Splinting is effective for night-only symptomatic carpal tunnel syndrome patients
[Purpose] Carpal tunnel syndrome is the most common entrapment neuropathy of the median nerve. Splinting is one of the most used conservative treatment methods for carpal tunnel syndrome. The aim of this study was to show the effectiveness of splinting in carpal tunnel syndrome patients who were div...
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Published in | Journal of Physical Therapy Science Vol. 27; no. 4; pp. 993 - 996 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Japan
The Society of Physical Therapy Science
2015
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Subjects | |
Online Access | Get full text |
ISSN | 0915-5287 2187-5626 |
DOI | 10.1589/jpts.27.993 |
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Abstract | [Purpose] Carpal tunnel syndrome is the most common entrapment neuropathy of the median nerve. Splinting is one of the most used conservative treatment methods for carpal tunnel syndrome. The aim of this study was to show the effectiveness of splinting in carpal tunnel syndrome patients who were divided into two groups according to their level of symptoms. [Subjects and Methods] A total of 40 carpal tunnel syndrome patients were divided into 2 groups based on having symptoms only at night or during the day were included in this study. These two groups were compared at the end of a 3-months splinting therapy in terms of improvement of severity of symptoms, functional capacity, pain level, and electrophysiological findings. [Results] Pain levels of both groups were similar at baseline. After splinting, pain levels of night-only symptomatic patients were lower than those of sustained symptomatic ones. No differences were found in symptom severity, functional capacity, and the electrophysiological findings in either group after the splinting. [Conclusion] The results of this study show that splinting alone may be sufficient to decrease the pain for night-only symptomatic patients. Combined therapy methods may be needed for sustained symptomatic patients. |
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AbstractList | [Purpose] Carpal tunnel syndrome is the most common entrapment neuropathy of the median nerve. Splinting is one of the most used conservative treatment methods for carpal tunnel syndrome. The aim of this study was to show the effectiveness of splinting in carpal tunnel syndrome patients who were divided into two groups according to their level of symptoms. [Subjects and Methods] A total of 40 carpal tunnel syndrome patients were divided into 2 groups based on having symptoms only at night or during the day were included in this study. These two groups were compared at the end of a 3-months splinting therapy in terms of improvement of severity of symptoms, functional capacity, pain level, and electrophysiological findings. [Results] Pain levels of both groups were similar at baseline. After splinting, pain levels of night-only symptomatic patients were lower than those of sustained symptomatic ones. No differences were found in symptom severity, functional capacity, and the electrophysiological findings in either group after the splinting. [Conclusion] The results of this study show that splinting alone may be sufficient to decrease the pain for night-only symptomatic patients. Combined therapy methods may be needed for sustained symptomatic patients. [Purpose] Carpal tunnel syndrome is the most common entrapment neuropathy of the median nerve. Splinting is one of the most used conservative treatment methods for carpal tunnel syndrome. The aim of this study was to show the effectiveness of splinting in carpal tunnel syndrome patients who were divided into two groups according to their level of symptoms. [Subjects and Methods] A total of 40 carpal tunnel syndrome patients were divided into 2 groups based on having symptoms only at night or during the day were included in this study. These two groups were compared at the end of a 3-months splinting therapy in terms of improvement of severity of symptoms, functional capacity, pain level, and electrophysiological findings. [Results] Pain levels of both groups were similar at baseline. After splinting, pain levels of night-only symptomatic patients were lower than those of sustained symptomatic ones. No differences were found in symptom severity, functional capacity, and the electrophysiological findings in either group after the splinting. [Conclusion] The results of this study show