Analyzing the therapeutic effects of short wrist splint in patients with carpal tunnel syndrome (CTS) under ibuprofen treatment from an EMG-NCV perspective

H Riasi, A Rajabpour Sanati, F Salehi, H Salehian, K Ghaemi, H Riasi, A Rajabpour Sanati, F Salehi, H Salehian, K Ghaemi

Abstract

Objective: Carpal tunnel symptoms are typical outside nerve involvement and a significant reason of inability. This syndrome often causes weakness and pain in the affected hand. Therefore, the researchers decided to perform a study that aimed to investigate the therapeutic effects of Wrist Splint (short wrist splint) in patients admitted to the neurology clinic of Vali Asr Hospital of Birjand with carpal tunnel syndrome (CTS) under ibuprofen treatment from an EMG-NCV perspective. Methods: This clinical trial was performed on patients admitted to the neurology clinic of Vali Asr Hospital during the spring and summer of 2013. The participants of the study were classified into two teams. The initial team of cases went under medical treatment with ibuprofen (800 mg BID for 4-6 weeks) and the second group of patients went under medical care with ibuprofen (800 mg BID for 4-6 weeks) with a short wrist splint. Results: 40 cases participated in the research. The mean age of participants was 32/ 75 ± 4/ 33 years (range 20 to 48 years), respectively. Most of the participants were females (n = 30, 75% respectively). The mean score, latency and velocity between the two groups were mainly distinct (respectively p = 0.05, 0.001, and 0.003). There were significant differences between amplitude before the start of the study (p = 0.000) among the participants. Discussion: The results showed that patients treated with ibuprofen and wrist splint along the para-clinics presented a better response to treatment.

Keywords: Carpal Tunnel Syndrome; NSAIDs; treatment; wrist splint.

References

    1. Jarvik JG, Comstock BA, Kliot M, Turner JA, Chan L, Heagerty PJ, et al. Surgery versus non-surgical therapy for carpal tunnel syndrome: a randomised parallel-group trial. The Lancet. 374(9695)
    1. Çeliker R, Arslan S, Inanc F. Corticosteroid Injection vs. Nonsteroidal Antiinflammatory Drug and Splinting in Carpal Tunnel Syndrome. American Journal of Physical Medicine & Rehabilitation. 2002;81(3)
    1. Rheumatology ACo. Carpal Tunnel Syndrome. 2012
    1. Centre WH. Carpal Tunnel Syndrome. 2010
    1. Association APT. Carpal Tunnel Syndrome. 2002
    1. De Angelis R, Salaffi F, Filippucci E, Grassi W. Carpal tunnel syndrome treatment. Reumatismo. 2011;58(1):22–26.
    1. Yildiz N, Atalay NS, Gungen GO, Sanal E, Akkaya N, Topuz O. Comparison of ultrasound and ketoprofen phonophoresis in the treatment of carpal tunnel syndrome. Journal of Back and Musculoskeletal Rehabilitation. 2011;24(1):39–47.
    1. Hall B, Lee HC, Fitzgerald H, Byrne B, Barton A, Lee AH. Investigating the Effectiveness of Full-Time Wrist Splinting and Education in the Treatment of Carpal Tunnel Syndrome: A Randomized Controlled Trial. American Journal of Occupational Therapy. 2013;67(4):448–459.
    1. Wilson JK, Sevier TL. A review of treatment for carpal tunnel syndrome. Disability and Rehabilitation. 2003;25(3):113–119.
    1. Gurcay E, Unlu E, Gurcay A, Tuncay R, Cakci A. Evaluation of the Effect of Local Corticosteroid Injection and Anti-inflammatory Medication in Carpal Tunnel Syndrome. Scottish Medical Journal. 2009;54(1):4–6.
    1. Gerritsen AAM, Korthals-De Bos IBC, Laboyrie PM, de Vet HCW, Scholten RJPM, Bouter LM. Splinting for carpal tunnel syndrome: prognostic indicators of success. Journal of Neurology, Neurosurgery & Psychiatry. 2003;74(9):1342–1344.
    1. Gerritsen AM, de Vet HW, Scholten RM, Bertelsmann FW, de Krom MM, Bouter LM. Splinting vs surgery in the treatment of carpal tunnel syndrome: A randomized controlled trial. JAMA. 2002;288(10):1245–1251.

Source: PubMed

Sponsors and Collaborators

Medical Conditions

Drug Interventions

3
Subscribe