Efficacy of night splinting and neurodynamics on cubital tunnel syndrome in musicians: randomized controlled trial

Abstract

BACKGROUND: The physical stress suffered make musicians prone to develop neuromuscular injuries. Around 9% of these injuries correspond to the Cubital Tunnel Syndrome, a peripheral ulnar nerve entrapment, due to the compression, traction and friction applied. OBJECTIVE: To evaluate the effectiveness of night splinting and neurodynamics versus a conservative treatment (passive mobilisation with unspecific massage and cessation of the professional activity), concerning a rehabilitation time of 3 months. METHODS: A total of 32 patients with Cubital Tunnel Syndrome will participate in this study. The inclusion criteria selected are: adults’ professional musicians with a grade 3 entrapment neuropathy according to McGowan scale. The ratio of participants is 1:1 and the assignment blocks will be generated by a computer algorithm. The disability of the arm will be assessed by the Disability of the Arm, Shoulder and Hand (DASH) questionnaire, a 30-item scale focusing on the patient’s health status. The specific treatment, applied to the experimental group, consists of a combination of a passive night splinting and neurodynamic mobilization during 3 months. The general treatment, applied to the control group, is based on a general program of passive mobilisation with unspecific massage, alongside cessation of their professional training and daily activity. DISCUSSION: Traditional conservative programs have no evidence, whereas invasive programs are usually linked to associated adverse events and larger recovery periods. By means of the suggested experimental treatment, we expect to have better functional outcomes, less adverse events, and quicker recovery periods