This project aims to analyze the use of hyperthermia within a treatment protocol for Carpal Tunnel Syndrome (CTS), as well as to determine the difference between two and three sessions per week. Study participants will be divided into four intervention groups: the first will receive two sessions per week for a period of six months, while the second will receive three sessions per week for the same period. The treatment protocol will consist of therapeutic physical exercise focused on the hand flexor muscles and neural stretching, the application of hyperthermia to the carpal tunnel and adjacent areas, and the use of a night splint. The third and fourth intervention groups will receive the same treatment as mentioned above, but without hyperthermia. The third group will receive three sessions per week, while the second group will receive two sessions per week. Two different types of measurement variables will be used: objective variables will be used to measure hand flexor muscle strength and wrist free range of motion. Subjective variables will also be used through validated questionnaires covering physical activity, perceived functional limitations, upper limb functional assessment, neuropathic pain, and a visual analogue scale for pain perception.
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Boston Carpal Tunnel Syndrome Questionnaire (BCTQ)
Timeframe: Baseline and up to one year
Disabilities of arm, shoulder and hand (DASH)
Timeframe: Baseline and up to one year
Neuropathic Pain Scale (DN4)
Timeframe: Baseline and up to one year
International Physical Activity Questionnaire (IPAQ)
Timeframe: Baseline and up to one year
Visual Analogue Scale (VAS)
Timeframe: Baseline and up to one year
Hand grip strength
Timeframe: Baseline and up to one year
WRIST JOINT RANGE OF MOBILITY
Timeframe: Baseline and up to one year
WRIST FLEXION EVALUATION TEST
Timeframe: Baseline and up to one year