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|Effect of weight-bearing wrist movement with carpal-stabilizing taping on pain and range of motion in subjects with dorsal wrist pain: a randomized controlled trial|
|Kim G-S, Weon J-H, Kim M-H, Koh E-K, Jung D-Y|
|Journal of Hand Therapy 2019 Mar 11:Epub ahead of print|
|6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*|
STUDY DESIGN: Randomized control trial. INTRODUCTION: During weight-bearing wrist movement, potential stabilizing forces caused by carpal stabilizing taping (CST) may restrict movement of the carpal bones, allowing greater wrist joint extension. PURPOSE OF THE STUDY: The purpose of study was to investigate the effect of CST during weight-bearing wrist movement on pain intensity and range of motion (ROM) of wrist extension in subjects with dorsal wrist pain. METHODS: Thirty participants with dorsal wrist pain when weight bearing through the hand were randomly allocated into 2 groups: (1) a CST group using rigid tape and (2) placebo taping (PT) group using elastic tape. Subjects performed weight-bearing wrist movements with CST or PT in 6 sessions for 1 week. Active and passive ROM (AROM and PROM), and the visual analog scale (VAS) were assessed at baseline and after the intervention. RESULTS: The AROM and PROM of wrist extension increased significantly in both groups compared with preintervention values (p < 0.01). Comparing the PT and CST groups, the differences between preintervention and postintervention AROM (mean difference (MD) +8.6 degrees) and PROM (MD +6.8 degrees) were significantly greater in the CST group than in the PT group (p < 0.01). The CST group also showed greater improvement in VAS compared with the PT group (MD -18 mm) (p < 0.01). CONCLUSION: We recommend CST during weight-bearing wrist movement as an effective intervention for both increasing wrist extension ROM and decreasing pain in patients with dorsal wrist pain during weight bearing through the hand.