Clinical and electrophysiological evaluation of neutral wrist nocturnal splinting in patients with carpal tunnel syndrome
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- Weng Chao
- Department of Neurology, Renmin Hospital of Wuhan University: Wuhan 430060, Hubei Province, China
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- Dong Hongjuan
- Department of Neurology, Renmin Hospital of Wuhan University: Wuhan 430060, Hubei Province, China
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- Chu Hong
- Department of Neurology, Renmin Hospital of Wuhan University: Wuhan 430060, Hubei Province, China
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- Lu Zuneng
- Department of Neurology, Renmin Hospital of Wuhan University: Wuhan 430060, Hubei Province, China
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<p> [Purpose] To prospectively assess the effectiveness of neutral wrist nocturnal splinting in patients with carpal tunnel syndrome (CTS) by using clinical scores and nerve conduction studies (NCS). [Subjects and Methods] Forty-one patients enrolled in the study were clinically evaluated by a symptom severity scale (SSS) and functional status scale (FSS), and were electrophysiologically evaluated by conventional NCS; distal motor latency (DML), sensory conduction velocity (SCV), and difference in sensory latency between the median and ulnar nerves (ΔDSL) were measured. Subjects were treated with wrist splinting. Patients who showed no improvement in symptoms were treated with other conservative treatments, the remaining patients continued to wear splints. SSS, FSS, and NCS were evaluated after splinting as well. [Results] The follow-up was completed in 20 patients (31 wrists) with splinting. SSS and FSS decreased, the DML shortened and ΔDSL decreased significantly after splinting for 3.03 ± 1.16 months. There were significant correlations between SSS and DML, SCV of wrist digit 2, and SCV of wrist digit 4. No correlations were found between SSS and ΔDSL, and FSS and the parameters of NCS. [Conclusion] Neutral wrist nocturnal splinting is effective in at least short term for CTS patients. There is a weak correlation between clinical scores and NCS, which suggests that both approaches should be used to effectively assess the therapeutic effect of CTS treatment.</p>
収録刊行物
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- J Phys Ther Sci
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J Phys Ther Sci 28 (8), 2274-2278, 2016
理学療法科学学会
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詳細情報 詳細情報について
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- CRID
- 1390001204332481664
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- NII論文ID
- 130005261938
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- ISSN
- 21875626
- 09155287
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- 本文言語コード
- en
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- データソース種別
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- JaLC
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- 抄録ライセンスフラグ
- 使用不可