Effect of Ulnar-Based Orthotics and Strengthening Exercises on Subjects With Ulnar Wrist Pain

in Journal of Sport Rehabilitation
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Context: In comparison with the published research on the surgical management of ulnar wrist pain, fewer studies that discuss the nonsurgical management of ulnar wrist pain exist. Objective: The purpose of this pilot study was to investigate the effect of ulnar-based wrist orthotics and strengthening exercises on subjects with ulnar wrist pain. Study Design: Prospective randomized controlled pilot study. Setting: Research laboratory. Participants: Thirty subjects with acute and subacute ulnar wrist pain and age ranging from 18 to 53. Interventions: Participants were randomized to receive either ulnar-based orthotics, ulnar-based orthotics plus strengthening exercises, or placebo intervention. Main Outcome Measures: The authors measured pain and function using the Patient-Rated Wrist Evaluation questionnaire, and grip strength using the JAMAR dynamometer, at baseline and at 2- and 4-week postrandomization. A mixed analysis of variance modeling was used to investigate the effect of the intervention over time. Results: There were statistically significant differences between the 2 intervention groups and the control group regarding improvement in pain, function, and strength, whereas there were no statistically significant differences between the 2 intervention groups over the 3 measurement occasions regarding the outcome measures. Conclusion: Based on the results, orthotics intervention is as effective as orthotics plus strengthening exercises in improving pain, function, and grip strength in subjects with ulnar wrist pain. Level of Evidence: Therapy, level 2b individual Randomized Controlled Trial.

Abdelmegeed and Lohman are with the Department of Physical Therapy, School of Allied Health Professions, Loma Linda University, Loma Linda, CA, USA. Abdelmegeed is also with the Department of Orthopedic Physical Therapy, Cairo University, Giza, Egypt. Daher is with the Epidemiology, Biostatistics, and Population Medicine, School of Public Health, Loma Linda University, Loma Linda, CA, USA; and Allied Health Studies, School of Allied Health Professions, Loma Linda University, Loma Linda, CA, USA. Kume is with the Department of Physical Therapy, School of Health Science, Touro College & University System, Bay Shore, NY, USA. Syed is with the Department of Orthopedic Surgery, Loma Linda University, Loma Linda, CA, USA.

Abdelmegeed (dr.maf_ortho@yahoo.com) is corresponding author.
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