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Investigating the effectiveness of full-time wrist splinting and education in the treatment of carpal tunnel syndrome

This study investigated the effects of wearing a wrist support splint for 8 wk
and receiving a formal education program on patients with carpal tunnel syndrome
(CTS), as well as factors associated with patients' desire
to seek surgical
intervention. Participants were recruited from a hospital surgical wait list and
randomly assigned to an intervention group (n = 30) or a control group (n = 24).
Significant improvements in measures of symptom severity and functional status
over the duration of the study appeared in the intervention group but not in the
control group. Logistic regression for the intervention group showed that symptom
severity (odds ratio [OR] = 1.53, 95% confidence interval [CI] [1.20-1.93]),
functional deficits (OR = 1.31, 95% CI [1.08-1.57]), pain score (OR = 1.25, 95%
CI [1.11-1.61]), and symptom duration (OR = 1.11, 95% CI [1.01-1.24]) were
positively associated with the desire to seek surgical intervention. This
conservative CTS treatment program conducted by occupational therapists can
improve symptoms and hand function in CTS patients.
CI - Copyright (c) 2013 by the American Occupational Therapy Association, Inc.
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Langue : ANGLAIS

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