Ergonomic positioning or equipment for treating carpal tunnel syndrome

O’Connor, Denise; Page, Matthew J.; Massy‐Westropp, Nicola

doi:10.1002/14651858.cd009600

Cited by 37 publications

(26 citation statements)

References 40 publications

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“…Separate reviews of non-surgical interventions have replaced an original Cochrane Review of non-surgical treatment (other than steroid injection) (O’Connor 2003). Current Cochrane Reviews of non-surgical treatment for CTS include reviews of corticosteroid injection (Marshall 2007), surgical versus non-surgical treatment (Verdugo 2008), therapeutic ultrasound (Page 2013), exercise and mobilisation interventions (Page 2012a), splinting (Page 2012b), ergonomic positioning or equipment (O’Connor 2012), and low-level laser therapy (Rankin 2017). Acupuncture has been recommended as a potentially useful treatment for CTS (Morey 1998), but its effectiveness remains uncertain.…”

Section: Introductionmentioning

confidence: 99%

Acupuncture and related interventions for the treatment of symptoms associated with carpal tunnel syndrome

Choi

Wieland

Lee

et al. 2018

Cochrane Database of Systematic Reviews

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Background Carpal tunnel syndrome (CTS) is a compressive neuropathic disorder at the level of the wrist. Acupuncture and other methods that stimulate acupuncture points, such as electroacupuncture, auricular acupuncture, laser acupuncture, moxibustion, and acupressure, are used in treating CTS. Acupuncture has been recommended as a potentially useful treatment for CTS, but its effectiveness remains uncertain. We used Cochrane methodology to assess the evidence from randomised and quasi-randomised trials of acupuncture for symptoms in people with CTS. Objectives To assess the benefits and harms of acupuncture and acupuncture-related interventions compared to sham or active treatments for the management of pain and other symptoms of CTS in adults. Search methods On 13 November 2017, we searched the Cochrane Neuromuscular Specialised Register, CENTRAL, MEDLINE, Embase, AMED, CINAHL Plus, DARE, HTA, and NHS EED. In addition, we searched six Korean medical databases, and three Chinese medical databases from inception to 30 April 2018. We also searched clinical trials registries for ongoing trials. Selection criteria We included randomised and quasi-randomised trials examining the effects of acupuncture and related interventions on the symptoms of CTS in adults. Eligible studies specified diagnostic criteria for CTS. We included outcomes measured at least three weeks after randomisation. The included studies compared acupuncture and related interventions to placebo/sham treatments, or to active interventions, such as steroid nerve blocks, oral steroid, splints, non-steroidal anti-inflammatory drugs (NSAIDs), surgery and physical therapy. Data collection and analysis The review authors followed standard Cochrane methods. Main results We included 12 studies with 869 participants. Ten studies reported the primary outcome of overall clinical improvement at short-term follow-up (3 months or less) after randomisation. Most studies could not be combined in a meta-analysis due to heterogeneity, and all had an unclear or high overall risk of bias. Seven studies provided information on adverse events. Non-serious adverse events included skin bruising with electroacupuncture and local pain after needle insertion. No serious adverse events were reported. One study (N = 41) comparing acupuncture to sham/placebo reported change on the Boston Carpal Tunnel Questionnaire (BCTQ) Symptom Severity Scale (SSS) at three months after treatment (mean difference (MD) −0.23, 95% confidence interval (CI) −0.79 to 0.33) and the BCTQ Functional Status Scale (FSS) (MD −0.03, 95% CI −0.69 to 0.63), with no clear difference between interventions; the evidence was of low certainty. The only dropout was due to painful acupuncture. Another study of acupuncture versus placebo/sham acupuncture (N = 111) provided no usable data. Two studies assessed laser acupuncture versus sham laser acupuncture. One study (N = 60), which was at low risk of bias, provided low-certainty evidence of a better Global Symptom Scale (GSS) score with active treatment...

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Section: Introductionmentioning

confidence: 99%

Acupuncture and related interventions for the treatment of symptoms associated with carpal tunnel syndrome

Choi

Wieland

Lee

et al. 2018

Cochrane Database of Systematic Reviews

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“…This position is expected to cause least pressure on the median nerve theoritically. While there some ergonomic advise for protecting wrist from CTS, there is no strong evidence for or against the use of ergonomic keyboards for the treatment of CTS (25) . The difference that found between the groups in our study was associated only with repetitive wrist movement.…”

Section: Discussionmentioning

confidence: 99%

Researching Effects of Drawing on Prevalence of Carpal Tunnel Syndrome with Architecture Students

Doğru¹,

Kizilci²,

Duman

et al. 2015

SJPH

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Objectives: Carpal tunnel syndrome is an important peripheral neuropathy in architecture students because of the working and writing position for long hours. The purpose of this study was assesing and comparing carpal tunnel syndrome signs in the first grade and fourth grade architecture students. Methods: 30 first grade and 30 fourth grade students were included in the study. Each patient was assessed with a questionnaire, muscle tests, pain assesment and examination signs (Phalen Test, Tinnel Test, Durkan Signs). Results: Some of the muscle test performances were better in first grade students compared to fourth grade students. There were more pain complaints with fourth grade students (p=0.003). There were statistically significant differences between the two groups in Phalen's (p=0.001), Durkan's (p=0.001) and Tinel's signs (p=0.044). The fourth grade students' signs were positive while first grade students' were negative. Conclusions: Working long hours with wrong position of the hand causes carpal tunnel syndrome in architecture students. Ergonomic interventions, such as keyboard modifications, positioning the wrist is in a straight position and wrist exercises were recommended to prevent carpal tunnel syndrome in architecture students.

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“…Nonsurgical treatments include splinting and ergonomic interventions. The most important feature of these non-surgical treatments is that the hand is used with the wrist positioned in a neutral position 6) . Several ergonomic studies have reported that the use of devices as well as assessment tools and interventions can re-educate wrist posture 7) .…”

Section: Discussionmentioning

confidence: 99%

Effect of a Wrist Motion Storage Biofeedback System (WMSBS) on Wrist Motion during Keyboard Typing Work

Yoo

2013

J Phys Ther Sci

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Abstract.[Purpose] The purpose of this study was to examine the effect of a wrist motion storage biofeedback system on wrist range of motion during keyboard typing work.[Subjects] For this study, we recruited 10 computer workers as volunteers.[Methods] Wrist flexion, extension, ulnar deviation, and radial deviation angles were analyzed using a 3-D motion analysis system. [Results] The wrist flexion, extension, ulnar deviation, and radial deviation angles decreased significantly in keyboard typing work with the wrist motion storage biofeedback system. [Conclusion] We suggest that the wrist motion storage biofeedback system promotes the adoption of a beneficial wrist posture, which may be effective at preventing computer work-related wrist disorders, such as carpal tunnel syndrome.

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Ergonomic positioning or equipment for treating carpal tunnel syndrome

Abstract: Analysis 1.2. Comparison 1 Ergonomic keyboard versus placebo keyboard, Outcome 2 Short-term improvement in CTS symptoms (Phalen test time (seconds)

Cited by 37 publications

References 40 publications

Acupuncture and related interventions for the treatment of symptoms associated with carpal tunnel syndrome

Acupuncture and related interventions for the treatment of symptoms associated with carpal tunnel syndrome

Researching Effects of Drawing on Prevalence of Carpal Tunnel Syndrome with Architecture Students

Effect of a Wrist Motion Storage Biofeedback System (WMSBS) on Wrist Motion during Keyboard Typing Work

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