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RecruitingNot ApplicableNCT07102992

Post Burn Cubital Tunnel Syndrome Response to High Intensity Laser Therapy Versus Shock Wave Therapy

Sponsor

Ahram Canadian University

Enrollment

75 participants

Start Date

Aug 5, 2025

Study Type

INTERVENTIONAL

Conditions

Post Burn Cubital Tunnel Syndrome

Summary

Significant morbidity in burn patients occurs frequently because of Post burn nerve entrapment syndromes. Nerve entrapment arises due to direct compression because of edema; they may also present due to scar tissue formation. Burns of the forearm and elbow are associated with swelling, redness and pain. In second to third-degree burns, the eschar forms a tight band constricting the circulation distally and forms edema that leads to compression neuropathy of ulnar nerve. Also the hyper metabolic response of the burned patients, has been suggested as a cause of the peripheral neuropathies, as the basal metabolic rate (B.M.R) of the burned patients increase more than 2 to 2.5 times normal.

Eligibility

Min Age: 20 YearsMax Age: 50 Years

Inclusion Criteria5

  • Age 20-50 years.
  • Both sexes.
  • Post healed elbow burn.
  • Diagnosed with cubital tunnel syndrome.
  • Willing and able to provide informed consent.

Exclusion Criteria5

  • Patients with brachial plexopathy.
  • C8-T1 radiculopathy, polyneuropathy.
  • Previous elbow fractures or operation.
  • Systemic diseases such as diabetes mellitus, malignancy, and active infection.
  • Patients with any contraindications to high intensity laser therapy or shock wave therapy.
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Interventions

DEVICEHigh intensity laser therapy

High intensity Laser Therapy :A standard handpiece endowed with fixed spacers will used to provide the same distance to the skin and perpendicularly to the zone to be treated with a laser beam diameter of 5 mm. Three phases of treatment will be performed for every session. The total energy that will be delivered to the patient during one session will be 1275 J through three phases of treatment. Frequency of treatment: Treatment will be given 5 times / week for 20 sessions.

DEVICEShock Wave therapy

radial extracorporeal shock wave therapy (2,000 shots, 4 Bar, 5 Hz) (once a week) will be administered to the ulnar nerve at the proximal cubital tunnel region. Frequency of treatment: Treatment will be given 1 time / week for 4 sessions

OTHERUlnar nerve gliding exercises.

While keeping patients head in a neutral position, will teach the patient to: 1. Begin with your arm out, palm side of the hand facing up. 2. Bend the elbow toward you, palm side facing you. 3. Rotate the palm of your hand outward and bend your wrist so that the fingers are pointing towards you. 4. Twist your wrist so that the palm of your hand is now facing upward. 5. While your wrist remains bent, stretch out your arm into a straight position, with your fingers bent towards the floor. Hold each position for 5 seconds, repeat series 3-5 times. Frequency of treatment: Treatment will be given 5 times / week for 20 sessions.

Locations(2)

Out patient clinic , faculty of Physical Therapy, Benha university

Banhā, Al Qalyubia, Egypt

Out patient clinic , faculty of Physical Therapy, ahram Canadian university

Giza, Giza Governorate, Egypt

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NCT07102992