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A randomized single blind crossover trial comparing leather and commercial wrist splints for treating chronic wrist pain in adults

Citation

Thiele, J and Nimmo, R and Rowell, W and Quinn, SJ and Jones, G, A randomized single blind crossover trial comparing leather and commercial wrist splints for treating chronic wrist pain in adults, BMC Musculoskeletal Disorders, 10, (129) EJ ISSN 1471-2474 (2009) [Refereed Article]

DOI: doi:10.1186/1471-2474-10-129

Abstract

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.

Item Details

Item Type:Refereed Article
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Rheumatology and Arthritis
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Skeletal System and Disorders (incl. Arthritis)
Author:Nimmo, R (Dr Rachel Nimmo)
Author:Quinn, SJ (Dr Stephen Quinn)
Author:Jones, G (Professor Graeme Jones)
ID Code:60408
Year Published:2009
Web of Science® Times Cited:9
Deposited By:Menzies Institute for Medical Research
Deposited On:2010-02-03
Last Modified:2012-12-12
Downloads:0

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