The Effect of Paraffin Wax and Exercise vs. Exercise Treatment on Keyboard User's Hands Pain and Strength
Subscribe/Renew Journal
Background: Repetitive stress injuries due to prolonged recurrent movement of hands such as using a keyboard could cause inflammation, discomfort of the hand and finger joints, pain, weakness, and stiffness. Paraffin wax has been used to treat many musculoskeletal problems that affect hands and feet because of its good contact to irregular contoured areas. The purpose of this study was to compare the effectiveness of using paraffin wax and exercise, versus exercise alone in treating keyboard users who are at risk of developing hands repetitive stress injury.
Method and Procedure: thirty female subjects using keyboard for at least four hours a day complained of hands pain and discomfort were divided into two groups: Paraffin-Exercise Group (PEG) ( n=15) treated with paraffin wax for 15 minutes prior to exercise, five days a week, for two weeks, and Exercise Group (EG) (n=15) treated with exercise regimen only. Hands and fingers strength and pain level were measured at baseline, and one and two weeks post treatment.
Result: Visual Analog Scale (VAS) and fingers key-pinch showed significant pain reduction starting 1st week for PEG and 2nd week for EG. Hands grips were significantly improved for both groups after the 2nd week (p<0.05).
Conclusion: paraffin wax combined with exercises has faster effect in reducing hand pain intensity than exercise alone, both treatment modalities has similar effect in improving hand and finger grip strength.
Keywords
- Computer Industry Almanac Inc; Press release: PCs In-Use Reached over 1.6B in 2011 [internet]. 2012 [updated 2012 feb 1; cited 2012 Sept 10]. Available from : http://www.c-i-a.com/ pr02012012.htm
- The Official United Nation site for Millennium Development Goals Indicators; Internet users per 100 population [internet]. 2013 [updated Jul 1; Cited 2013 Jul 13]. Available from: http:// millenniumindicators.un.org/unsd/mdg/ SeriesDetail.aspx?srid=605&crid=
- Tittiranonda, Burastero , Rempel. Risk factors for musculoskeletal disorders among computer users, Occup.Med 1999;14: 17–38.
- Gerr F, Marcus M, Ensor C, et al. A prospective study of computer users: I. Study design and incidence of musculoskeletal symptoms and disorders. Am J Ind Med. 2002;41: 221-35.
- Thomsen JF, Hansson GA, Mikkelsen S, Lauritzen M. Carpal tunnel syndrome in repetitive work: a follow-up study. Am J Ind Med 2002;42:344–53.
- Barr AE, Barbe MF, Clark BD. Work-related musculoskeletal disorders of the hand and wrist: epidemiology, pathophysiology, and sensorimotor changes. J Orthop Sports Phys Ther 2004;34:610-27.
- Swigert CR. Hand and wrist pain. In: Firestein GS, et al. Kelley’s Textbook of Rheumatology. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2009.
- Dilek B, Gözüm M, ªahin E, et al. Efficacy of paraffin bath therapy in hand osteoarthritis: a single-blinded randomized controlled trial. Arch Phys Med Rehabil 2013;94:642-9.
- Pils K, Graninger W, Sadil F. Paraffin hand bath for scleroderma. Phys Med Rehabil 1991;1:19–21.
- Mancuso T, Poole JL. The effect of paraffin and exercise on hand function in persons with scleroderma: a series of single case studies. J Hand Ther 2009 ;22:71–77.
- Ottawa Panel. “Ottawa Panel Evidence-Based Clinical Practice Guidelines for Electrotherapy and Thermotherapy Interventions in the Management of Rheumatoid Arthritis in Adults.” Physical Therapy 2004;84:1016-1043.
- Berliner MN, Maurer AI. Effect of different methods of thermotherapy on skin microcirculation. Am J Phys Med Rehabil 2004 ;83:292-7.
- Ayling J, Marks R. Efficacy of Paraffin Wax Baths for Rheumatoid Arthritic Hands.Top of Form Physiotherapy 2000;86:190-201.
- Dellhag B, Wollersjö I, Bjelle A. Effect of active hand exercise and wax bath treatment in rheumatoid arthritis patients. Arthritis Care Res 1992;5:87-92.
- Sandqvist G, Akesson A, Eklund M. Evaluation of paraffin bath treatment in patients with systemic sclerosis. Disabil Rehabil 2004;26: 981–987.
- Mathiowetz V, Weber K, Volland G, Kashman N. Reliability and validity of grip and pinch strength evaluations. J Hand Surg 1984;9A:222–6.
- Harkornen, Harju R, Alaranta H. Accuracy of the Jamar dynamometer. J Hand Ther. 1993;6:259–62.
- United States Department of Labor. Bureau of Labor Statistics. Nonfatal Occupational Injuries And Illnesses Requiring Days Away Fromwork, 2011. Economic News release; 2012 Nov 8. 14 p. Report No.: USDL-12-2204.
Abstract Views: 2280
PDF Views: 2