Bulut Gul Tugba, Caglar Nil Sayiner, Aytekin Ebru, Ozgonenel Levent, Tutun Sule, Demir Saliha Eroglu
Physical Medicine and Rehabilitation Clinic, Ministry of Health, Gebze Fatih State Hospital, Izmit, Turkey.
Physical Medicine and Rehabilitation Clinic, Ministry of Health, Istanbul Research and Training Hospital, Istanbul, Turkey.
J Back Musculoskelet Rehabil. 2015;28(4):761-7. doi: 10.3233/BMR-140580.
The position of metacarpophalangeal (MCP) joints may be an important factor affecting the efficacy of splinting in patients with carpal tunnel syndrome (CTS).
The aim of the present study was to compare the efficacy of a neutral volar static wrist splint with a neutral volar static wrist and MCP splint in patients with CTS.
Fifty-four hands were included into the study. A neutral volar static wrist splint was given to the symptomatic hands of the patients in group 1 while a neutral volar static wrist and MCP splint was given to the symptomatic hands of the patients in group 2. Evaluation parameters were Visual Analog Scale for pain severity (VASp), grip strength, pinch strength, electrophysiologic tests and CTS Questionnaire (CTSQ) at baseline and four weeks later.
At baseline there was no difference between groups. The intergroup comparison of the improvement showed significant differences in VASp at rest, grip strength, pinch strength and CTSQ functional capacity scores between groups in favor of wrist MCP splint. Although there were significant improvements with regard to sensory amplitude and motor latency in both groups after therapy, the differences between groups were not at the level of significance.
The position of MCP joints seems to be an important factor for the treatment of CTS and should be considered while prescribing a splint to the patients with CTS.
掌指关节（MCP）的位置可能是影响腕管综合征（CTS）患者夹板固定疗效的一个重要因素。
本研究旨在比较中性掌侧静态腕部夹板与中性掌侧静态腕部及MCP夹板对CTS患者的疗效。
54只手纳入本研究。给第1组患者有症状的手佩戴中性掌侧静态腕部夹板，给第2组患者有症状的手佩戴中性掌侧静态腕部及MCP夹板。评估参数为基线时和4周后的疼痛严重程度视觉模拟量表（VASp）、握力、捏力、电生理检查和CTS问卷（CTSQ）。
基线时两组间无差异。组间改善情况的比较显示，两组在静息时的VASp、握力、捏力和CTSQ功能能力评分方面存在显著差异，支持腕部MCP夹板。虽然两组治疗后感觉波幅和运动潜伏期均有显著改善，但组间差异无统计学意义。
MCP关节的位置似乎是CTS治疗的一个重要因素，在为CTS患者开夹板处方时应予以考虑。
