腕管综合征的夹板-我们应该在白天使用它吗?

IF 0.8 Q4 RHEUMATOLOGY Egyptian Rheumatology and Rehabilitation Pub Date : 2023-09-12 DOI:10.1186/s43166-023-00214-9
Zeynep Kirac Unal, Ebru Umay, Ece Unlu Akyuz
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引用次数: 0

摘要

摘要背景夹板是治疗腕管综合征(CTS)的常用方法,且大多在夜间使用。另一方面,也有一些研究建议全天使用夹板。然而,仍然没有达成共识。这项随机对照研究的目的是评估白天和夜间夹板对CTS患者疼痛、症状严重程度、功能状态和生活质量的影响。结果对46例CTS患者70个腕关节进行了评估。昼夜夹板组,根据没有夹板组和晚上只有夹板组,显著改善发现的疼痛视觉模拟量表评估的水平(分别为p = 0.001, p = 0.015),波士顿腕管Questionnaire-Functional严重程度量表(分别为p = 0.004, p = 0.020),诺丁汉健康Profile-pain(分别为p = 0.001, p = 0.003),诺丁汉健康Profile-social隔离(分别为p = 0.001, p = 0.001),和诺丁汉健康概况总分(p = 0.001, p = 0.012)。此外,研究发现,即使仅在夜间使用夹板,与对照组相比,疼痛也明显减轻(p = 0.018)。结论除了夜间夹板外,白天尽可能多地继续夹板对疼痛、夜间症状、功能和生活质量都是有益的。
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Splinting in carpal tunnel syndrome—should we use it during the daytime?
Abstract Background Splinting is frequently used in the treatment of CTS (carpal tunnel syndrome) and is mostly preferred at night. On the other hand, there are some studies suggesting the use of splint throughout the day. However, there is still no consensus. The aim of this randomized controlled study was to evaluate the effects of day and night splinting in terms of pain, symptom severity, functional status, and quality of life in patients with CTS. Results Seventy wrists of 46 patients with CTS were evaluated. In the day-night splint group, according to without splint group and night-only splint group, a statistically significant improvement was found in terms of pain level assessed by Visual Analogue Scale ( p = 0.001, p = 0.015, respectively), Boston Carpal Tunnel Questionnaire-Functional Severity Scale ( p = 0.004, p = 0.020, respectively), The Nottingham Health Profile-pain ( p = 0.001, p = 0.003, respectively), The Nottingham Health Profile-social isolation ( p = 0.001, p = 0.001, respectively), and The Nottingham Health Profile-total score ( p = 0.001, p = 0.012, respectively). In addition, it was found that even the use of splint only at night resulted in a significant reduction in pain compared to the control group ( p = 0.018). Conclusions Continuation of splinting as much as possible during the daytime in addition to night splinting is beneficial in terms of pain, nocturnal symptoms, functionality, and quality of life.
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自引率
25.00%
发文量
62
审稿时长
9 weeks
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