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IRCT201508182851N4 IRCT 2015-09-25 Babol Uiversity of Medical Sciences Conservative management of carpal tunnel syndrome The comparison of effectiveness of two manual therapy methods on clinical and electrophysiological findings in patients with carpal tunnel syndromes 2015-09-26 anticipated 30 Complete https://irct.ir/trial/2716 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. N/A carpal tunnel syndrome. Intervention 1: Intervention in group 1 (manual therapy directed to mechanical interface structures): we use physical modalities (TENS, US) and various manual therapy techniques for mechanical interface structures including of wrist and finger flexors muscles relaxation, tendon glide exercise, stretching of transverse carpal ligament, and wrist joint mobilization. Intervention 2: Intervention in group 2 (manual therapy directed to nerve): we use physical modalities (TENS, US) and various manual therapy techniques for median nerve including sliding and tension technique.

public Dr ghadam ali talebi

Keshavars street, university square, babol

Babol Iran (Islamic Republic of) +98 11 3219 2033 gh.talebi@mubabol.ac.irtalebiali2@yahoo.co.in Babol University of Medical Sciences scientific Dr ghadam ali talebi

Keshavarz street, university square

Babol Iran (Islamic Republic of) +98 11 3219 2033 gh.talebi@mubabol.ac.irtalebiali2@yahoo.co.in Babol University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: patients with CTS in the age range of 18 – 55 years from mild to moderate severity, with positive clinical findings and electrophysiological findings (median nerve distal motor latency > 4.2ms and median nerve distal sensory latency > 3.7ms) exclusion criterai: Positive compression test in proximal area, systemic peripheral neuropathy, history of carpal tunnel release, metabolic disorders such as diabetics or thyroid diseases, pregnancy, steroid injection in carpal tunnel, and atrophy of thenar muscles 18 years 55 years Both G56 Carpal tunnel syndrome Rehabilitation Rehabilitation Intervention in group 1 (manual therapy directed to mechanical interface structures): we use physical modalities (TENS, US) and various manual therapy techniques for mechanical interface structures including of wrist and finger flexors muscles relaxation, tendon glide exercise, stretching of transverse carpal ligament, and wrist joint mobilization. Intervention in group 2 (manual therapy directed to nerve): we use physical modalities (TENS, US) and various manual therapy techniques for median nerve including sliding and tension technique. Pain intensity. Timepoint: before intervention and at the end of 4 weeks. Method of measurement: using of visual analoge scale (VAS). Sensory distal latencies. Timepoint: before intervention and at the end of 4 weeks. Method of measurement: using of EMG device. Motor distal latencies. Timepoint: before intervention and at the end of 4 weeks. Method of measurement: using EMG device. Functional status scale. Timepoint: at the baseline and at the end of 4 weeks. Method of measurement: using of Boston questionnaire. Symptome Severity Scale. Timepoint: at the baseline and at the end of 4 weeks. Method of measurement: using of Boston questionnaire. Median nerve tension. Timepoint: at the baseline and at the end of 4 weeks. Method of measurement: using of median neurodynamic test. Babol Uiversity of Medical Sciences Approved 2015-08-09 babol University of Medical Sciences University sqare,keshavars street Babol Iran (Islamic Republic of)