Effects of Whole Wrist Versus Specific Carpal Bone Mobilization in the Patients of Carpel Tunnel Syndrome

Summary

The study was conducted to compare the effectiveness of Whole Wrist Mobilization versus Specific Carpal Bone Mobilization in reducing symptoms and improving function in patients with Carpal Tunnel Syndrome (CTS).

Conditions

• Carpal Tunnel Syndrome

Interventions

OTHER

Specific Bone Mobilization

Scaphoid Mobilization: The therapist applied anterior-posterior mobilization on the scaphoid while the patient's wrist was in slight flexion. It was held for 5 seconds and repeated for 10 repetitions. Lunate Mobilization: The therapist performed lateral and medial mobilization of the lunate while stabilizing the forearm. It was held for 5 seconds and repeated for 10 repetitions. Triquetrum Mobilization: With the wrist in a neutral position, the therapist applied gentle mobilization to the triquetrum. It was held for 5 seconds and repeated for 10 repetitions.

OTHER

Whole Wrist Mobilization

Distal Radioulnar Joint Mobilization: To perform mobilizations at the distal radioulnar joint, the therapist stabilized the patient's hand and radiocarpal region, then provided anteroposterior glide and medial and lateral rotary joint play movements of the distal ulna. Radiocarpal Joint - Dorsal Palmar Glide: The mobilization involved moving the row of carpal bones either dorsally to promote wrist extension or palmary to promote wrist flexion. Radiocarpal Joint - Ulnar and Radial Glide: Ulnar glide was performed to increase radial deviation, while radial glide was performed to increase ulnar deviation of the wrist joint. Mid-Carpal Joint Mobilization: The mobilization involved moving the row of carpal bones either dorsally to promote wrist extension or palmary to promote wrist flexion.

OTHER

Standardized Physiotherapy Treatment

Hot Pack: A hot pack was applied to the wrist and forearm for 10 minutes to help relax the muscles and improve circulation around the carpal tunnel. Transcutaneous Electrical Nerve Stimulation: TENS was applied with a frequency of 2 Hz and a pulse duration of 200 µs for 10 minutes over the wrist area to reduce pain and discomfort. Wrist Flexion and Extension: With the arm supported, the patient actively flexed and extended the wrist through a full range of motion. This was repeated for 10 repetitions. Radial and Ulnar Deviation: With the arm supported, the patient actively moved the wrist side to side (radially and ulnarly). Wrist Circles: The patient performed circular motions with the wrist in both clockwise and counterclockwise directions. This was repeated for 10 repetitions. Wrist Flexor Stretch: The arm was extended in front with the palm facing up, and the fingers were gently pulled back to stretch the wrist flexors. The stretch was held for 30 seconds and repeated 3 times.

Sponsors & Collaborators

• Riphah International University

  lead OTHER

Principal Investigators

• Ali Raza, MS-OMPT · Riphah International University

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

30 Years

Max Age

60 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2025-12-01

Primary Completion

2026-05-30

Completion

2026-05-30

Countries

• Pakistan

Study Locations