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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 , , , ,
In association with
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063
Europa Medicophysica 2006 June;42(2):121-6
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
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.