Carpal tunnel syndrome or median compressive neuropathy at the wrist is the condition of median nerve compression. Most of the CTSs are idiopathic and are provoked by repetitive grasping and manipulating activities, and the exposure can be cumulative. Orthotic splinting is prescribed both pre- and postsurgical but essentially in pre-surgical situation. The importance of wrist orthotic splints in non-operative treatment for carpal tunnel syndrome is a known scenario. Also evidentially it has a standard of care despite having varying rates of success. The aim and objective of orthotic splinting is to immobilize the wrist to stop flexion and maintain low range of wrist motion which help to decrease inflammation. CTS splint may be applied to dorsal side or in volar for maintaining wrist in a neutral position. The general recommendation is to wear a wrist immobilization orthotic splint as night splint. Splint kinematics and kinetics for biomechanical analyzing principles are essential to understand the principles involved in the various standard design, construction, and fitting of CTS splint. Application of orthotic biomechanics is for possessing a specific understanding of orthotic splinting function as per clinical orthotic assessment.
Part of the book: Peripheral Nerve Disorders and Treatment