that splinting alone may be sufficient to decrease the pain for night-only symptomatic patients. Combined therapy methods may be needed for sustained symptomatic patients. Abstract. [Purpose] Carpal tunnel syndrome is the most common entrapment neuropathy of the median nerve. Splinting is one of the most used conservative treatment methods for carpal tunnel syndrome. The aim of this study was to show the effectiveness of splinting in carpal tunnel syndrome patients who were divided into two groups according to their level of symptoms. [Subjects and Methods] A total of 40 carpal tunnel syndrome patients were divided into 2 groups based on having symptoms only at night or during the day were included in this study. These two groups were compared at the end of a 3-months splinting therapy in terms of improvement of severity of symptoms, functional capacity, pain level, and electrophysiological findings. [Results] Pain levels of both groups were similar at baseline. After splinting, pain levels of night-only symptomatic patients were lower than those of sustained symptomatic ones. No differences were found in symptom severity, functional capacity, and the electrophysiological findings in either group after the splinting. [Conclusion] The results of this study show that splinting alone may be sufficient to decrease the pain for night-only symptomatic patients. Combined therapy methods may be needed for sustained symptomatic patients. Purpose: Carpal tunnel syndrome is the most common entrapment neuropathy of the median nerve. Splinting is one of the most used conservative treatment methods for carpal tunnel syndrome. The aim of this study was to show the effectiveness of splinting in carpal tunnel syndrome patients who were divided into two groups according to their level of symptoms. Subjects and Methods: A total of 40 carpal tunnel syndrome patients were divided into 2 groups based on having symptoms only at night or during the day were included in this study. These two groups were compared at the end of a 3-months splinting therapy in terms of improvement of severity of symptoms, functional capacity, pain level, and electrophysiological findings. Results: Pain levels of both groups were similar at baseline. After splinting, pain levels of night-only symptomatic patients were lower than those of sustained symptomatic ones. No differences were found in symptom severity, functional capacity, and the electrophysiological findings in either group after the splinting. Conclusion: The results of this study show that splinting alone may be sufficient to decrease the pain for night-only symptomatic patients. Combined therapy methods may be needed for sustained symptomatic patients. [Purpose] Carpal tunnel syndrome is the most common entrapment neuropathy of the median nerve. Splinting is one of the most used conservative treatment methods for carpal tunnel syndrome. The aim of this study was to show the effectiveness of splinting in carpal tunnel syndrome patients who were divided into two groups according to their level of symptoms. [Subjects and Methods] A total of 40 carpal tunnel syndrome patients were divided into 2 groups based on having symptoms only at night or during the day were included in this study. These two groups were compared at the end of a 3-months splinting therapy in terms of improvement of severity of symptoms, functional capacity, pain level, and electrophysiological findings. [Results] Pain levels of both groups were similar at baseline. After splinting, pain levels of night-only symptomatic patients were lower than those of sustained symptomatic ones. No differences were found in symptom severity, functional capacity, and the electrophysiological findings in either group after the splinting. [Conclusion] The results of this study show that splinting alone may be sufficient to decrease the pain for night-only symptomatic patients. Combined therapy methods may be needed for sustained symptomatic patients.