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Yang, Jong-Eun
- The Effect of Different Types of Resting Hand Splints on Spasticity and Hand Function among Patients with Stroke
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1 Department of Occupational Therapy, Kyung Hee University Medical Center, 23 Gyungheedae-ro Dongdaemun-gu, Seoul, 02447, KR
2 Department of Occupational Therapy, Bethesda Hospital Rehabilitation Center, 1623 Bongyeongro,SuwonsiYeongtong-gu, Gyeonggi-do, 443-810, KR
3 Department of Occupational Therapy, Kangwon National University, 346 Hwangjo-gil, Dogye-eupSamcheok-si Gangwon-do 245-710, KR
1 Department of Occupational Therapy, Kyung Hee University Medical Center, 23 Gyungheedae-ro Dongdaemun-gu, Seoul, 02447, KR
2 Department of Occupational Therapy, Bethesda Hospital Rehabilitation Center, 1623 Bongyeongro,SuwonsiYeongtong-gu, Gyeonggi-do, 443-810, KR
3 Department of Occupational Therapy, Kangwon National University, 346 Hwangjo-gil, Dogye-eupSamcheok-si Gangwon-do 245-710, KR
Source
Journal of Ecophysiology and Occupational Health, Vol 16, No 1-2 (2016), Pagination: 42-51Abstract
After stroke, these changes consequently result in the limitation of upper limb joint range of motion or muscle shortening, and spasticity, causing the reduction of hand functions. This study aimed to investigate the effect according to the types of resting hand splints, particularly the effect of the application of resting hand splint. This study was performed in two groups, which were determined by random assignment according to the order of visits of 52 subjects who were diagnosed of stroke. The patients were divided into a dorsal resting hand splint group (n=26) and volar resting hand splint group (n=26). The data collected in this study was analyzed using SPSS version 18.0.For the difference in Modified Ashworth Scales (MAS), surface ElectroMyoGraphy (sEMG), and Wrist Active Range of Motion(AROM) before and after the intervention in two groups, paired t-test was performed, and independent sample t-test was performed to compare the change(s) before and after the intervention in two groups. Statistical significance level was α=.05. First, there was a significant difference in wrist MAS, AROM, and sEMG in the group of dorsal resting hand splint. Second, there was no significant difference in wrist MAS and AROM in the group of volar resting hand splint, but there was a significant difference in wrist sEMG. Third, there was a significant difference in wrist MAS and AROM in the group of resting dorsal hand splint as a result of comparing change(s) between two groups, but there was no significant difference in wrist sEMG. Through this study, it was found that dorsal resting hand splint was more effective in the reduction of wrist spasticity and improving AROM than volar resting hand splint in stroke patients. Applying resting hand splint to stroke patients would not only have preventive effects but also have great influence on the improvement of hand function.Keywords
Range of Motion Stroke, Resting Hand Splint, Spasticity, Surface Electromyography.Full Text
References
- Kogler G.F., Gelber D.A. and Jeffery D.R., (2002) Current Clinical Neurology: Clinical Evaluation and Management of Spasticity. Totowa, NJ: Humana Press. 67-91.
- Dietz, V. and Sinkjaer, T. (2007) Spastic Movement Disorder: Impaired Reflex Function and Altered Muscle Mechanics, Lancet Neurology 6, 725-733.
- Foran, J. R., Steinman, S., Barash, I., Chambers, H. G. and Lieber, R. L. (2005) Structural and Mechanical Alterations in Spastic Skeletal Muscle. DevMed Child Neurol. 47, 713–717.
- O’Dwyer, N. J., Ada, L. and Neilson, P. D. (1996) Spasticity and Muscle Contracture following Stroke. Brain 119, 1737-1749.
- R. Boyd, M. Morris and H. Graham. (2001) Management of Upper Limb Dysfunction in Children with Cerebral Palsy: A Systematic Review. European Journal of Neurology. 8, 150-166.
- Robinson R.G., Starr L.B., Kubos K.L. and Price T.R. (1983) A Two-Year Longitudinal Study of Post-Stroke Mood Disorders: Fi Ndings During the Initial Evaluation. Stroke. 14, 736-741.
- Pizzi A., Carlucci G., Falsini C., Verdesca S. and Grippo A. (2005) Evaluation of Upper-Limb Spasticity After Stroke: A Clinical and Neurophysiologic Study. Arch Phys Med Rehabil. 86, 410–415.
