The Effectiveness of Limited Dynamic Wrist Splints on the Symptoms, Function, and Strength of Women with Carpal Tunnel Syndrome: A Controlled Trial Study

seyedeh marjan jaladat, mehdi abdolvahab, behrouz attarbashi moghadam, alireza ashraf, Mahmoud Jalili, Ahmadreza Baghestani

Abstract


Background: Splinting is the most common conservative method of treating
patients with mild and moderate Carpal Tunnel Syndrome (CTS). The aim of
this study was to determine the effectiveness of the limited dynamic wrist splint
on the symptoms, function, and strength of women with CTS. In this controlled
trial study, the subjects wore a splint of a new design called the “limited dynamic
wrist splint”, which allowed the wrist motion in the range (between 15-degree
flexion and 15-degree extension) that exerts minimum pressure on the median
nerve and prevents extra pressure on the nerve by limiting the range of motions
out of the allowed range.
Methods: In this study, 24 women diagnosed with mild to moderate CTS were
initially evaluated on the basis of the Boston questionnaire, the dexterity test
of the Purdue pegboard, grip and pinch strength, distal sensory latency, and
sensory nerve conduction velocity. The subjects were randomly divided into
two groups, control and treatment. Both groups received routine rehabilitation
treatment for six weeks. The treatment group received the limited dynamic wrist
splint for about six to eight hours a day. After six weeks, the initial examinations
were repeated. The SPSS-16, independent t, and paired t-tests were used for data
analysis.
Results: All the variables in the treatment and the control groups showed
improvement. The function test of the Boston questionnaire, the Purdue
pegboard test, and the pinch strength were significantly improved in the
treatment group. The “severity of the symptoms” test of the Boston questionnaire
and the pinch strength in the control group showed a statistically significant
difference (P < 0.05). In a comparison of the two groups, the function test of the
Boston questionnaire showed a significant difference.
Conclusion: This study showed that the use of the limited dynamic wrist splint
for about six weeks for six to eight hours a day could have a significant effect on
the function, dexterity, and the pinch strength of patients with CTS. Not only
can the patients receive treatment by this method, but they can also perform
their daily activities to some extent.


Keywords


Carpal tunnel syndrome, Splint, Function ,Symptoms, Strength

Full Text:

PDF

References


Brininger TL, Rogers JC, Holm MB, Baker NA, Li Z-M, Goitz RJ.

Efficacy of a fabricated customized splint and tendon and nerve

gliding exercises for the treatment of carpal tunnel syndrome: a

randomized controlled trial. Archives of physical medicine and

rehabilitation. 2007; 88(11):1429-35.

De-la-Llave-Rincon AI, Ortega-Santiago R, Ambite-Quesada

S, Gil-Crujera A, Puentedura EJ, Valenza MC, et al. Response

of pain intensity to soft tissue mobilization and neurodynamic

technique: a series of 18 patients with chronic carpal tunnel

syndrome. Journal of manipulative and physiological therapeutics

; 35(6):420-7.

Raigani M, Mokhtarirad M, Bahrami M, Eliaspoor D, Valaie

N. Prevalence of carpal tunnel syndrome and related factors in

patients with upper extremities pain. Research journal of Shahid

Beheshti university of medical science 2009; 70(4):219-223.

Heidari Safa M. Carpal tunnel syndrome: systematic review

.Novin Pezeshki journal 2011.

Walker WC, Metzler M, Cifu DX, Swartz Z. Neutral wrist

splinting in carpal tunnel syndrome: a comparison of night-only

versus full-time wear instructions. Archives of physical medicine

and rehabilitation 2000; 81(4):424-8.

Forough B, Mohammadi A, Azad A. Comparison of therapeutic

effect of two kind of cock-up splint in patients with carpal tunnel

syndrome. J Gorgan Uni Med Sci 2009; 10(4): 18-21.

R.Lutechi PA. Carpal tunnal syndrom. R.Lutechi PA, editor.

Verlag Berlin Heidelberg New York: Springer; 2007. PP 105-109.

Kuo M-H, Leong C-P, Cheng Y-F, Chang H-W. Static wrist

position associated with least median nerve compression:

sonographic evaluation. American journal of physical medicine

& rehabilitation 2001; 80(4):256-60.

Kavousipor S, Mahmoudi R, Jaladat M, Ashraf A. can impairment

interfere with performance by women with carpal tunnel

syndrome according to international classification of function?

Journal of Rehabilitation Sciences and Research 2015; 2(1): 12-16.

Rezazadeh A, Bakhtiari A, Samaie A, Moghimi J. Validity and

reliability of the Persian Boston questionnaire in Iranian patients

with carpal tunnel syndrome. Koomesh 2014; 15(2): 138-145.

Pendleton HM, Schultz-krohn W. The occupational therapy

practice framework and the practice of occupational therapy for

people with physical disabilities. In: Pendleton HM, Schultzkrohn

W, editors. Pedretti’s occupational therapy: practice skills for

physical dysfunction. 6th ed. ST Louis: Mosby; 2006. p. 5.

Amirjani N, Ashworth N.Validity and reliability of the purdue

pegboard test in carpal tunnel syndrome, Muscle & Nerve,

171-177.

Hashempur MH, Homayouni K, Ashraf A. Effect of Linum

usitatissimum L.(linseed) oil on mild and moderate carpal tunnel

syndrome: a randomized, double-blind, placebo-controlled

clinical trial. DARU Journal of Pharmaceutical Sciences

22(1):1-9.

Williams GR. Dynamic splint for carpal tunnel syndrome

treatment. Google Patents; 2004.

Salek Zamani M, Ahadi T, Jalil Zadeh Sh, Ghasemi M, Ganjali

Zadeh S. Determination of optimal angel of wrist splinting in

carpal tunnel syndrome based on electrodiagnostic parameters.

Medical journal of Tabriz university of medical science 2008;

(1): 65-70.

Manente G, Torrieri F, Di Blasio F, Staniscia T, Romano F,Uncini

A. An innovative hand brace for carpal tunnel syndrome: a

randomized controlled trial. Muscle Nerve 2001; 24:424 - 429.

Bye r, hajiaqai b, forough b.comparison between efficacy of Manu

splint and cock-up splint in carpal tunnel syndrome treatment. J

Babol Univ Med Sci 2011; 13(1): 51-57.

O¨ zgen M, Gu¨ngen G, Sarsan A, Ardic F, S¸ alis kan A, Sabir

N, et.al. Determination of the position on which the median

nerve compression is at the lowest in carpal tunnel syndrome and

clinical effectiveness of custom splint application. Rheumatol

Int 2011; 31:1031–1036.

Bagheri A, Raeisi M, Vahab Kashani R. Comparison of

therapeutic effcets of dorsal wrist splint with cockup splint

in carpal tunnel syndrome based on median sensory nerve

conduction measurements. Journal of Gorgan University of

Medical Sciences 2011; 13(3):42-47.


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.

pISSN: 2345-6167        eISSN: 2345-6159