Does sensory relearning improve tactile function after carpal tunnel decompression? A pragmatic, assessor-blinded, randomized clinical trial
Jerosch-Herold, Christina, Houghton, Julie, Miller, Leanne and Shepstone, Lee (2016) Does sensory relearning improve tactile function after carpal tunnel decompression? A pragmatic, assessor-blinded, randomized clinical trial. Journal of Hand Surgery (European Volume), 41(E) (9). pp. 948-956. ISSN 1753-1934
![]()
|
PDF (IMPACTS online first 2016)
- Published Version
Download (810kB) | Preview |
|
![]()
|
PDF (IMPACTS trial final in print pdf)
- Published Version
Available under License Creative Commons Attribution. Download (482kB) | Preview |
Abstract
Despite surgery for carpal tunnel syndrome (CTS) being effective in 80-90% of cases, chronic numbness and hand disability can occur. The aim of this study was to investigate whether sensory relearning improves tactile discrimination and hand function after decompression. In a multi-centre, pragmatic, randomized, controlled trial, 104 patients were randomized to sensory relearning (n=52) or control (n=52) group. 93 patients completed 12 week follow-up. Primary outcome was the Shape-Texture Identification (STI) test at 6 weeks. Secondary outcomes were touch threshold, touch localisation, dexterity and self-reported hand function. No significant group differences were seen for the primary outcome (STI) at 6 weeks or 12 weeks. Similarly, no significant group differences were observed on secondary outcomes, with the exception of self-reported hand function. A secondary Complier-Averaged-CausalEffects (CACE) analysis showed no statistically significant treatment effect on the primary outcome. Sensory relearning for tactile sensory and functional deficits after carpal tunnel decompression is not effective.
Item Type: | Article |
---|---|
Additional Information: | This article is distributed under the terms of the Creative Commons Attribution 3.0 License (http://www.creativecommons.org/licenses/by/3.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences Faculty of Medicine and Health Sciences > Norwich Medical School |
Related URLs: | |
Depositing User: | Pure Connector |
Date Deposited: | 23 Sep 2016 23:56 |
Last Modified: | 09 Dec 2021 09:50 |
URI: | https://ueaeprints.uea.ac.uk/id/eprint/59744 |
DOI: | 10.1177/1753193416657760 |
Actions (login required)
![]() |
View Item |