and double blind clinical study. Two identical lasers in near infrared range will be used. Frequency of sessions: daily. Irradiated technique: manual, contact and punctual. Pain will be evaluated by visual analog scale at rest and during analytical wrist movement. Disability will be evaluated by the DASH and BOSTON questionnaire. Evaluation will take place at pre and post-treatment times.
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients diagnosed of Carpal Tunnel Syndrome by means of an Electromyography Study.
- Patients with or not previous surgery.
- Patients with an age of 18 years or older.
- Patients having a signed informed consent.
Exclusion Criteria:
- Patients with severe hand traumatisms.
- Patients with cervical radiculopathy.
- Patients with Outlet Thoracic Syndrome.
- Patients bearing osteo syntheses material.
- Patients suffering tumoral pathology.
Contacts and Locations| Spain | |
| Ramón y Cajal University Hospital | |
| Madrid, Spain, 28034 | |
| Principal Investigator: | Ramon Montes-Molina, PT, MsC | Unit of Physiotherapy |
| Study Director: | Fidel Martinez-Ruiz, Physicist | Unit Biomechanics and Biomaterials |
More Information
No publications provided
| Responsible Party: | EFFICACY OF THE INTERFERENTIAL LASER THERAPY IN THE REDUCTION OF PAIN IN CARPAL TUNNEL SYNDROME., Hospital Ramon y Cajal |
| ClinicalTrials.gov Identifier: | NCT01093209 History of Changes |
| Other Study ID Numbers: | Ramón y Cajal Hospital |
| Study First Received: | March 24, 2010 |
| Last Updated: | June 27, 2011 |
| Health Authority: | Spain: Ministry of Health |
Keywords provided by Hospital Universitario Ramon y Cajal:
|
Carpal Tunnel Syndrome Interferential laser therapy Low-level laser therapy Neuropathic pain Median nerve compression |
Additional relevant MeSH terms:
|
Cumulative Trauma Disorders Carpal Tunnel Syndrome Neuralgia Median Neuropathy Mononeuropathies Peripheral Nervous System Diseases Neuromuscular Diseases |
Nervous System Diseases Nerve Compression Syndromes Sprains and Strains Wounds and Injuries Pain Neurologic Manifestations Signs and Symptoms |
ClinicalTrials.gov processed this record on May 16, 2013