Willis F Buck, Fowler Brook
Galveston Clinical Research, TX, USA; Paul Quinn College, Dallas, TX, USA.
Paul Quinn College, Dallas, TX, USA.
Hand (N Y). 2016 Sep;11(3):290-294. doi: 10.1177/1558944715626925. Epub 2016 Feb 2.
The incidence of carpal tunnel syndrome (CTS) is 48 million patients in the United States. The purpose of this longitudinal study was to determine whether Dynasplint stretching (immediately after diagnosis) had an effect on a patient's decision to seek surgical treatment for CTS. Fifty patients (10 men, 40 women, mean age 51.2 ± 12 years) were recruited for this randomized, controlled, longitudinal trial. Patients were diagnosed with CTS by physical examination and nerve conduction studies. The intervention used was Dynasplint stretching that delivered a prolonged duration of low load stretching. Patients who were randomly chosen for the Experimental category wore the device for two 30-minute sessions per day with regular increases in splint tension for 60 days. Control patients received nonsteroidal anti-inflammatory medication plus instructions on daily home stretching. The final, longitudinal outcome showed a 72% reduction in surgery chosen by the experimental group (n = 25), compared with 38% reduction for control patients (n = 25). Immediate treatment with Dynasplint stretching showed a 2 to 1 reduction in surgery, with abundant financial savings.
在美国，腕管综合征（CTS）的患者人数达4800万。这项纵向研究的目的是确定戴纳斯普林特伸展疗法（诊断后立即进行）是否会影响患者寻求CTS手术治疗的决定。五十名患者（10名男性，40名女性，平均年龄51.2±12岁）被纳入这项随机、对照纵向试验。通过体格检查和神经传导研究诊断患者患有CTS。所采用的干预措施是戴纳斯普林特伸展疗法，它能提供长时间的低负荷伸展。被随机选入试验组的患者每天佩戴该设备进行两个30分钟的疗程，并定期增加夹板张力，持续60天。对照组患者接受非甾体抗炎药治疗，并接受每日家庭伸展的指导。最终的纵向结果显示，试验组（n = 25）选择手术的比例降低了72%，而对照组患者（n = 25）降低了38%。戴纳斯普林特伸展疗法立即治疗使手术比例降低了二分之一，还节省了大量费用。
