A preliminary study of radioulnar wrist compression in improving patient-reported outcomes of carpal tunnel syndrome

Zong Ming Li, Emily L. Grandy, Lenicia Jenkins, Carli Norman, James Bena, Juliet Hou, Peter J. Evans, William H. Seitz, C. Kent Kwoh

Research output: Contribution to journalArticlepeer-review

Abstract

Previous studies have shown radioulnar wrist compression augments carpal arch space. This study investigated the effects of radioulnar wrist compression on patient-reported outcomes associated with carpal tunnel syndrome. Subjects underwent thrice-daily (15 min each time 45 min daily) wrist compression over 4 weeks with an additional four weeks of follow-up without treatment. Primary outcomes included Boston Carpal Tunnel Questionnaire symptom and functional severity scales (SSS and FSS) and symptoms of numbness/tingling based on Visual Analog Scales. Our results showed that radioulnar wrist compression improved SSS by 0.55 points after 2 weeks (p < 0.001) and 0.51 points at 4 weeks (p < 0.006) compared to the baseline scale. At the four-week follow-up, SSS remined improved at 0.47 points (p < 0.05). Symptoms of numbness/tingling improved at two and 4 weeks, as well as the follow-up (p < 0.05). Hand motor impairment such as weakness had a lower frequency across carpal tunnel syndrome sufferers and does not significantly improve (p > 0.05). Radioulnar wrist compression might be an effective alternative treatment in improving sensory related symptoms in patients with mild to moderate carpal tunnel syndrome.

Original languageEnglish (US)
Article number971
JournalBMC Musculoskeletal Disorders
Volume23
Issue number1
DOIs
StatePublished - Dec 2022

Keywords

  • Carpal tunnel syndrome
  • Clinical symptom
  • Noninvasive treatment
  • Wrist compression

ASJC Scopus subject areas

  • Rheumatology
  • Orthopedics and Sports Medicine

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