Carpal Tunnel Syndrome Clinical Trial
Official title:
A Prospective, Randomized Controlled Study of Splinting After Mini-Open Carpal Tunnel Release
The purpose of this study is to determine if any difference exists among 3 different postoperative splinting regimens- no splint, removable splint, and plaster non-removable splint- following mini-open carpal tunnel release (CTR) surgery.
We sought to determine if any significant difference in patient-reported or clinical
outcomes existed among 3 different postoperative splinting regimens- no splint, removable
splint, and plaster non-removable splint- following mini-open carpal tunnel release (CTR)
surgery for symptomatic, isolated, nerve conduction study positive carpal tunnel syndrome
(CTS).
A total of 249 patients received a mini-open CTR and were subsequently randomized into 1 of
the 3 splinting regimens to be removed at the first postoperative visit 10-14 days later.
Patient-reported outcomes included QuickDASH surveys, Levine-Katz Symptom Severity Scale
(SSS) and Functional Status Scale (FSS) and Pain at Rest and in Action using a Numerical
Pain Rating Scale (NPRS). Clinical outcomes included wrist range of motion (ROM), grip and
lateral pinch strengths. All outcomes were evaluated bilaterally at 10-14 days, 6 weeks, 3
months, 6 months and 12 months after surgery. Demographic information was obtained
preoperatively and complications were observed for and recorded throughout the study
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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