Effectiveness of chitosan phonophoresis on ulnar nerve conduction velocity, pain relief, and functional outcomes for mild to moderate cubital tunnel syndrome: A double-blind randomized controlled trial

• Published in: Journal of hand therapy 2024-10, Vol.37 (4), p.653-661
• Main Authors: ElGendy, Mohamed H., Fetoh, Sarah A., Salem, Shaimaa E., Daihom, Baher A., Fahmy, Ebtesam M., ElMeligie, Mohamed M.
• Format: Article
• Language: English
• Subjects: Adult; Arm; Arthritis; Atrophy; Carpal tunnel syndrome; Chitosan; Chitosan - administration & dosage; Clinical trials; Conduction; Cubital tunnel syndrome; Cubital Tunnel Syndrome - physiopathology; Cubital Tunnel Syndrome - therapy; Double-Blind Method; Elbow; Evaluation; Exercise; Female; Hand; Humans; Male; Nanoparticles; Nerve conduction; Nerve entrapment syndrome; Nerves; Neural Conduction; Pain; Pain Management - methods; Pain Measurement; Phonophoresis; Physical therapy; Prospective Studies; Randomization; Randomized controlled trial; Therapy; Treatment Outcome; Ulnar Nerve; Ultrasonic imaging; Velocity; Wound healing; Young Adult
• ISSN: 0894-1130; 1545-004X; 1545-004X
• DOI: 10.1016/j.jht.2024.02.006

Cubital tunnel syndrome (CBTS) impairs hand function, with limited conservative options often leading to surgery. Chitosan neuroregenerative effects delivered via phonophoresis provide a rationale for testing this emerging treatment approach. The primary goal of this research was to assess the impact of chitosan phonophoresis on the conductivity of the ulnar nerve, as well as its effects on pain levels and functional outcomes in individuals diagnosed with mild to moderate CBTS. Double-blind randomized controlled trial. This was a prospective, double-blinded, randomized controlled study. The participants consisted of 54 individuals aged between 20–35 years who were randomly assigned using block randomization. The control group (n = 27) received standard hand therapy alone, while the experimental group (n = 27) received both standard hand therapy and chitosan phonophoresis. Both groups underwent three treatment sessions per week, each lasting for 60–72 minutes, over a period of five weeks. Pre- and post-intervention evaluations included assessments of ulnar nerve conduction velocity (NCV), pain assessment using the numerical pain rating scale (NPRS), as well as hand function evaluated using the Quick Disabilities of Arm Shoulder Hand (QuickDASH) questionnaire. After the intervention, the experimental group significantly improved in all outcome measures compared to the control group. Accordingly, ulnar NCV (MD = 2.233 m/sec; CI = 1.63:2.83; p