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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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Europa Medicophysica 2006 June;42(2):121-6

language: English

Neutral wrist splinting in carpal tunnel syndrome: a 3- and 6-month clinical and neurophysiologic follow-up evaluation of night-only splint therapy

Premoselli S. 1, Sioli P. 2, Grossi A. 1, Cerri C. 2

1 Unit of Neurorehabilitation Trabattoni-Ronzoni Hospital, Seregno, Milan, Italy
2 Unit of Rehabilitative Medicine Department of Neurosciences School of Medicine, Bicocca University Monza, Milan, Italy


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Aim. The aim of the study was to evaluate the long-term efficacy of night-only splint wear therapy for carpal tunnel syndrome (CTS).
Methods. We conducted a randomized case-control trial with evaluation after three and six months of follow-up of outpatients with mild, recent onset symptoms of CTS recruited from the department clinic. Fifty patients (50 hands) were enrolled, of which 36 completed the study at 6 months. The case group utilized a thermoplastic neutral wrist splint for night-only wear. Outcome measures were instrumental parameters (sensory and motor nerve conduction velocity), symptom and function alterations (as measured by Levine’s self-administered questionnaire), clinical parameters (pressure-provocative and Phalen tests).
Results. Improvements were observed in Levine’s symptom status score at the three-month (P=0.001) and the six-month (P=0.001) follow-up visits, in functional score (P=0.0001) and (P=0.0004), in median distal sensory latency (P=0.01) and (P=0.02), in pressure-provocative test outcome (P=0.01) and (P=0.003), in Phalen test outcome (P=0.04) and (P=0.05) respectively.
Conclusion. Symptom relief and neurophysiological improvement after night-only splint wear therapy lasted up to the six-month follow-up visit.

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