[Purpose] Carpal tunnel syndrome is the most common entrapment neuropathy of the median nerve. Splinting is one of the most used conservative treatment methods for carpal tunnel syndrome. The aim of this study was to show the effectiveness of splinting in carpal tunnel syndrome patients who were divided into two groups according to their level of symptoms. [Subjects and Methods] A total of 40 carpal tunnel syndrome patients were divided into 2 groups based on having symptoms only at night or during the day were included in this study. These two groups were compared at the end of a 3-months splinting therapy in terms of improvement of severity of symptoms, functional capacity, pain level, and electrophysiological findings. [Results] Pain levels of both groups were similar at baseline. After splinting, pain levels of night-only symptomatic patients were lower than those of sustained symptomatic ones. No differences were found in symptom severity, functional capacity, and the electrophysiological findings in either group after the splinting. [Conclusion] The results of this study show that splinting alone may be sufficient to decrease the pain for night-only symptomatic patients. Combined therapy methods may be needed for sustained symptomatic patients. |
Author | Kendirli, Tansel Asil, Talip Niftaliyev, Elvin Kocaman, Gulsen Halac, Gulistan Yucel, Hulya Duruyen, Humeyra Demir, Saliha |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25995540$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1097/00002060-200104000-00004 10.1016/S0363-5023(05)80442-3 10.1136/jnnp.74.9.1342 10.1002/mus.1105 10.1002/(SICI)1097-4598(199710)20:10<1334::AID-MUS25>3.0.CO;2-1 10.1186/1471-2474-15-35 10.1590/S0004-282X2003000100008 10.1212/WNL.38.1.134 10.2106/00004623-199311000-00002 10.1016/S0363-5023(98)80058-0 10.1007/s10072-009-0213-9 10.1589/jpts.23.115 10.1016/0003-9993(94)90012-4 10.3109/2000656X.2013.837392 10.1016/0363-5023(93)90329-2 10.1589/jpts.26.1017 10.1002/mus.10475 10.1016/0266-7681(90)90061-8 10.1111/j.1742-1241.2006.00867.x 10.1177/0269215507077294 |
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Keywords | Carpal tunnel syndrome Symptom Splinting |
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References | 4) Wilder-Smith EP, Fook-Chong S, Chew SE, et al.: Vasomotor dysfunction in carpal tunnel syndrome. Muscle Nerve, 2003, 28: 582–586. 23) Premoselli S, Sioli P, Grossi A, et al.: Neutral wrist splinting in carpal tunnel syndrome: a 3- and 6-months clinical and neurophysiologic follow-up evaluation of night-only splint therapy. Eura Medicophys, 2006, 42: 121–126. 20) Jerosch-Herold C, Shepstone L, Wilson EC, et al.: Clinical course, costs and predictive factors for response to treatment in carpal tunnel syndrome: the PALMS study protocol. BMC Musculoskelet Disord, 2014, 15: 35. 14) Gerritsen AA, Korthals-de Bos IB, Laboyrie PM, et al.: Splinting for carpal tunnel syndrome: prognostic indicators of success. J Neurol Neurosurg Psychiatry, 2003, 74: 1342–1344. 6) Kruger VL, Kraft GH, Deitz JC, et al.: Carpal tunnel syndrome: objective measures and splint use. Arch Phys Med Rehabil, 1991, 72: 517–520. 1) Stevens JC, Sun S, Beard CM, et al.: Carpal tunnel syndrome in Rochester, Minnesota, 1961 to 1980. Neurology, 1988, 38: 134–138. 13) Burke DT, Burke MM, Stewart GW, et al.: Splinting for carpal tunnel syndrome: in search of the optimal angle. Arch Phys Med Rehabil, 1994, 75: 1241–1244. 15) Levine DW, Simmons BP, Koris MJ, et al.: A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am, 1993, 75: 1585–1592. 3) Alfonso C, Jann S, Massa R, et al.: Diagnosis, treatment and follow-up of the carpal tunnel syndrome: a review. Neurol Sci, 2010, 31: 243–252. 18) Oskoueı AE, Talebi GA, Shakouri SK, et al.: Effects of neuromobilization maneuver on clinical and electrophysiological measures of patients with carpal tunnel syndrome. J Phys Ther Sci, 2014, 26: 1017–1022. 7) Harter BT Jr, McKiernan JE Jr, Kirzinger SS, et al.: Carpal tunnel syndrome: surgical and nonsurgical treatment. J Hand Surg Am, 1993, 18: 734–739. 22) Manente G, Torrieri F, Di Blasio F, et al.: An innovative hand brace for carpal tunnel syndrome: a randomized controlled trial. Muscle Nerve, 2001, 24: 1020–1025. 12) Kuo MH, Leong CP, Cheng YF, et al.: Static wrist position associated with least median nerve compression: sonographic evaluation. Am J Phys Med Rehabil, 2001, 80: 256–260. 17) Baysal O, Altay Z, Ozcan C, et al.: Comparison of three conservative treatment protocols in carpal tunnel syndrome. Int J Clin Pract, 2006, 60: 820–828. 16) Povlsen B, Bashir M, Wong F: Long-term result and patient reported outcome of wrist splint treatment for Carpal Tunnel Syndrome. J Plast Surg Hand Surg, 2014, 48: 175–178. 2) Stewart JD: Compression and entrapmant neuropathies (In: Dyck PJ ed.): Peripheral Neuropathy. Philedelphia: WB Saunders, 1993, pp 961–975. 19) Atalay NS, Sarsan A, Akkaya N, et al.: The impact of disease severity in Carpal Tunnel Sydrome on grip strength, pinch strength, fine motor skill and depression. J Phys Ther Sci, 2011, 23: 115–118. 