A randomized single blind crossover trial comparing leather and commercial wrist splints for treating chronic wrist pain in adults.
| Autor: | Thiele J; Occupational Therapy Department, Royal Hobart Hospital, Hobart, Australia. jill.thiele@dhhs.tas.gov.au, Nimmo R, Rowell W, Quinn S, Jones G |
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| Jazyk: | angličtina |
| Zdroj: | BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2009 Oct 21; Vol. 10, pp. 129. Date of Electronic Publication: 2009 Oct 21. |
| DOI: | 10.1186/1471-2474-10-129 |
| Abstrakt: | Background: To compare the effectiveness of a custom-made leather wrist splint (LS) with a commercially available fabric splint (FS) in adults with chronic wrist pain. Methods: Participants (N = 25, mean age = 54) were randomly assigned to treatment order in a 2-phase crossover trial. Splints were worn for 2 weeks, separated by a one-week washout period. Outcomes were assessed at baseline and after each splint phase using the Australian/Canadian Osteoarthritis Hand Index (AUSCAN), the Canadian Occupational Performance Measure (COPM) and Jamar dynamometer by an observer blinded to treatment allocation. Results: Both styles of wrist splint significantly reduced pain (effect size LS 0.79, FS 0.43), improved hand function and increased grip strength compared to baseline (all p < 0.05) with no increase in wrist stiffness. There was a consistent trend for the LS to be superior to the FS but this was statistically significant only for patient perceived occupational performance (p = 0.008) and satisfaction (p = 0.015). Lastly, 72% of patients preferred the custom-made leather splint compared to the commercially available splint. Conclusion: Leather wrist splints were superior to a commercially available fabric splint for the short-term relief of pain and dysfunction. |
| Databáze: | MEDLINE |
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