The effect of splint use on outcomes in ultrasound guided injection of carpal tunnel syndrome

Mengi, Alper; Kara, Belgın

doi:10.5455/annalsmedres.2020.03.286

The effect of splint use on outcomes in ultrasound guided injection of carpal tunnel syndrome

Alper MENGİ, (Çanakkale Devlet Hastanesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Çanakkale, Türkiye)

Belgin KARA (Çanakkale Devlet Hastanesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Çanakkale, Türkiye)

Annals of Medical Research

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Yıl: 2021 Cilt: 28 Sayı: 1 Sayfa Aralığı: 25 - 30 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2020.03.286 İndeks Tarihi: 28-06-2021

The effect of splint use on outcomes in ultrasound guided injection of carpal tunnel syndrome

Öz:

Aim: Splint use is often recommended following wrist injection patients diagnosed with carpal tunnel syndrome (CTS), but there is not any data in the literature pertaining to the impact of splint treatment, used before injection, on the results of local injection treatment. The aim of this study to evaluate whether or not splint use starting before the injection would impact the local injection treatment outcomes.Materials and methods: Fifty seven patients (57 hands) with CTS and underwent ultrasound-guided injection were included in the study, and patients were divided into two groups in terms of splint use. Median nerve cross-sectional area (MNCSA), pain/numbness by visual analogue scale (VAS), symptoms and functionality by Boston Carpal Tunnel Questionnaire (BCTQ) were investigated before injection and 15 days after injection.Results: There was significant change over time in MNCSA, VAS, and BTCQ scores in groups. The patients not using splint group had significantly higher percentage change in VAS nighttime score.Conclusion: Our findings has shown that using neutral wrist splint, starting before and continuing after injection treatment, did not increase the injection treatment efficacy and may actually have negative effect on improvement in VAS nighttime scores.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Wainner RS, Fritz JM, Irrgang JJ, et al. Development of a clinical prediction rule for the diagnosis of carpal tunnel syndrome. Arch Phys Med Rehabil 2005;86:609-18.
2. Ghasemi-Rad M, Nosair E, Vegh A, et al. A handy review of carpal tunnel syndrome: From anatomy to diagnosis and treatment. World J Radiol 2014;6:284.
3. Piazzini DB, Aprile I, Ferrara PE, et al. A systematic review of conservative treatment of carpal tunnel syndrome. Clin Rehabil 2007;21:299-314.
4. Huisstede BM, Hoogvliet P, Randsdorp MS, et al. Carpal tunnel syndrome. Part I: effectiveness of nonsurgical treatments-a systematic review. Arch Phys Med Rehabil 2010;91:981-1004.
5. Schmid AB, Elliott JM, Strudwick MW, et al. Effect of splinting and exercise on intraneural edema of the median nerve in carpal tunnel syndrome-an MRI study to reveal therapeutic mechanisms. J Orthop Res 2012;30:1343-50.
6. Manente G, Torrieri F, Di Blasio F, et al. An innovative hand brace for carpal tunnel syndrome: a randomized controlled trial. Muscle Nerve 2001;24:1020-5.
7. Walker WC, Metzler M, Cifu DX, et al. Neutral wrist splinting in carpal tunnel syndrome: a comparison of night-only versus full-time wear instructions. Arch Phys Med Rehabil 2000;81:424-9.
8. Page MJ, Massy-Westropp N, O'Connor D, et al. Splinting for carpal tunnel syndrome. Cochrane Database Syst Rev 2012;7:CD010003.
9. Baker NA, Moehling KK, Rubinstein EN, et al. The comparative effectiveness of combined lumbrical muscle splints and stretches on symptoms and function in carpal tunnel syndrome. Arch Phys Med Rehabil 2012;93:1-10.
10. Akalin E, El O, Peker O, Senocak O, et al. Treatment of carpal tunnel syndrome with nerve and tendon gliding exercises. Am J Phys Med Rehabil 2002;81:108-13.
11. Graham RG, Hudson DA, Solomons M, et al. A prospective study to assess the outcome of steroid injections and wrist splinting for the treatment of carpal tunnel syndrome. Plast Reconstr Surg 2004;113:550-6.
12. Wang JC, Liao KK, Lin KP, et al. Efficacy of combined ultrasound-guided steroid injection and splinting in patients with carpal tunnel syndrome: a randomized controlled trial. Arch Phys Med Rehabil 2017;98:947- 56.
13. Hagebeuk E, De Weerd A. Clinical and electrophysiological follow-up after local steroid injection in the carpal tunnel syndrome. Clin Neurophysiol 2004;115:1464-8.
14. Atroshi I, Flondell M, Hofer M, et al. Methylprednisolone injections for the carpal tunnel syndrome: a randomized, placebo-controlled trial. Ann Intern Med 2013;159:309-17.
15. Ustun N, Tok F, Yagz AE, et al. Ultrasound-guided vs. blind steroid injections in carpal tunnel syndrome: a single-blind randomized prospective study. Am J Phys Med Rehabil 2013;92:999-1004.
16. Makhlouf T, Emil NS, Sibbitt WL, et al. Outcomes and cost-effectiveness of carpal tunnel injections using sonographic needle guidance. Clin Rheumatol 2014;33:849-58.
17. Sezgin M, Incel NA, Sevim S, et al. Assessment of symptom severity and functional status in patients with carpal tunnel syndrome: reliability and validity of the Turkish version of the Boston Questionnaire. Disabil Rehabil 2006;28:1281-6.
18. Jablecki C, Andary M, Floeter M, et al. Practice parameter: electrodiagnostic studies in carpal tunnel syndrome: report of the American Association of Electrodiagnostic Medicine, American Academy of Neurology, and the American Academy of Physical Medicine and Rehabilitation. Neurology 2002;58:1589- 92.
19. Padua L, LoMonaco M, Gregori B, et al. Neurophysiological classification and sensitivity in 500 carpal tunnel syndrome hands. Acta Neurol Scand 1997;96:211-7.
20. Padua L, Coraci D, Erra C, et al. Carpal tunnel syndrome: clinical features, diagnosis, and management. Lancet Neurol 2016;15:1273-84.
21. Marshall SC, Tardif G, Ashworth NL. Local corticosteroid injection for carpal tunnel syndrome. Cochrane Database Syst Rev. 2007;2:CD001554.
22. Armstrong T, Devor W, Borschel L, et al. Intracarpal steroid injection is safe and effective for short-term management of carpal tunnel syndrome. Muscle Nerve 2004;29:82-8.
23. Karadas O, Tok F, Akarsu S, et al. Triamcinolone acetonide vs procaine hydrochloride injection in the management of carpal tunnel syndrome: randomized placebo-controlled trial. J Rehabil Med 2012;44:601- 4.
24. Kara M, Ozcakar L, De Muynck M, et al. Musculoskeletal ultrasound for peripheral nerve lesions. Eur J Phys Rehabil Med 2012;48:665-74.
25. Cartwright MS, White DL, Demar S, et al. Median nerve changes following steroid injection for carpal tunnel syndrome. Muscle Nerve 2011;44:25-9.
26. Wang JC, Lin KP, Liao KK, et al. Sonographic median nerve change after steroid injection for carpal tunnel syndrome. Muscle Nerve 2018;58:402-26.

