Parish Robin, Morgan Christy, Burnett Caitlin A, Baker Beverly C, Manning Calland, Sisson Sydney K, Shipp Elizabeth Rush
Department of Occupational Therapy, School of Health, Related Professions, University of Mississippi Medical Center, Jackson, Mississippi, University of Mississippi Medical Center, Jackson MS, USA.
Department of Occupational Therapy, School of Health, Related Professions, University of Mississippi Medical Center, Jackson, Mississippi, University of Mississippi Medical Center, Jackson MS, USA.
J Hand Ther. 2020 Jul-Sep;33(3):346-353. doi: 10.1016/j.jht.2019.03.003. Epub 2019 Apr 5.
A cross-sectional descriptive design was used.
Carpal tunnel syndrome (CTS) is a complex combination of symptoms resulting from compression of the median nerve within the carpal tunnel. A study that compares the conservative interventions identified in the literature with the actual conservative interventions being implemented by therapists for the treatment of CTS is not presently available.
The purpose of this study was to examine conservative interventions for CTS as reported by certified hand therapists (CHTs) within various clinical settings. The study also aimed to identify the decision-making process for the selection of CTS interventions.
CHT members of the American Society of Hand Therapists were surveyed electronically to obtain quantitative data.
Patient education, nocturnal orthosis, and ergonomic modifications ranked among the top conservative interventions utilized for CTS, whereas treatments such as magnet therapy, C-TRAC, and heating lamps ranked among the least utilized interventions. When selecting interventions, clinical expertise, research evidence, and patient preferences were all highly valued considerations for CHT.
Our study offers a unique summary of CHT practice patterns for CTS interventions and the associated decision-making processes. It compares findings with existing literature on this topic, offering researchers and clinicians a glimpse of the CTS practice trends.
This study may serve to prioritize future research studies based on the prevalence of intervention usage among the experts. It also serves as a guide to those seeking to understand the most common interventions utilized for conservative CTS treatment.
采用横断面描述性设计。
腕管综合征（CTS）是一种因正中神经在腕管内受压而导致的复杂症状组合。目前尚无一项研究将文献中确定的保守干预措施与治疗师实际用于治疗CTS的保守干预措施进行比较。
本研究的目的是调查不同临床环境中认证手部治疗师（CHT）报告的CTS保守干预措施。该研究还旨在确定CTS干预措施选择的决策过程。
对美国手部治疗师协会的CHT成员进行电子调查以获取定量数据。
患者教育、夜间矫形器和人体工程学调整位列用于CTS的最常用保守干预措施之中，而磁疗、C-TRAC和加热灯等治疗位列最少使用的干预措施之中。在选择干预措施时，临床专业知识、研究证据和患者偏好都是CHT高度重视的考虑因素。
我们的研究提供了关于CTS干预措施的CHT实践模式及相关决策过程的独特总结。它将研究结果与关于该主题的现有文献进行比较，让研究人员和临床医生得以一瞥CTS的实践趋势。
本研究可根据专家中干预措施使用的普遍性来确定未来研究的优先顺序。它也为那些试图了解用于CTS保守治疗的最常见干预措施的人提供指导。
