Effect of Russian Current on Hand Grip Strength and Functional Outcome After Carpal Tunnel Release

russian current will be is applied in 50Hz sinusoidal bursts with a duty cycle of 50% (10ms on/10ms off). Russian Stimulation (at 2500Hz or 2.5kHz) has been shown to be effective in increasing muscle strength and torque generation through stimulation of type II muscle fiber. The stimulation will be given for duration of 10 minutes on followed by 50 sec off and again 10 sec on, three tims per week plus selsected physical therapy program.

the patients will receive selected physical therapy program in the form of TENS for 15 min, US for 5 min and exercise for 20 min