Evidence map›Paper›PMID 29017511›Full record

Trial reportTrials2017

Mechanical wrist traction as a non-invasive treatment for carpal tunnel syndrome: a randomized controlled trial.

Margreet Meems, Viola Spek, Willem J Kop, Berend-Jan Meems, Leo H Visser, Victor J M Pop

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Margreet MeemsDepartment of Medical and Clinical Psychology, Centre of Research on Psychological and Somatic disorders (CoRPS), Tilburg University, PO Box 90153, 5000 LE, Tilburg, The Netherlands.
Viola SpekDepartment of Medical and Clinical Psychology, Centre of Research on Psychological and Somatic disorders (CoRPS), Tilburg University, PO Box 90153, 5000 LE, Tilburg, The Netherlands.
Willem J KopDepartment of Medical and Clinical Psychology, Centre of Research on Psychological and Somatic disorders (CoRPS), Tilburg University, PO Box 90153, 5000 LE, Tilburg, The Netherlands.
Berend-Jan MeemsDivision of Neurology, VieCuri Medical Center, PO Box 1926, 5900 BX, Venlo, The Netherlands.
Leo H VisserDivision of Neurology, Elisabeth-TweeSteden Hospital, PO Box 90151, 5000 LC, Tilburg, The Netherlands.
Victor J M PopDepartment of Medical and Clinical Psychology, Centre of Research on Psychological and Somatic disorders (CoRPS), Tilburg University, PO Box 90153, 5000 LE, Tilburg, The Netherlands. v.j.m.pop@tilburguniversity.edu.
Tilburg University · NLElisabeth-TweeSteden Ziekenhuis · NLVieCuri Medisch Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCarpal tunnel syndrome (CTS) is a common, compressive nerve-entrapment disorder with symptoms of numbness, paresthesia, and pain. Carpal tunnel release surgery is the only known long-term effective treatment. However, surgery is invasive and up to 30% of patients report recurrence or persistence of symptoms or suffer from post-surgical complications. A promising non-surgical treatment for CTS is mechanical wrist traction. The purpose of this study was to evaluate clinical outcomes following mechanical traction in patients with CTS compared to care as usual.

methodsAdult patients (N = 181, mean age 58.1 (13.0) years, 67% women) with electrodiagnostically confirmed CTS were recruited from an outpatient neurology clinic in the Netherlands between October 2013 and April 2015. After baseline assessments, patients were randomized to either the intervention group (12 treatments with mechanical traction, twice a week for a period of 6 weeks) or "care as usual". The main clinical outcome measure was surgery during 6 months' follow-up. In addition, symptom severity was measured using the Boston Carpal Tunnel Questionnaire (BCTQ) at baseline, 3, and 6 months' follow-up. Baseline characteristics and severity of CTS symptoms at follow-up were compared between the intervention and care-as-usual groups using a t test and χ

resultsThe intervention group had fewer surgeries (28%) compared to the care-as-usual group (43%) during follow-up (χ

conclusionsMechanical traction is associated with fewer surgical interventions compared to care as usual in CTS patients. Reductions in patient-reported symptoms at 6 months' follow-up was similar in both groups. The long-term effects of mechanical traction require further evaluation.

trial registrationClinicalTrials.gov, ID: NL44692.008.13 . Registered on 19 September 2013.

Indexed as

AdultAgedBiomechanical PhenomenaCarpal Tunnel SyndromeChi-Square DistributionDisease-Free SurvivalFemaleHumansKaplan-Meier EstimateMaleMiddle AgedNetherlandsProportional Hazards ModelsRecovery of FunctionSeverity of Illness IndexSurveys and QuestionnairesBoston carpal tunnel questionnaireCarpal tunnel release surgeryCarpal tunnel syndromeMechanical traction

Identifiers

PMID29017511
PMCPMC5634882
OpenAlexW2762761489

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.