APA	Mengi A, Kara B (2021). The effect of splint use on outcomes in ultrasound guided injection of carpal tunnel syndrome. , 25 - 30. 10.5455/annalsmedres.2020.03.286
Chicago	Mengi Alper,Kara Belgın The effect of splint use on outcomes in ultrasound guided injection of carpal tunnel syndrome. (2021): 25 - 30. 10.5455/annalsmedres.2020.03.286
MLA	Mengi Alper,Kara Belgın The effect of splint use on outcomes in ultrasound guided injection of carpal tunnel syndrome. , 2021, ss.25 - 30. 10.5455/annalsmedres.2020.03.286
AMA	Mengi A,Kara B The effect of splint use on outcomes in ultrasound guided injection of carpal tunnel syndrome. . 2021; 25 - 30. 10.5455/annalsmedres.2020.03.286
Vancouver	Mengi A,Kara B The effect of splint use on outcomes in ultrasound guided injection of carpal tunnel syndrome. . 2021; 25 - 30. 10.5455/annalsmedres.2020.03.286
IEEE	Mengi A,Kara B "The effect of splint use on outcomes in ultrasound guided injection of carpal tunnel syndrome." , ss.25 - 30, 2021. 10.5455/annalsmedres.2020.03.286
ISNAD	Mengi, Alper - Kara, Belgın. "The effect of splint use on outcomes in ultrasound guided injection of carpal tunnel syndrome". (2021), 25-30. https://doi.org/10.5455/annalsmedres.2020.03.286

APA	Mengi A, Kara B (2021). The effect of splint use on outcomes in ultrasound guided injection of carpal tunnel syndrome. Annals of Medical Research, 28(1), 25 - 30. 10.5455/annalsmedres.2020.03.286
Chicago	Mengi Alper,Kara Belgın The effect of splint use on outcomes in ultrasound guided injection of carpal tunnel syndrome. Annals of Medical Research 28, no.1 (2021): 25 - 30. 10.5455/annalsmedres.2020.03.286
MLA	Mengi Alper,Kara Belgın The effect of splint use on outcomes in ultrasound guided injection of carpal tunnel syndrome. Annals of Medical Research, vol.28, no.1, 2021, ss.25 - 30. 10.5455/annalsmedres.2020.03.286
AMA	Mengi A,Kara B The effect of splint use on outcomes in ultrasound guided injection of carpal tunnel syndrome. Annals of Medical Research. 2021; 28(1): 25 - 30. 10.5455/annalsmedres.2020.03.286
Vancouver	Mengi A,Kara B The effect of splint use on outcomes in ultrasound guided injection of carpal tunnel syndrome. Annals of Medical Research. 2021; 28(1): 25 - 30. 10.5455/annalsmedres.2020.03.286
IEEE	Mengi A,Kara B "The effect of splint use on outcomes in ultrasound guided injection of carpal tunnel syndrome." Annals of Medical Research, 28, ss.25 - 30, 2021. 10.5455/annalsmedres.2020.03.286
ISNAD	Mengi, Alper - Kara, Belgın. "The effect of splint use on outcomes in ultrasound guided injection of carpal tunnel syndrome". Annals of Medical Research 28/1 (2021), 25-30. https://doi.org/10.5455/annalsmedres.2020.03.286