What is the recommended wrist position for a median nerve splint during sleep?

• A. Wrist cock up splint with wrist in neutral
• B. Thumb spica with wrist flexed
• C. Dorsal hand splint in full extension
• D. Protective glove without immobilization

Answer: (A)

Keeping the wrist in a neutral position during sleep is best for reducing median nerve compression. A wrist cock-up splint supports the forearm and positions the wrist so it stays around neutral (roughly 0–15 degrees of extension), preventing flexion or excessive extension that can increase carpal tunnel pressure. This unloading of the median nerve helps relieve nocturnal symptoms and is comfortable enough to wear all night. The other options either immobilize the wrong part or place the wrist in positions that worsen compression—flexed or extended—while a non-immobilizing glove offers no protection at all.