Efficacy and patient acceptability of 3 orthosis models for radial nerve palsy

Introduction This case report compares three custom-made thermoplastic orthotic designs (A, B, C) for radial nerve palsy, focusing on their acceptability and functionality. Aimed at enhancing daily activities for patients with wrist and finger extensor muscle deficits. Case presentation A 52-year-old male with radial nerve palsy post-road accident and humerus fracture exhibits significant occupational performance deficits. Initial assessments using the Medical Research Council scale and functionality questionnaires (DASH-I, ULFI-I) were conducted. The patient received three different orthoses, evaluated weekly for muscle strength, and acceptability (CSD-OPUS-I questionnaire). Clinical Discussion Each orthosis was assessed for its impact on the patient's daily life and occupational activities. This involved evaluating the ease of use, comfort, and overall functionality provided by each design. Conclusions All three orthoses significantly improved functionality. DASH-I scores indicated a preference for orthosis C, while ULFI-I scores favored orthosis B. CSD-OPUS-I results aligned with the patient's feedback, highlighting orthosis B as the most acceptable. This case underlines the importance of tailored orthotic solutions in radial nerve palsy management, suggesting further research in this area.