Status:
UNKNOWN
Acupuncture Versus Laser Acupuncture for Carpal Tunnel Syndrome
Lead Sponsor:
Kuang Tien General Hospital
Conditions:
Carpal Tunnel Syndrome
Eligibility:
All Genders
20-65 years
Phase:
NA
Brief Summary
Carpal tunnel syndrome (CTS) results from the entrapment neuropathy of median nerve at the wrist, and most cases are idiopathic. So far, there are many treatments were developed (Surgical decompressio...
Detailed Description
Both manual acupuncture and laser acupuncture treatments for CTS have been reported. Laser acupuncture (LA) is defined as the stimulation of traditional acupuncture points by using low-level intensit...
Eligibility Criteria
Inclusion
- CTS diagnosis was based on the presence of at least one of the following symptoms
- numbness, tingling pain, or paresthesia in the median nerve distribution
- precipitation of these symptoms by repetitive hand activities, which could be relieved by resting, rubbing, and shaking the hand
- nocturnal awakening by such sensory symptoms.
- The diagnosis was often supported by a positive Tinel sign Confirmed by the presence of one or more of the following standard electrophysiologic criteria
- (1) prolonged distal motor latency (DML) to the abductor pollicis brevis (APB) (abnormal Z4.7 ms, stimulation over the wrist, 8 cm proximal to the active electrode) (2) prolonged antidromic distal sensory latency (DSL) to the second digit (abnormal Z3.1 ms;stimulation over the wrist, 14 cm proximal to the active electrode) (3) prolonged antidromic wrist-palm sensory nerve conduction velocity (W-P SNCV) at a distance of 8 cm (W-P SNCV, abnormal \<45 m/s).9-
Exclusion
- Symptoms occurring less than 3 months before the study (to exclude patients who might have spontaneous resolution of symptoms)
- severe CTS that had progressed to visible muscle atrophy
- clinical or electrophysiologic evidence of accompanying conditions that could mimic CTS or interfere with its evaluation, such as cervical radiculopathy, proximal median neuropathy, or significant polyneuropathy
- evidence of obvious underlying etiologic factors of CTS such as diabetes mellitus, rheumatoid arthritis, hypothyroidism (acromegaly), pregnancy, alcohol abuse or drug usage (steroids or drugs acting through the central nervous system), and suspected malignancy or inflammation or autoimmune disease documented as underlying causes of CTS
- cognitive impairment interfering with the subject's ability to follow instructions and describe symptoms
Key Trial Info
Start Date :
March 10 2021
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
June 20 2022
Estimated Enrollment :
150 Patients enrolled
Trial Details
Trial ID
NCT04828239
Start Date
March 10 2021
End Date
June 20 2022
Last Update
November 30 2021
Active Locations (1)
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1
Kuang Tien Genreal Hospital
Taichung, Taiwan, 402