Comparison of the Effects of Volar-Assisted and Elastic Wrist Splints on Edema, Pain, Grip Strength, and Functionality in Pregnant Women With Carpal Tunnel Syndrome.

IF 1.8 Q2 ORTHOPEDICS

HAND Pub Date : 2025-10-01 Epub Date: 2024-06-13 DOI:10.1177/15589447241257647

Funda Mete Cavus, Cagtay Maden, Begumhan Turhan

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引用次数: 0

Abstract

Background: Carpal tunnel syndrome (CTS) is a common musculoskeletal problem in pregnancy. The aim of this study is to compare the effects of rigid and elastic wrist splints on edema, pain levels, grip strength, and upper-extremity functionality in pregnant women with CTS.

Methods: Forty-one pregnant women in the last trimester of pregnancy who were diagnosed with CTS were included in the study. The grip strength was evaluated with the Jamar hand dynamometer, functionality with the Quick Disabilities of the Arm, Shoulder, and Hand and Boston Carpal Tunnel Syndrome Questionnaire, pain with the Visual Analog Scale (VAS), and edema with the water overflow method.

Results: The mean age of the participants was 31.71 ± 5.78 years, body mass index was 28.85 ± 3.63 kg/m², duration of pain was 2.24 ± 0.79 months, and their pain intensity was 6.63 ± 1.69 according to the VAS. As a result of the study, reductions in pain (P = .001), increases in functionality values (P = .001), increases in grip strength (P = .001), and decreases in edema (P = .001) were observed in both groups after the treatment. However, there was no significant difference in pain, functionality, or grip strength values between the groups after the treatment (P > .05).

Conclusion: In this study comparing the effects of a wrist splint to those of an elastic splint, both treatment methods for pregnant women with CTS decreased pain and edema, increased grip strength, and improved upper-extremity functionality. Considering individual needs, characteristics, and living conditions, both splints can be recommended for pregnant women with CTS.

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腕管综合征孕妇使用沃尔辅助腕夹板和弹性腕夹板对水肿、疼痛、握力和功能的影响比较

背景：腕管综合征（CTS）是妊娠期常见的肌肉骨骼问题。本研究旨在比较刚性和弹性腕夹板对 CTS 孕妇的水肿、疼痛程度、握力和上肢功能的影响：研究纳入了 41 名被诊断患有 CTS 的妊娠末三个月的孕妇。用 Jamar 手部测力计评估握力，用手臂、肩部和手部快速残疾问卷和波士顿腕管综合征问卷评估功能，用视觉模拟量表（VAS）评估疼痛，用溢水法评估水肿：参与者的平均年龄为（31.71±5.78）岁，体重指数为（28.85±3.63）千克/平方米，疼痛持续时间为（2.24±0.79）个月，根据视觉模拟量表（VAS），他们的疼痛强度为（6.63±1.69）。研究结果显示，两组患者在治疗后疼痛减轻（P = .001），功能值增加（P = .001），握力增加（P = .001），水肿减轻（P = .001）。然而，治疗后两组在疼痛、功能或握力值方面没有明显差异（P > .05）：结论：在这项比较腕部夹板和弹性夹板效果的研究中，两种治疗方法对患有 CTS 的孕妇都能减轻疼痛和水肿，增加握力，改善上肢功能。考虑到个人需求、特点和生活条件，两种夹板都可以推荐给患有 CTS 的孕妇。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

HAND Medicine-Surgery

CiteScore

3.30

自引率

0.00%

发文量

209

期刊介绍： HAND is the official journal of the American Association for Hand Surgery and is a peer-reviewed journal featuring articles written by clinicians worldwide presenting current research and clinical work in the field of hand surgery. It features articles related to all aspects of hand and upper extremity surgery and the post operative care and rehabilitation of the hand.