Effect of custom-made and prefabricated orthoses on grip strength in persons with carpal tunnel syndrome.

Abstract:

BACKGROUND:Based on the literature, patients with carpal tunnel syndrome are suggested to wear a custom-made wrist orthosis immobilizing the wrist in a neutral position. Many prefabricated orthoses are available on the market, but the majority of those do not assure neutral wrist position. OBJECTIVES:We hypothesized that the use of orthosis affects grip strength in persons with carpal tunnel syndrome in a way that supports preference for custom-made orthoses with neutral wrist position over prefabricated orthoses. STUDY DESIGN:Experimental. METHODS:Comparisons of grip strength for three types of grips (cylindrical, lateral, and pinch) were made across orthosis types (custom-made, prefabricated with wrist in 20° of flexion, and none) on the affected side immediately after fitting, as well as between affected side without orthosis and nonaffected side. RESULTS:Orthosis type did not significantly affect grip strength (p = 0.661). Cylindrical grip was by far the strongest, followed by lateral and pinch grips (p < 0.050). The grips of the affected side were weaker than those of the nonaffected side (p = 0.002). CONCLUSIONS:In persons with carpal tunnel syndrome, neither prefabricated orthoses with 20° wrist extension nor custom-made wrist orthoses with neutral wrist position influenced grip strength of the affected hand. Compared to the nonaffected side, the grips of the affected side were weaker. CLINICAL RELEVANCE:The findings from this study can be used to guide application of orthoses to patients with carpal tunnel syndrome.

journal_name

Prosthet Orthot Int

authors

Mlakar M,Ramstrand N,Burger H,Vidmar G

doi

10.1177/0309364613490440

subject

Has Abstract

pub_date

2014-06-01 00:00:00

pages

193-8

issue

3

eissn

0309-3646

issn

1746-1553

pii

0309364613490440

journal_volume

38

pub_type

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