Actively Recruiting

Phase Not Applicable
Age: 18Years - 75Years
All Genders
ID07294157

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

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

Eligible

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
Not Eligible

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

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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

Trial Site Locations

Total: 2 locations

1

Afyonkarahisar Health Science University

Afyonkarahisar, Turkey (Türkiye), 0300

Not Yet Recruiting

2

Afyonkarahisar Health Sciences Unıversity

Afyonkarahisar, Turkey (Türkiye), 0300

Actively Recruiting

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Research Team

Ü

Ümit DÜNDAR, Profesor

R

Ramazan TUNCER, M.D

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

3

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Published Research Related To This Trial

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...

https://pubmed.ncbi.nlm.nih.gov/35817691

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.

Fatih Yiğit, Banu Ordahan

https://pubmed.ncbi.nlm.nih.gov/37906312

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.

Kamran Ezzati, E-Liisa Laakso, Alia Saberi...

https://pubmed.ncbi.nlm.nih.gov/31742366