Effectiveness of low-level laser therapy for patients with carpal tunnel syndrome: design of a randomized single-blinded controlled trialReport as inadecuate




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BMC Musculoskeletal Disorders

, 13:248

Rehabilitation, physical therapy and occupational health

Abstract

BackgroundCarpal tunnel syndrome is the most common neuropathy in the upper extremity, resulting from the compression of the median nerve at wrist level. Clinical studies are essentials to present evidence on therapeutic resources use at early restoration on peripheral nerve functionality. Low-level laser therapy has been widely investigated in researches related to nerve regeneration. Therefore, it is suggested that the effect of low-level laser therapy associated with other conservative rehabilitation techniques may positively affect symptoms and overall hand function in compressive neuropathies such as carpal tunnel syndrome. The aim of this study is to evaluate the effectiveness of low-level laser therapy in addition to orthoses therapy and home orientations in patients with carpal tunnel syndrome.

Methods-DesignPatients older than 18 years old will be included, with clinical diagnosis of carpal tunnel syndrome, excluding comorbidies. A physiotherapist will conduct intervention, with a blinding evaluator. Randomization will be applied to allocate the patients in each group: with association or not to low-level laser therapy. All of them will be submitted to orthoses therapy and home orientations. Outcome will be assessed through: pain visual analogic scale, Semmes Weinstein monofilaments™ threshold sensibility test, Pinch Gauge™, Boston Carpal Tunnel Questionnaire and two point discrimination test.

DiscussionThis paper describes the design of a randomized controlled trial, which aim to assess the effectiveness of conservative treatment added to low-level laser therapy for patients with carpal tunnel syndrome.

Trial registrationBrazilian Clinical Trials Registry ReBec - 75ddtf - Universal Trial Number: U1111-1121-5184

KeywordsCarpal tunnel syndrome Low-level laser therapy Rehabilitation AbbreviationsCTSCarpal Tunnel Syndrome

BCTQBoston Carpal Tunnel Questionnaire

2PDTwo point discrimination

LLLTLow level laser therapy

EMGElectroneuromyography

AsGaIPGallium– indium-phosphorus-arsenide

RCTRandomised clinical trials.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2474-13-248 contains supplementary material, which is available to authorized users.

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Author: Rafael Inácio Barbosa - Eula Katucha da Silva Rodrigues - Guilherme Tamanini - Alexandre Márcio Marcolino - Valéria Mei

Source: https://link.springer.com/







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