The effects of orthotic intervention on nerve conduction and functional outcome in Carpal Tunnel Syndrome: A prospective follow-up study

Celik, Berna; Paker, Nurdan; Çelik, Evrim Coşkun; Buğdaycı, Derya; Öneş, Kadriye; İnce, Nurhan

doi:10.1016/j.jht.2014.07.008

Cited by 10 publications

(14 citation statements)

References 13 publications

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“…A wrist splinting is widely and mainly used in conservative treatments of CTS, especially in mild or moderate patients. 1,2) Additionally, therapeutic effects of the splinting for CTS have been described in many previous studies. 1–4) However, there is insufficient evidence regarding the detailed prognostic indication of the splint treatment success in CTS patients yet.…”

Section: Introductionmentioning

confidence: 96%

“…1,2) Additionally, therapeutic effects of the splinting for CTS have been described in many previous studies. 1–4) However, there is insufficient evidence regarding the detailed prognostic indication of the splint treatment success in CTS patients yet. 1,2) Generally, the treatments for CTS are thought to depend on the CTS severity.…”

Section: Introductionmentioning

confidence: 96%

“…1–4) However, there is insufficient evidence regarding the detailed prognostic indication of the splint treatment success in CTS patients yet. 1,2) Generally, the treatments for CTS are thought to depend on the CTS severity. Therefore, it is necessary to evaluate precisely the severity of the CTS, in order to determine the appropriate treatment for each patient.…”

Section: Introductionmentioning

confidence: 99%

“…1,2,5–7) Moreover, it provides useful information for an objective and quantitative assessment of the neurophysiological severity and a decision of therapeutic strategy in patients with CTS. 5–7) The electrophysiological standard examination is conventionally performed by recording the distal motor latency (DML) of the abductor pollicis brevis (APB) muscle and the distal sensory latency (DSL) of the index finger, for evaluation and classification of the severity of the CTS.…”

Section: Introductionmentioning

confidence: 99%

“…5–7) These studies must have high sensitivity and specificity for diagnosis of CTS. 1,8) Actually, the DSL is often unrecordable in the severe CTS with the atrophy of the APB. 2,5,7) Conversely, it is difficult to detect the early mild CTS with the DML study.…”

Section: Introductionmentioning

confidence: 99%

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Electrophysiological Assessment for Splinting in the Treatment of Carpal Tunnel Syndrome

Nanno

Kodera

Tomori

et al. 2017

Neurol. Med. Chir.(Tokyo)

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An electrophysiological study is commonly used to decide a therapeutic strategy for carpal tunnel syndrome (CTS). In this study, the electrophysiological parameter measurement as a prognostic indicator for CTS after wrist splinting was assessed to identify appropriate candidates for wrist splinting for CTS. One hundred and six hands in 78 patients with CTS were treated by wrist splinting, and three electrophysiological parameters; median distal motor latency (DML) of the abductor pollicis brevis (APB) muscle, median distal sensory latency (DSL) of the index finger, and second lumbrical-interossei latency difference (2L-INT LD); were statistically analyzed to compare with clinical results by Kelly’s evaluation respectively. Clinical results were excellent in 15 hands, good in 51 hands, fair in 19 hands, and poor in 21 hands. The recordable rate in 2L-INT LD (99.1%) was higher than DML (96.2%) and DSL (79.2%). Patients with DML less than 6.5 ms, DSL less than 5.7 ms, or 2L-INT LD less than 2.5 ms had significantly excellent or good clinical results. The odds ratios of the DML, DSL, and the 2L-INT LD were 7.93, 8.81, and 12.8, respectively. This study demonstrated that CTS patients with DML less than 6.5 ms, DSL less than 5.7 ms, or 2L-INT less than 2.5 ms were good candidates for wrist splinting. Especially, the 2L-INT LD could be the most reliable indicator to predict clinical results for all grades of CTS. This electrophysiological information could be useful in further improvement of accurate diagnosis of CTS, and may help in the assessment of appropriate treatment for CTS with wrist splinting.

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Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Electrophysiological Assessment for Splinting in the Treatment of Carpal Tunnel Syndrome

Nanno

Kodera

Tomori

et al. 2017

Neurol. Med. Chir.(Tokyo)

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Advanced practice occupational therapy led triage and treatment clinic for patients with carpal tunnel syndrome in an Irish public hospital

O’Donnell

Eadie

Dorairaj

et al. 2023

Musculoskeletal Care

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IntroductionA pilot CTS Triage and Treat clinic led by an Advanced Practice Occupational Therapist was established to address the CTS wait list at a large urban hospital. The aims of this pilot were to develop a clinical triage and screening protocol to inform the stratification of patients for suitable treatment options and to reduce waiting time.MethodsA cross sectional study with follow up was conducted, patients on the wait list at time of commencement of the pilot and subsequent referrals over a 1‐year period were recruited. Triage consisted of tests of sensibility, self‐rating measures, provocative tests and detailed patient to inform the subsequent treatment stratification, conservative, injection, surgery, or further investigation. Nonparametric analyses were used to test relationships between the test scores and to complete subgroup comparisons.ResultsEighty‐nine patients were triaged over the pilot period, 62 (70%) had a positive Phalen's at triage. Following triage 48 (54%) patients were stratified for conservative management, injection (n = 23, 26%) and surgery/differential diagnosis (n = 18, 20%). Statistically significant differences in BCTQ (SSS and FSS) and Q‐DASH scores were noted across the three outcome groups, with lower scores among those commenced on conservative management. BCTQ (SSS) scores were aligned with the Semmes Weinstein Monofilaments sensibility thresholds. Wait times showed a marked decrease from 10 to 2 months over the period of the pilot.DiscussionFindings highlight the positive impact of occupational therapy led triage and treat approach in the reduction of wait time for assessment and treatment for patients with CTS.

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Ortho-Monitorizer: A Portable Device to Monitor Pressure and Temperature During the Use of Upper Limb Orthoses

Dinis

Gonçalves²,

Rodrigues³

et al. 2022

SN COMPUT. SCI.

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The effects of orthotic intervention on nerve conduction and functional outcome in Carpal Tunnel Syndrome: A prospective follow-up study

Cited by 10 publications

References 13 publications

Electrophysiological Assessment for Splinting in the Treatment of Carpal Tunnel Syndrome

Electrophysiological Assessment for Splinting in the Treatment of Carpal Tunnel Syndrome

Advanced practice occupational therapy led triage and treatment clinic for patients with carpal tunnel syndrome in an Irish public hospital

Ortho-Monitorizer: A Portable Device to Monitor Pressure and Temperature During the Use of Upper Limb Orthoses

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