Abstract | BACKGROUND: Immobilization of the wrist joint with a splint is an established approach for ulnar-sided pain due to ulnocarpal abutment syndrome. However, patients have a tendency to stop wearing the splints because of its inconvenience and there have been no reports based on splint therapy. OBJECTIVE: We investigated the usefulness of a newly designed custom-made aluminum splint for ulnar-sided wrist pain. STUDY DESIGN: METHODS: The subjects included 10 female patients (mean age = 44.2 years). The outcome was assessed using the visual analogue scale score for pain, the disabilities of the arm, shoulder and hand score, range of motion of the wrist, and the grip strength. The mean follow-up period after wearing the aluminum splint was 8.8 months. RESULTS: All parameters, including the visual analogue scale pain and disabilities of the arm, shoulder and hand scores, improved significantly (p < 0.05) following use of the aluminum splint relative to the pretreatment scores. Seven patients continued to use the aluminum splint, and three of the seven had complete remission from related pain. CONCLUSION: Constant use of the aluminum splint during the study period was associated with improvement in the ulnar-sided wrist pain scores, which reconfirmed that increased adherence to splint use in daily activities is an important intentional behavioral strategy. CLINICAL RELEVANCE: Although the custom splint is effective for alleviation of wrist pain in ulnocarpal abutment syndrome, continuity of splint use is a key element of conservative treatment. This study showed that a splint that patients were willing to wear in their daily life was a useful device for alleviation of pain.
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Authors | Masayoshi Ikeda, Yuka Kobayashi, Ikuo Saito, Takayuki Ishii, Ayuko Shimizu, Joji Mochida |
Journal | Prosthetics and orthotics international
(Prosthet Orthot Int)
Vol. 39
Issue 6
Pg. 496-501
(Dec 2015)
ISSN: 1746-1553 [Electronic] France |
PMID | 25028058
(Publication Type: Journal Article)
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Copyright | © The International Society for Prosthetics and Orthotics 2014. |
Chemical References |
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Topics |
- Activities of Daily Living
- Adult
- Aluminum
- Arthralgia
(physiopathology, rehabilitation)
- Cohort Studies
- Equipment Design
- Female
- Hand Strength
- Humans
- Japan
- Middle Aged
- Pain Measurement
- Precision Medicine
(methods)
- Prognosis
- Range of Motion, Articular
(physiology)
- Severity of Illness Index
- Treatment Outcome
- Ulnar Nerve Compression Syndromes
(diagnosis, rehabilitation)
- Wrist Joint
(physiopathology)
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