Comparison of the Effects of Rest Splints and High-Intensity Laser Therapy on Pain, Function, Nerve Conduction Studies, and Grip Strength in Patients With Carpal Tunnel Syndrome
Led by Afyonkarahisar Health Sciences University · Updated on 2026-01-13
78
Participants Needed
2
Research Sites
8 weeks
Total Duration
On this page
AI-Summary
Brief Title
Who Can Participate
AI-Screening
Your Study Journey
Trial Site Locations
Research Team
How is the study designed?
Similar Trials
Frequently Asked Questions
Research Publications
AI-Summary
What this Trial Is About
Carpal tunnel syndrome (CTS) is a common nerve compression condition causing numbness, tingling, muscle weakness, and hand atrophy. This research aims to compare the effects of rest splints and high-intensity laser therapy (HILT) combined with physical therapy programs on pain, function, nerve conduction, and grip strength for patients with CTS. The study is designed as a prospective randomized controlled trial to better understand these treatments' impacts on CTS symptoms and nerve function.
Participants are divided into three groups. The first group receives a physical therapy program including wrist range of motion, strengthening, stretching, desensitization, tendon and nerve gliding exercises, and use of a resting splint for 6 weeks, five days a week (30 sessions total). The second group receives the same physical therapy plus high-intensity laser therapy over the carpal tunnel region daily for 6 weeks. The third group also follows the physical therapy program but receives a sham laser treatment mimicking the HILT without active laser emission to serve as a control.
During the study, participants undergo assessments at baseline, after 6 weeks of treatment, and again at 12 weeks to measure pain using a Visual Analog Scale and other outcomes like function, sleep quality, neuropathic pain, nerve conduction studies, and grip strength. These evaluations include questionnaires, nerve tests, and strength measurements. The trial monitors participants' progress and treatment effects over time to determine the comparative benefits of rest splints and HILT when combined with physical therapy.
CONDITIONS
Brief Title
Comparison of Rest Splints vs High-Intensity Laser Therapy in Carpal Tunnel Syndrome
Who Can Participate
Age: 18Years - 75Years
All Genders
Eligibility Criteria
You may qualify if you...
Patients aged 18 to 75 years
Diagnosed with carpal tunnel syndrome based on medical history, physical exam, clinical findings, and electromyography (EMG)
Applied to outpatient clinic for physical therapy
No contraindications for treatment
Provided informed consent to participate
You will not qualify if you...
Diabetes Mellitus
Hypothyroidism
Acromegaly
Rheumatic Diseases
Polyneuropathy
Ipsilateral brachial plexopathy or traumatic nerve injury in upper extremity
Injection into carpal tunnel within last 6 months
Recent physical therapy for carpal tunnel syndrome
Pregnancy
History of malignant tumors
Cochlear implants
Acquired Immunodeficiency Syndrome
History of neck and/or shoulder surgery
Corticosteroid or analgesic medication use
Epilepsy
Skin lesions
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 6 weeks
Participants receive a physical therapy program including wrist exercises. Depending on their group, they either use a resting splint daily for 6 weeks or receive high-intensity laser therapy or sham laser therapy five days a week for 6 weeks, alongside the physical therapy program.
30 treatment sessions (5 days a week)
Follow-up
Duration - 6 weeks
Participants are monitored after treatment to assess pain, function, nerve conduction, and grip strength.
Assessments at 6 weeks and 12 weeks post-treatment
Effectiveness of high intensity laser therapy on pain, grip strength and median nerve conductivity in pregnant women with carpal tunnel syndrome: A randomized controlled trial.
Ahmed Atteya Ashour, Radwa Mohamed Yehia, Mohamed Magdy ElMeligie...
Effects of high-intensity laser therapy on pain, functional status, hand grip strength, and median nerve cross-sectional area by ultrasonography in patients with carpal tunnel syndrome.
A comparative study of the dose-dependent effects of low level and high intensity photobiomodulation (laser) therapy on pain and electrophysiological parameters in patients with carpal tunnel syndrome.