The Effectiveness of Limited Dynamic Wrist Splints on the Symptoms, Function, and Strength of Women with Carpal Tunnel Syndrome: A Controlled Trial Study
Journal Title: Journal of Rehabilitation Sciences and Research - Year 2017, Vol 4, Issue 1
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.
Authors and Affiliations
Seyedeh Marjan Jaladat, Mehdi Abdolvahab, Behrouz Attarbashi Moghadam, Alireza Ashraf, Mahmoud Jalili, Ahmadreza Baghestani
Keywords
Related Articles
- EP ID EP261020
- DOI -
- Views 86
- Downloads 0
Comparison of Phonemic Fluency Test Results Using Different Letters among Persian Speakers
Background: The purpose of this study was to compare the results obtained from phonemic fluency test using “F”1, “A”2, “S”3 and “L”4, “T”5,”M”6 among Persian Speakers aged between 20 and 30 years. Methods: In this applie...
A Biomechanical Analysis of the Contributing Factors to Increases in Vertical Jump Height Following Exercise with Weighted Vests
Background: It has been shown that a bout of jumping exercise with weighted vests increases the subsequent countermovement jump height. However, it is not clear whether the improvement in jump height is due to the enhanc...
Comparing “Mean Length of Utterance” and “Mean Length of Five Phrasal Utterances” between 2-To-5 Year-Old Normal Farsi-Speaking Children
Background: Since most clinical treatments of Persian children’s language impairments are based on either the therapist, clinicians’ experiences (mostly), or English language norms (sometimes), comparing two minor indice...
Distribution of different types of expressive lexicon in 18–24-month-old Sorani-Kurdish-speaking children
Background: In the age of 18–19 months, a child’s lexicon increases by acquisition of five words per week. Linguists consider this a period of vocabulary spurt. In the early stages of language acquisition, the diversity...
Vestibular Migraine: from Differential Diagnosis and Pathophysiology to Treatment Options
Background: The occurrence of migraine and vertigo is common in the general population. Migraine vertigo is challenging and has several common symptoms with inner ear pathologies like Endolymphatic Hydropse. This paper p...