The effect of wearing a flexible wrist splint on carpal tunnel pressure during repetitive hand activity

作者: David Rempel , Radovan Manojlovic , David G. Levinsohn , Todd Bloom , Leonard Gordon

DOI: 10.1016/0363-5023(94)90231-3

关键词:

摘要: Abstract We investigated how repetitive hand activity normally affects carpal tunnel pressure and whether a flexible wrist splint can influence this effect. Nineteen healthy subjects were evaluated under four test conditions: at rest with without (baseline) while performing task splint. The involved loading unloading 1 lb. cans from box rate of 20 per minute for period 5 minutes. Carpal angles continuously monitored by means fluid-filled catheter inserted into the canal two-channel electrogoniometer mounted on dorsum forearm. Without splint, rose median baseline level 8 ± 6 mmHg to 18 13 during activity. With 21 12 Median was no different that Our data indicate nerve is subjected increased within Wearing limits range motion but has significant effect pressure.

参考文章(11)
Lars B. Dahlin, Björn Rydevik, Göran Lundborg, Pathophysiology of Nerve Entrapments and Nerve Compression Injuries Springer, New York, NY. pp. 135- 160 ,(1986) , 10.1007/978-1-4684-0629-0_7
G. J. Romanes, Current Problems of Lower Vertebrate Phylogeny Journal of Anatomy. ,vol. 105, pp. 179- 179 ,(1969)
Carl-Olof Werner, Dan Elmqvist, Per Ohlin, Pressure and nerve lesion in the carpal tunnel. Acta Orthopaedica Scandinavica. ,vol. 54, pp. 312- 316 ,(1983) , 10.3109/17453678308996576
Robert M. Szabo, Larry K. Chidgey, Stress carpal tunnel pressures in patients with carpal tunnel syndrome and normal patients Journal of Hand Surgery (European Volume). ,vol. 14, pp. 624- 627 ,(1989) , 10.1016/0363-5023(89)90178-0
S Sunderland, The nerve lesion in the carpal tunnel syndrome. Journal of Neurology, Neurosurgery, and Psychiatry. ,vol. 39, pp. 615- 626 ,(1976) , 10.1136/JNNP.39.7.615
Riccardo Luchetti, Rudolf Schoenhuber, Giorgio De Cicco, Mauro Alfarano, Stefano Deluca, Antonio Landi, Carpal-tunnel pressure Acta Orthopaedica Scandinavica. ,vol. 60, pp. 397- 399 ,(1989) , 10.3109/17453678909149305
B. Rydevik, G. Lundborg, U. Bagge, Effects of graded compression on intraneural blood flow: An in vivo study on rabbit tibial nerve Journal of Hand Surgery (European Volume). ,vol. 6, pp. 3- 12 ,(1981) , 10.1016/S0363-5023(81)80003-2
Robert M. Szabo, Richard H. Gelberman, The pathophysiology of nerve entrapment syndromes. Journal of Hand Surgery (European Volume). ,vol. 12, pp. 880- 884 ,(1987) , 10.1016/S0363-5023(87)80254-X
R H Gelberman, P T Hergenroeder, A R Hargens, G N Lundborg, W H Akeson, The carpal tunnel syndrome. A study of carpal canal pressures. Journal of Bone and Joint Surgery, American Volume. ,vol. 63, pp. 380- 383 ,(1981) , 10.2106/00004623-198163030-00009
S Rojviroj, W Sirichativapee, W Kowsuwon, J Wongwiwattananon, N Tamnanthong, P Jeeravipoolvarn, Pressures in the carpal tunnel. A comparison between patients with carpal tunnel syndrome and normal subjects Journal of Bone and Joint Surgery-british Volume. ,vol. 72, pp. 516- 518 ,(1990) , 10.1302/0301-620X.72B3.2187880