Comparison of short-term effects of rigid tape and night splint on pain and function in patient with carpal tunnel syndrome: a randomized clinical trial

Abstract

Amaç: Bu çalışmanın amacı konservatif tedavide klasik fizyoterapi ve rehabilitasyon yöntem-lerine ek olarak kullanılan gece splinti veya sert bant uygulamalarının karpal tünel sendromu olan hastaların semptomları üzerine kısa dönem etkilerini karşılaştırmaktı. Gereç ve Yöntem:Elektonöromiyografi sonucuna göre orta şiddetli Karpal Tünel Sendromu tanısı konulan 30 hasta (yaş ortalaması: 46.2 yıl) çalışmaya dahil edildi. Hastalara 21 seans klasik fizyoterapi ve rehabilitasyon modalitelerine ek olarak bir gruba gece splinti diğer gruba ise sert bantlama uygulandı. Hastalar Boston Anketinin Semptom ve Fonksiyon Skalası ve 100 mm'lik Görsel Analog Skala kullanılarak ağrı, parestezi ve fonksiyon açısından tedavi öncesi ve sonrasında aynı fizyoterapist tarafından değerlendirildi. Sonuçlar: Gruplar demografik özellikleri bakımından benzerdi. Başlangıç değerleri ile karşı-laştırıldığında tedavi sonrasında, Boston Anketi ve Görsel Analog Skalası puanlarına göre her iki grupta da anlamlı gelişmeler elde edildi (p<0.05). Gruplar arası karşılaştırmalarda, Boston Anketi ve Görsel Analog Skalasına göre sert bantlama grubunda gece splinti grubuna göre daha anlamlı sonuçlar elde edildi (p<0.05).Tartışma: Bu çalışmada Karpal Tünel Sendromlu hastalara uygulanan her iki fizyoterapi ve rehabilitasyon yaklaşımının ağrıyı azaltmada ve fonksiyonu artırmada etkili olduğu bulundu. Ancak sert bantlamanın karpal tünel sendromunun neden olduğu semptomların azaltılmasın-da gece splintine göre daha etkili olduğu görüldü.Anahtar Kelimeler: Karpal tünel sendromu, atletik bant, splintler, ağrı RESEARCH ARTICLE COMPARISON OF SHORT-TERM EFFECTS OF RIGID TAPE AND NIGHT SPLINT ON PAIN AND FUNCTION IN PATIENT WITH CARPAL TUNNEL SYNDROME: A RANDOMIZED CLINICAL TRIAL ABSTRACTPurpose: The aim of this study was to compare the short-term effects of rigid taping and night splinting in addition to classical physiotherapy and rehabilitation modalities of conservative treatment, on symptoms of patients with Carpal Tunnel Syndrome. Material and Method:The study included 30 patients (mean age: 46.2years) diagnosed as moderately severe Carpal Tunnel Syndrome, according to the electroneuromyographic findings. In addition to classical physiotherapy and rehabilitation modalities night splint was applied to a group of patients and rigid taping to other one for 21 sessions. Patients were evaluated by the same physiotherapist both before and after treatments, in regards to pain, paresthesia and function, using Symptom and Functional Scales of Boston Questionnaire, and 100 mm visual analogue scale.Results: Demographic data were similar in each group. At the end of treatments, both groups showed significant improvements in Boston Questionnaire and visual analog scale scores, compared with baseline (p<0.05). In inter-group comparisons, rigid taping group showed more improvement in Boston Questionnaire and visual analog scale scores compared with night splinting group (p<0.05).Discussion: In this study, both physical therapy and rehabilitation modalities, were found to be ...

Effectiveness of Kinesio Taping and Night Splinting Along With Physical Therapy Intervention on Symptoms and Functionality

“…4 Although there is no consensus regarding types of splints or optimal wrist position, recent findings have shown that NS as the wrist positioned in neutral with metacarpophalangeal support could result in symptomatic and functional improvements in CTS. 3,16,19,29,30 In the current study, NS was used to position the wrist in neutral and thereby prevent undesired pressure in the carpal tunnel. However, the findings of our study pointed out that positioning the wrist in a neutral position by using NS did not provide additional benefits than physical therapy intervention alone unlike previous recommendations.…”

“…4 The rehabilitation program was delivered at the clinic under the supervision of the therapist (LE) consisted of a heat therapy, ultrasound therapy, self-myofascial stretching of the carpal ligament, and tendon and nerve gliding exercises. 4,6,[19][20][21][22] Heat therapy was administered by using hot-pack enclosed in a towel for 15 mins around the palmar side of the wrist. It provided superficial heat to hands, which could relieve pain and improve the local circulation.…”

“…4 Then, ultrasound therapy was applied consisting of 5-min therapy for each hand. 6,19 The ultrasound device was set at a frequency of 1 MHz, intensity of 1.0 W/cm 2 , and pulsed mode of 1:4. A transducer of 5 cm 2 in size and aquasonic gel couplant was used.…”

“…A priori sample size calculation suggested that 39 patients would detect a smallest significant difference of 8 points on the BCTQ-S, assuming an SD of 1.9 points (α value of 0.05 and a power of 90%). 19,28 Accounting for 10% dropout, we recruited 45 patients at baseline and randomly allocated to three groups (15 patients per group). Analysis was performed using G*Power for Mac (Version 3.1.9.6; Universitat Dusselfodorf, Germany).…”

Comparative Effects of Neurodynamics With and Without Wrist Splint in patients with Carpal Tunnel Syndrome

“…Prevalence of this syndrome in US population is 3.72% and its incidence is 139.4 females out of 100 000 and 67.2 males out of 100 000 11 . There are many causes for this syndrome such as metabolic diseases, tendinitis, tendinosis, repetitive wrist activities, gripping activities ,constant pressure over median nerve, fracture of carpal bones, poor posture, lesions of median nerve , any trauma, arthritic changes and pregnancy but many have idiopathic cause 12,13,14 . The most common characteristics is tenderness and pain especially at night 15,16 .…”