- Burge E., Kupper D., Finckh A., Ryerson S., Schnider A. and Leemann B. (2008) Neutral Functional Realignment Orthosis Prevents Hand Pain in Patients with Subacute Stroke: A Randomized Trial. Arch Phys Med Rehabil. 89, 1857–1862.
- Delcourt C., Hackett M. and Wu Y., et al. Determinants of Quality of Life after Stroke in China: The China QUEST (Quality Evaluation of Stroke Care and Treatment) Study [published online ahead of print December 23, 2010]. Stroke.
- Elovic E., DeLisa J.A., Gans B.M. and Walsh N.E., (2005) Physical Medicine and Rehabilitation: Principles and Practice. 4th ed. Philadelphia: Lippincott Williams & Wilkins. 11, 1427–1446.
- Williams Pedretti L., Smith J.A. and McHugh Pendleton H. (1996) Cerebral vascular Accident. In: Williams PedrettiL ed. Occupational Therapy Practice Skills for Physical Dysfunction, fourth edition. St Louis: Mosby. 785–805.
- Milazzo S. and Gillen G. Splinting Applications. In: Gillen G., Burkhardt A. eds. (1998) Stroke Rehabilitation: A fFunction-Based Approach. St Louis: Mosby. 161–184.
- Wilton J.C. Splinting and Casting in the Presence of Neurological Dysfunction. In: JC.Wilton ed. (1997) Hand Splinting: Principles of Design and Fabrication. London: WB Saunders. 168–97.
- Edwards S. and Charlton P.T. Splinting and use of Orthoses in the Management of Patients with Neurological Dysfunction. In: Edwards S. Ed. (1996) Neurological Physiotherapy: A Problem Solving Approach. London: Churchill Livingstone. 161.
- McPherson J.J., Kreimeyer D., Aalderks M. and Gallagher T. (1982) A Comparison of Dorsal and Volar Resting Hand Splints in the Reduction of Hypertonus. Am J OccupTher. 36, 664–670.
- Gracies, J. M. (2005) Pathophysiology of Spastic Paresis. II: Emergence of Muscle Overactivity. Muscle & Nerve 31, 552-571.
- Kottke, F. J., Pauley, D. L. and Ptak, R. A. (1996) The Rationale for Prolonged Stretching for Correction of Shortening of Connective Tissue. Arch Phys Med Rehabil. 47, 345-352.
- Sheehan, J. L., Winzeler-Mercay, U., and Mudie, M. H. (2006) A Randomized Controlled Pilot Study to Obtain the Best Estimate of the Size of the Effect of a Thermoplastic Resting Splint on Spasticity in the Stroke-Affected Wrist and Fingers. ClinRehabil. 20, 1032-1037.
- Lannin, N. A., Cusick, A., McCluskey, A., and Herbert, R. (2007) Effects of Splinting on Wrist Contracture after Stroke. Stroke. 38, 111-116.
- Lannin, N. A., Horsley, S. A., Herbert, R., McCluskey, A., and Cusick, A. (2003) Splinting the Hand in the Functional Position after Brain Impairment: A Randomized, Controlled Trial. Arch Phys Med Rehabil. 84, 297-302.
- Pitts D.G. and O’Brien S.P. (2008) Splinting the Hand to Enhance Motor Control and Brain Plasticity. Top Stroke Rehabil. 15, 456–467.
- Lannin N.A. and Herbert R.D. (2003) Is Hand Splinting Effective for Adults Following Stroke? A Systematic Review and Methodologic Critique of Published Research. ClinRehabil. 17, 807–816.
- McCollough N.C., (1978) 3rd. Orthotic Management in Adult Hemiplegia. ClinOrthopRelat Res. 3846.
- Rose V. and Shah S. (1987) A Comparative Study on the Immediate Effects of Hand Orthoses on Reduction of Hypertonus. AustOccupTher J. 34, 59–64.
- Lannin N.A., Horsley S.A., Herbert R., McCluskey A. and Cusick A. (2003) Splinting the Hand in the Functional Position after Brain Impairment: A Randomized,Controlled Trial. Arch Phys Med Rehabil. 84,297–302.
- Gossman M.R., Sahrmann S.A. and Rose S.J. (1982) Review of Length-Associated Changes in Muscle. Experimental Evidence and Clinical Implications. PhysTher. 62, 1799–1808.