11) Piazzini DB, Aprile I, Ferrara PE, et al.: A systematic review of conservative treatment of carpal tunnel syndrome. Clin Rehabil, 2007, 21: 299–314. 8) Kaplan SJ, Glickel SZ, Eaton RG: Predictive factors in the non-surgical treatment of carpal tunnel syndrome. J Hand Surg [Br], 1990, 15: 106–108. 10) Scholten RJ, de Krom MC, Bertelsmann FW, et al.: Variation in the treatment of carpal tunnel syndrome. Muscle Nerve, 1997, 20: 1334–1335. 5) Caetano MR: Axonal degeneration in association with carpal tunnel syndrome. Arq Neuropsiquiatr, 2003, 61: 48–50. 9) Katz JN, Keller RB, Simmons BP, et al.: Maine Carpal Tunnel Study: outcomes of operative and nonoperative therapy for carpal tunnel syndrome in a community-based cohort. J Hand Surg Am, 1998, 23: 697–710. 21) Hamanaka I, Okutsu I, Shimizu K, et al.: Evaluation of carpal canal pressure in carpal tunnel syndrome. 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References_xml | – reference: 23) Premoselli S, Sioli P, Grossi A, et al.: Neutral wrist splinting in carpal tunnel syndrome: a 3- and 6-months clinical and neurophysiologic follow-up evaluation of night-only splint therapy. Eura Medicophys, 2006, 42: 121–126. – reference: 7) Harter BT Jr, McKiernan JE Jr, Kirzinger SS, et al.: Carpal tunnel syndrome: surgical and nonsurgical treatment. J Hand Surg Am, 1993, 18: 734–739. – reference: 4) Wilder-Smith EP, Fook-Chong S, Chew SE, et al.: Vasomotor dysfunction in carpal tunnel syndrome. Muscle Nerve, 2003, 28: 582–586. – reference: 18) Oskoueı AE, Talebi GA, Shakouri SK, et al.: Effects of neuromobilization maneuver on clinical and electrophysiological measures of patients with carpal tunnel syndrome. J Phys Ther Sci, 2014, 26: 1017–1022. – reference: 8) Kaplan SJ, Glickel SZ, Eaton RG: Predictive factors in the non-surgical treatment of carpal tunnel syndrome. J Hand Surg [Br], 1990, 15: 106–108. – reference: 12) Kuo MH, Leong CP, Cheng YF, et al.: Static wrist position associated with least median nerve compression: sonographic evaluation. Am J Phys Med Rehabil, 2001, 80: 256–260. – reference: 5) Caetano MR: Axonal degeneration in association with carpal tunnel syndrome. Arq Neuropsiquiatr, 2003, 61: 48–50. – reference: 13) Burke DT, Burke MM, Stewart GW, et al.: Splinting for carpal tunnel syndrome: in search of the optimal angle. Arch Phys Med Rehabil, 1994, 75: 1241–1244. – reference: 11) Piazzini DB, Aprile I, Ferrara PE, et al.: A systematic review of conservative treatment of carpal tunnel syndrome. Clin Rehabil, 2007, 21: 299–314. – reference: 14) Gerritsen AA, Korthals-de Bos IB, Laboyrie PM, et al.: Splinting for carpal tunnel syndrome: prognostic indicators of success. J Neurol Neurosurg Psychiatry, 2003, 74: 1342–1344. – reference: 22) Manente G, Torrieri F, Di Blasio F, et al.: An innovative hand brace for carpal tunnel syndrome: a randomized controlled trial. Muscle Nerve, 2001, 24: 1020–1025. – reference: 9) Katz JN, Keller RB, Simmons BP, et al.: Maine Carpal Tunnel Study: outcomes of operative and nonoperative therapy for carpal tunnel syndrome in a community-based cohort. J Hand Surg Am, 1998, 23: 697–710. – reference: 2) Stewart JD: Compression and entrapmant neuropathies (In: Dyck PJ ed.): Peripheral Neuropathy. Philedelphia: WB Saunders, 1993, pp 961–975. – reference: 17) Baysal O, Altay Z, Ozcan C, et al.: Comparison of three conservative treatment protocols in carpal tunnel syndrome. Int J Clin Pract, 2006, 60: 820–828. – reference: 21) Hamanaka I, Okutsu I, Shimizu K, et al.: Evaluation of carpal canal pressure in carpal tunnel syndrome. 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Snippet | [Purpose] Carpal tunnel syndrome is the most common entrapment neuropathy of the median nerve. Splinting is one of the most used conservative treatment methods... Abstract. [Purpose] Carpal tunnel syndrome is the most common entrapment neuropathy of the median nerve. Splinting is one of the most used conservative... Purpose: Carpal tunnel syndrome is the most common entrapment neuropathy of the median nerve. Splinting is one of the most used conservative treatment methods... [Purpose] Carpal tunnel syndrome is the most common entrapment neuropathy of the median nerve. Splinting is one of the most used conservative treatment methods... |
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SubjectTerms | Carpal tunnel syndrome Original Splinting Symptom |
Title | Splinting is effective for night-only symptomatic carpal tunnel syndrome patients |
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