Dorsovolar Kinesiotape in Carpal Tunnel Syndrome

• ClinicalTrials.gov Identifier: NCT05997823
• Recruitment Status: Completed
• First Posted: August 18, 2023
• Last Update Posted: January 29, 2024
• Sponsor: Selcuk University
• Information provided by (Responsible Party): Emine Cihan, Selcuk University

Study Description

Brief Summary:

This study aimed to compare the short- and medium-term efficacy of dorso-volar kinesiotape (KT) added to home exercises (HE) with sham-KT and HE alone in the treatment of mild or moderate carpal tunnel syndrome (CTS) in terms of pain, symptom severity, function, grip strength, and electrophysiological parameters.

Condition or disease	Intervention/treatment	Phase
Carpal Tunnel Syndrome Treatment	Other: kinesiotape; Other: home exercises	Not Applicable

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 120 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: Single (Participant)
• Primary Purpose: Treatment
• Official Title: Is Dorso-Volar Kinesiotape Added to the Home Exercise Program Effective in the Treatment of Carpal Tunnel Syndrome?-Prospective Randomized Controlled Study
• Actual Study Start Date: January 1, 2023
• Actual Primary Completion Date: July 1, 2023
• Actual Study Completion Date: July 29, 2023

Arms and Interventions

Arm	Intervention/treatment
Active Comparator: home exercises	Other: home exercises; home exercises
Experimental: sham-KT and home exercises	Other: kinesiotape; The button hole technique was used for area correction during the KT application (Figure 1). Two I-tapes were applied, one from the medial epicondyle to the proximal phalanx on the palmar side and the other from the lateral epicondyle to the proximal phalanx on the dorsal side. The area where the phalanges are located was marked, and two hole was drilled in the center.After cleaning the skin with alcohol, the tape to be applied to the palmar side was passed over the 3rd and 4th fingers, and the patient was asked to perform radial deviation and wrist extension; Other: home exercises; home exercises
Experimental: dorso-volar KT and home exercises	Other: kinesiotape; The button hole technique was used for area correction during the KT application (Figure 1). Two I-tapes were applied, one from the medial epicondyle to the proximal phalanx on the palmar side and the other from the lateral epicondyle to the proximal phalanx on the dorsal side. The area where the phalanges are located was marked, and two hole was drilled in the center.After cleaning the skin with alcohol, the tape to be applied to the palmar side was passed over the 3rd and 4th fingers, and the patient was asked to perform radial deviation and wrist extension; Other: home exercises; home exercises

Outcome Measures

Primary Outcome Measures :

1. Electrodiagnostic Evaluation [ Time Frame: 30 minutes ]
   Superficial recording electrodes were placed in the abductor pollicis brevis (APB) muscles (recording stimulus distance 5 cm) for median nerve motor conduction and in the abductor digiti minimi (ADM) muscles (recording stimulus distance 5 cm) for ulnar nerve motor conduction.Superficial recording electrodes were placed on the 3rd finger for median nerve sensory conduction (recording stimulus distance 13 cm) and on the 5th finger for ulnar nerve sensory conduction (recording stimulus distance 11 cm).The ground electrode was placed between the recording and stimulus electrodes for all electrophysiological tests.Sensory latency, amplitude, and conduction velocity of the median nerve and motor latency, amplitude, and conduction velocity were recorded
2. Hand Strength [ Time Frame: 10 minutes ]
   A Jamar hand dynamometer (Baseline ® hydraulic hand dynamometer, Irvington, NY, USA) was used to measure handgrip strength.
3. Pain Evaluation [ Time Frame: 5 minutes ]
   A 10-point visual analog scale (VAS) was used to rate pain. Patients were asked to rate the pain they felt at rest, at night, and with movement with a number ranging from 0 (no pain) to 10 (very severe), VAS movement, VAS night, and VAS rest
4. Finger Strength [ Time Frame: 10 minutes ]
   A pinch meter (Baseline ® hydraulic pinch gauge, Irvington, NY, USA) was used to evaluate lateral grip strength (LGS) and pinch grip strength

Eligibility Criteria

• Ages Eligible for Study: 35 Years to 65 Years (Adult, Older Adult)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Criteria

Inclusion Criteria:

• pain or numbness radiating to the palm for at least 6 weeks,
• at least one positive Tinel's, Phalen's, or carpal compression test on physical examination, and
• mild/moderate CTS on EMG examination.

Exclusion Criteria:

• Metabolic disease (diabetes, rheumatoid arthritis, thyroid disease),
• systemic or malignant disease, history of trauma, fracture or surgery to the wrist,
• physical therapy programs, surgical procedures, injections or KT applications to the wrist for CTS treatment in the past year,
• severe thenar atrophy,
• C6-C7 radiculopathy among CTS differential diagnoses,
• cervical spondylosis, thoracic outlet syndrome, entrapment of the median nerve above the wrist,
• polyneuropathy or traumatic injury to the median nerve,
• rashes or open wounds on the skin of the wrist and forearm that could prevent treatment with kinesiology taping

Contacts and Locations

Locations

Turkey

Health Sciences University, Kocaeli Derince Training and Research Hospital

Kocaeli, Deince, Turkey

Sponsors and Collaborators

Selcuk University

More Information

• Responsible Party: Emine Cihan, Asst. Prof, Selcuk University
• ClinicalTrials.gov Identifier: NCT05997823
• Other Study ID Numbers: 2023/11-08
• First Posted: August 18, 2023
• Last Update Posted: January 29, 2024
• Last Verified: January 2024

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: No

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Emine Cihan, Selcuk University:

carpal tunnel syndromes; kinesiotape; electromyography; median neuropathy; muscle strength; pain

Additional relevant MeSH terms:

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