Comparing the Positive Results of Carpal Tunnel Syndrome Surgery in Two Groups of Patients with and without Splint
Background: Carpal tunnel syndrome is a common condition in which the median nerve passes through the carpal tunnel is compressed. Then, gradual paralysis occurs. This study aimed to compare patient outcomes after surgery for carpal tunnel syndrome in both groups with and without splint.. Methods:...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | fas |
| Published: |
Isfahan University of Medical Sciences
2014-03-01
|
| Series: | مجله دانشکده پزشکی اصفهان |
| Subjects: | |
| Online Access: | http://jims.mui.ac.ir/index.php/jims/article/view/2372 |
| _version_ | 1797759938771025920 |
|---|---|
| author | Mohammad Dehghani Saeid Alerasoul Leila Saadatpoor Maryam Alerasoul |
| author_facet | Mohammad Dehghani Saeid Alerasoul Leila Saadatpoor Maryam Alerasoul |
| author_sort | Mohammad Dehghani |
| collection | DOAJ |
| description | Background: Carpal tunnel syndrome is a common condition in which the median nerve passes through the carpal tunnel is compressed. Then, gradual paralysis occurs. This study aimed to compare patient outcomes after surgery for carpal tunnel syndrome in both groups with and without splint..
Methods: This study was conducted in Isfahan University of Medical Sciences, Iran, in Kashani hospital during 2011. 64 patients underwent surgery for carpal tunnel syndrome were selected and randomly divided into two groups of 32. For the first group, splints were considered after the surgery and for the second group, as the control group, splint was not given. Patients within 3, 6 and 12 weeks after surgery were followed and healing in the sense of motion and pain based on the visual analogue scale (VAS) measures were examined.
Findings: Sensory conflict scores at the 3rd and 6th weeks in the group with splint were higher than the group without it; but, 12 weeks after the treatment, the results were identical. In any cases, motor involvement was not seen. At the 3rd week after the treatment, the mean pain score in the group without splint was higher than with splint group. The results of the 6th week after the treatment in both groups were almost identical; but, at the 12th week after the treatment, changes in pain intensity was not significantly different between the two groups (P = 0.97).
Conclusion: Splinting after the surgical release of the median nerve probably causes a delay in the recovery of sensory, motor and pain; but due to the effect of material of used splint, the result is still uncertain and further broader interventions needs to be done in this regard. |
| first_indexed | 2024-03-12T18:51:41Z |
| format | Article |
| id | doaj.art-849da9ce7abd4ddc867a2c4f381e78cd |
| institution | Directory Open Access Journal |
| issn | 1027-7595 1735-854X |
| language | fas |
| last_indexed | 2024-03-12T18:51:41Z |
| publishDate | 2014-03-01 |
| publisher | Isfahan University of Medical Sciences |
| record_format | Article |
| series | مجله دانشکده پزشکی اصفهان |
| spelling | doaj.art-849da9ce7abd4ddc867a2c4f381e78cd2023-08-02T07:11:54ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2014-03-0131267215521611492Comparing the Positive Results of Carpal Tunnel Syndrome Surgery in Two Groups of Patients with and without SplintMohammad Dehghani0Saeid Alerasoul1Leila Saadatpoor2Maryam Alerasoul3Associate Professor, Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranStudent of Medicine, School of Medicine AND Student Research Committee, Isfahan University of Medical Sciences, Isfahan, IranStudent of Medicine, School of Medicine AND Student Research Committee, Isfahan University of Medical Sciences, Isfahan, IranResident, Department of Gynecology and Obstetrics, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, IranBackground: Carpal tunnel syndrome is a common condition in which the median nerve passes through the carpal tunnel is compressed. Then, gradual paralysis occurs. This study aimed to compare patient outcomes after surgery for carpal tunnel syndrome in both groups with and without splint.. Methods: This study was conducted in Isfahan University of Medical Sciences, Iran, in Kashani hospital during 2011. 64 patients underwent surgery for carpal tunnel syndrome were selected and randomly divided into two groups of 32. For the first group, splints were considered after the surgery and for the second group, as the control group, splint was not given. Patients within 3, 6 and 12 weeks after surgery were followed and healing in the sense of motion and pain based on the visual analogue scale (VAS) measures were examined. Findings: Sensory conflict scores at the 3rd and 6th weeks in the group with splint were higher than the group without it; but, 12 weeks after the treatment, the results were identical. In any cases, motor involvement was not seen. At the 3rd week after the treatment, the mean pain score in the group without splint was higher than with splint group. The results of the 6th week after the treatment in both groups were almost identical; but, at the 12th week after the treatment, changes in pain intensity was not significantly different between the two groups (P = 0.97). Conclusion: Splinting after the surgical release of the median nerve probably causes a delay in the recovery of sensory, motor and pain; but due to the effect of material of used splint, the result is still uncertain and further broader interventions needs to be done in this regard.http://jims.mui.ac.ir/index.php/jims/article/view/2372Carpal tunnel syndromeSplintNumbness |
| spellingShingle | Mohammad Dehghani Saeid Alerasoul Leila Saadatpoor Maryam Alerasoul Comparing the Positive Results of Carpal Tunnel Syndrome Surgery in Two Groups of Patients with and without Splint مجله دانشکده پزشکی اصفهان Carpal tunnel syndrome Splint Numbness |
| title | Comparing the Positive Results of Carpal Tunnel Syndrome Surgery in Two Groups of Patients with and without Splint |
| title_full | Comparing the Positive Results of Carpal Tunnel Syndrome Surgery in Two Groups of Patients with and without Splint |
| title_fullStr | Comparing the Positive Results of Carpal Tunnel Syndrome Surgery in Two Groups of Patients with and without Splint |
| title_full_unstemmed | Comparing the Positive Results of Carpal Tunnel Syndrome Surgery in Two Groups of Patients with and without Splint |
| title_short | Comparing the Positive Results of Carpal Tunnel Syndrome Surgery in Two Groups of Patients with and without Splint |
| title_sort | comparing the positive results of carpal tunnel syndrome surgery in two groups of patients with and without splint |
| topic | Carpal tunnel syndrome Splint Numbness |
| url | http://jims.mui.ac.ir/index.php/jims/article/view/2372 |
| work_keys_str_mv | AT mohammaddehghani comparingthepositiveresultsofcarpaltunnelsyndromesurgeryintwogroupsofpatientswithandwithoutsplint AT saeidalerasoul comparingthepositiveresultsofcarpaltunnelsyndromesurgeryintwogroupsofpatientswithandwithoutsplint AT leilasaadatpoor comparingthepositiveresultsofcarpaltunnelsyndromesurgeryintwogroupsofpatientswithandwithoutsplint AT maryamalerasoul comparingthepositiveresultsofcarpaltunnelsyndromesurgeryintwogroupsofpatientswithandwithoutsplint |