Investigating the effects of volar wrist cock-up splint and dorsal lock wrist hand orthosis in reducing signs of carpal tunnel syndrome

Farahmand, Behshid; Pourhosaingholi, Ensieh; Bagheri, Azam

doi:10.47176/mjiri.35.53

Cited by 5 publications

(7 citation statements)

References 24 publications

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“…Similarly, Weng et al [5] believe that wrist immobilization is an effective method of treatment, especially when it is also used during the day. Farahmand et al [14] suggest wearing the orthosis at night, and during the day only when the patients so wish. Halac et al [15] report that the use of the immobilizing splint at night may be an effective treatment method, but in patients with symptoms that occur only at night.…”

Section: Use Of the Orthosis During The Day/nightmentioning

confidence: 99%

“…According to Walker et al [16] the use of splints part-time (at night) had a more positive effect on functional activities than the use of splints full-time. The full-time use of splints is often not preferred by patients [14]. Cochrane confirmed that night immobilization is more effective than placebo, but the authors did not find a specific orthosis model that gave the best treatment results [3].…”

Section: Use Of the Orthosis During The Day/nightmentioning

confidence: 99%

“…Wearing wrist splints in a neutral position or a slight extension of 0-15 degrees (most often 0-5 degrees) can increase the carpal tunnel space, reduce pressure on the median nerve, and thus alleviate symptoms. Moreover, the neutral position improves hemodynamic parameters [1,2,4,6,12,14,15,17,18].…”

Section: The Angle Of Immobilization Of the Wristmentioning

confidence: 99%

“…According to Farahmandl et al [14] the angle of wrist immobilization differs between different orthosis designs. In their experience, some doctors prescribe splints without paying attention to the angle of the wrist; which can lead to disappointment in patients with the results of the treatment.…”

Section: The Angle Of Immobilization Of the Wristmentioning

confidence: 99%

“…In their experience, some doctors prescribe splints without paying attention to the angle of the wrist; which can lead to disappointment in patients with the results of the treatment. This may be due to the fact that some of the orthoses in use keep the wrist near a functional angle (more than 20 extensions), which appears to increase the pressure in the wrist canal [14]. Wipperman and Goerl [3] report that patients who use wrist immobilization in the neutral position were twice as likely to report an improvement in symptoms compared to the straightened wrist position.…”

Section: The Angle Of Immobilization Of the Wristmentioning

confidence: 99%

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The use of orthoses in the treatment of carpal tunnel syndrome. A review of the literature from the last 10 years

Georgiew¹,

Florek²,

Janowiec³

et al. 2022

Reumatologia

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IntroductionA review of the literature from the last 10 years quite clearly shows that immobilization of the wrist in the splint (orthosis) is the most effective, initial method of conservative treatment of carpal tunnel syndrome (CTS). The particular advantages of the described method of treatment are: availability, low cost, good patient tolerance, simplicity and minimal incidence of complications. The aim of this study was to try to define the criteria of proceeding with the selection of the type of orthosis and the duration of its use depending on the clinical condition and the patient’s expectations.Material and MethodsThe PubMed electronic database was searched for appropriately selected studies published between 2012 and 2022. The search strategy used was based on the following keywords: carpal tunnel syndrome, immobilization, orthosis, conservative treatment. The authors also searched the cited literature on relevant research and review papers on potentially relevant topics related to conservative treatment of the CTS.ConclusionsImmobilization in an orthosis gives therapeutic effects in all patients, regardless of the stage of the carpal tunnel syndrome. Most often the orthosis is only used at night for several weeks. During the exacerbation of symptoms, it can also be used during the day during activities that increase symptoms. In practice, it is recommended to wear a splint that immobilizes the wrist in a neutral position or slightly extended at 0–15 degrees (most often 0–5 degrees). A splint immobilizing the wrist and the 2–5 metacarpophalangeal joints are recommended for patients with positive Berger test results. There are no statistically significant differences in the treatment results between individual and traditional orthoses. No statistically significant differences were observed in the treatment effects between rigid and soft orthoses.

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Section: Use Of the Orthosis During The Day/nightmentioning

confidence: 99%

Section: Use Of the Orthosis During The Day/nightmentioning

confidence: 99%