Abstract Success Rate of Nocturnal Neutral Wrist Splint in Treatment of Carpal Tunnel Syndrome
No Thumbnail Available
Date
2010-01-07
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Vajira Medical Journal
Abstract
Abstract Success Rate of Nocturnal Neutral Wrist Splint in Treatment of Carpal Tunnel Syndrome Yupadee Fusakul MD Phongphitch Saensri BSc (Occupational therapy) Department of Physical Medicine and Rehabilitation, BMA Medical College and Vajira Hospital Objective: To determine the success rate of nocturnal neutral wrist splint in the treatment of carpal tunnel syndrome in Thai patients. Study design: Prospective descriptive study. Subjects: A total of 40 patients with mild and moderate degree of carpal tunnel syndrome, confirmed by standard electrodiagnosis, who were treated by nocturnal neutral wrist splint in the Department of Physical Medicine and Rehabilitation, BMA Medical College and Vajira Hospital during February to August 2008. Methods: All subjects were treated with custom-molded neutral wrist splint and were instructed to wear the splint every night for 12 weeks. They were followed up and assessed by Symptom Severity Scale (SSS) and Functional Status Scale (FSS) at 2, 6 and 12 weeks. They also reported overall treatment results. Electrodiagnosis were reperformed at 12 weeks after treatment. Main outcome measures: Success rate of splint treatment which was determined from percentage of patients who rated the overall treatment results as "much improved" or "completely recovered". Results: The success rate of nocturnal neutral wrist splint in the treatment of mild and moderate degree of carpal tunnel syndrome was 65.0% at 12 weeks. The means of SSS and FSS improved significantly from baseline compared with SSS and FSS at 2, 6 and 12 weeks after treatment. However, the electrodiagnosis parameters at 12 weeks after treatment were not significantly different from the parameters before treatment. Conclusion: Treatment of mild to moderate degree of carpal tunnel syndrome in Thai patients with nocturnal neutral wrist splint was effective with success rate of 65.0%. Vajira Med J 2009 ; 53 : 131-142
Description
Keywords
Citation
Vajira Medical Journal; Vol. 53 No. 2 May - August 2009; 131-142