TY  - JOUR
PY  - 2015//
TI  - The effectiveness of passive physical modalities for the management of soft tissue injuries and neuropathies of the wrist and hand: a systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration
JO  - Journal of Manipulative and Physiological Therapeutics
A1  - D'Angelo, Kevin
A1  - Sutton, Deborah A.
A1  - Côté, Pierre
A1  - Dion, Sarah
A1  - Wong, Jessica J.
A1  - Yu, Hainan
A1  - Randhawa, Kristi
A1  - Southerst, Danielle
A1  - Varatharajan, Sharanya
A1  - Cox Dresser, Jocelyn
A1  - Brown, Courtney
A1  - Menta, Roger
A1  - Nordin, Margareta
A1  - Shearer, Heather M.
A1  - Ameis, Arthur
A1  - Stupar, Maja
A1  - Carroll, Linda J.
A1  - Taylor-Vaisey, Anne
SP  - 493
EP  - 506
VL  - 38
IS  - 7
N2  - OBJECTIVE: The purpose of this systematic review was to determine the effectiveness of passive physical modalities compared to other interventions, placebo/sham interventions, or no intervention in improving self-rated recovery, functional recovery, clinical outcomes and/or administrative outcomes (eg, time of disability benefits) in adults and/or children with soft tissue injuries and neuropathies of the wrist and hand. <br><br>METHODS: We systematically searched MEDLINE, EMBASE, PsycINFO, and the Cochrane Central Register of Controlled Trials, accessed through Ovid Technologies, Inc, and CINAHL Plus with Full Text, accessed through EBSCO host, from 1990 to 2015. Our search strategies combined controlled vocabulary relevant to each database (eg, MeSH for MEDLINE) and text words relevant to our research question and the inclusion criteria. Randomized controlled trials, cohort studies, and case-control studies were eligible. Random pairs of independent reviewers screened studies for relevance and critically appraised relevant studies using the Scottish Intercollegiate Guidelines Network criteria. Studies with low risk of bias were synthesized following best evidence synthesis principles. <br><br>RESULTS: We screened 6618 articles and critically appraised 11 studies. Of those, 7 had low risk of bias: 5 addressed carpal tunnel syndrome (CTS) and 2 addressed de Quervain disease. We found evidence that various types of night splints lead to similar outcomes for the management of CTS. The evidence suggests that a night wrist splint is less effective than surgery in the short term but not in the long term. Furthermore, a night wrist splint and needle electroacupuncture lead to similar outcomes immediately postintervention. Finally, low-level laser therapy and placebo low-level laser therapy lead to similar outcomes. The evidence suggests that kinesio tape or a thumb spica cast offers short-term benefit for the management of de Quervain disease. Our search did not identify any low risk of bias studies examining the effectiveness of passive physical modalities for the management of other soft tissue injuries or neuropathies of the wrist and hand. <br><br>CONCLUSIONS: Different night orthoses provided similar outcomes for CTS. Night orthoses offer similar outcomes to electroacupuncture but are less effective than surgery in the short term. This review suggests that kinesio tape or a thumb spica cast may offer short-term benefit for the management of de Quervain disease.<p />  <p>Language: en</p>
LA  - en
SN  - 0161-4754
UR  - http://dx.doi.org/10.1016/j.jmpt.2015.06.006
ID  - ref1
ER  -