Comparison of range-of-motion constraints provided by prefabricated splints used in the treatment of carpal tunnel syndrome: a pilot study.
Nocturnal splinting of the wrist is commonly used to treat carpal tunnel syndrome. Rationales for overnight wrist splinting are based on several research studies, which suggest that passively and actively sustained positions of the wrist and digits during sleep contribute to elevated carpal tunnel pressures. The types of splints used for carpal tunnel syndrome include custom and prefabricated orthoses of many variations. The purpose of this paper is to assess the resting and passive range-of-motion position restrictions and parameters provided by four prefabricated orthoses commonly prescribed for or used by patients at the authors' treatment facility. A literature review provides information that supports optimal wrist and finger positioning to minimize resting carpal tunnel pressures. This information may be useful in determining the most effective splint design choices.
Apfel
Eileen
E
Department of Physical Medicine and Rehabilitation Medicine, Veterans Administration Healthcare System, San Diego, California 92161, USA. apfelroberts@worldnet.att.net
Johnson
Merry
M
Abrams
Reid
R
D001696:Biomechanical Phenomena; D002102:Cadaver; D002349:Carpal Tunnel Syndrome / Q000534:rehabilitation*; D004867:Equipment Design; D005384:Finger Joint / Q000503:physiopathology; D006801:Humans; D010865:Pilot Projects; D016059:Range of Motion, Articular / Q000502:physiology*; D013165:Splints; D013997:Time Factors; D014955:Wrist Joint / Q000503:physiopathology