- Langlois S., MacKinnon J.R. and Pederson L. (1989) Hand Splints and Cerebral Spasticity: A Review of Literature. Can J OccupTher. 56, 113–119.
- Shah S. (2007) Wrist Splint for Upper Motor Neuron Paralysis. Stroke. 38, e75.
- Neuhaus B., Ascher V. and Coullon B., et al. (1981) A Survey of Rationales for and Against Hand Splinting in Hemiplegia. Am J OccupTher. 35, 83-9.
- Kuipers, K., Burger, L. and Copley, J. (2012) Casting for Upper Limb Hypertonia: A Retrospective Study to Determine the Factors Associated with Intervention Decisions. Neurorehabil. 31, 409-420.
- Broeks J.G., Lankhorst G.J., Rumping K. and Prevo A.J. (1999) The Long-Term Outcome of Arm Function after Stroke: Results of a Follow-Up Study. Disabil-Rehabil, 21, 357–364
- Pandyan A.D., Cameron M., Powell J., Stott D.J. and Granat M.H. (2003) Contractures in the Post-Stroke Wrist: A Pilot Study of its Time Course of Development and its Association with Upper Limb Recovery. ClinRehabil. 17, 88–95.
- Basaran, A., Emre, U., IkbalKaradavut, K., Balbaloglu, O., and Bulmus, N. (2012) Hand Splinting for Poststroke Spasticity: A Randomized Controlled Trial. Topics in stroke rehabilitation. 19, 329-337.
- Gracies J.M., Marosszeky J.E., Renton R., Sandanam J.,Gandevia S.C. and Burke D. (2000) Short-Term Effects of Dynamic Lycra Splints on Upper Limb in Hemiplegic Patients. Arch Phys Med Rehabil. 81, 1547–1555.
- Katz R. and Rymer W.Z. (1989) Spastic Hypertonia:Mechanism and Measurement. Arch Phys Med Rehabil. 70, 144-55.
- Fayez, E. S., and Sayed, H. M. (2013) Influence of Different Types of Hand Splints on Flexor Spasticity in Stroke Patients. Indian Journal of Physiotherapy and Occupational Therapy. 7, 65
- Ruth Turk, Jane H. Burridge and Ross Davis. (2008) Therapeutic Effectiveness of Electric Stimulation of the Upper-Limb Poststroke using Implanted Microstimulators. Arch Phys Med Rehabil. 89, 1913-1922
- Fess E.E., Gettle G.S., Philips C.A. and Janson J.R.(2005) Hand and Upper Extremity Splinting: Principles and Methods. St. Louis: Elsevier/Mosby;
- Faul, F., Erdfelder, E., Buchner, A., and Lang, A.G. (2009) Statistical Power Analyses using G*Power 3.1:Tests for Correlation and Regression Analyses.Behavior Research Methods. 41, 1149-1160.
- Copley, J., Kuipers, K., Fleming, J., and Rassafiani, M.(2013) Individualised Resting Hand Splints for Adults with Acquired Brain Injury: A Randomized,Single Blinded, Single Case Design. Neurorehabil. 32, 885-898.
- Bohannon R.W. and Smith M.B. (1987) Interrater Reliability on a Modified Ashworth Scale of Muscle Spasticity. PhysTher. 67, 206-207.
- Sloan, R. L., Sinclair, E., Thompson, J., Taylor, S., and Pentland, B. (1992) Inter-Rater Reliability of the Modified Ashworth Scale for Spasticity in Hemiplegic Patients. International Journal of Rehabilitation Rresearch. 15, 158-161.
- Gregson, J. M., Leathley, M., Moore, A. P., Sharma, A. K.,Smith, T. L., and Watkins, C. L. (1999) Reliability of the Tone Assessment Scale and the Modified Ashworth Scale as Clinical Tools for Assessing Poststroke Spasticity. Archives of physical medicine and rehabilitation. 80, 1013-1016.
- Motamedzade, M., Afshari, D., and Soltanian, A. (2014) The Impact o Ergonomically Designed Workstations on Shoulder EMG Activity During Carpet Weaving. Health promotion perspectives. 4, 144.
- You, S. J., and Lee, J. H. (2013) Effects of Mental Activity Training Linked with Electromyogram-Triggered Electrical Stimulation on Paretic Upper Extremity Motor Function in Chronic Stroke Patients: A Pilot Trial. Turkish Journal of Physical Medicine & Rehabilitation/TurkiyeFiziksel Tip veRehabilitasyon-Dergisi. 59.