Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Influence of different Types of Hand Splints on Flexor Spasticity in Stroke Patients


Affiliations
1 Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt
     

   Subscribe/Renew Journal


Objective: The aim of this study is to evaluate the efficacy of each static and dynamic splint on hand flexor spasticity and to compare between their effectiveness on hemiplegic patients.

Design: Randomized controlled trial. Subject: 29 hemiplegic (stroke) patients (45-65 Y/o) with mild to moderate spasticity of upper limb. The onset of stroke was from 6 month to one year before starting the study.

Intervention: The patients were randomly assigned into two equal study groups of 15 (A and B). The assessment were performed pre and post application of static splint for group A and dynamic splint for group B. The duration of splint application was one hour for both groups. All participants were receiving designed program of treatment of hemiplegia after application of splint.

Outcome measures: (1 The mean of active and passive range of motion for wrist extension using goniometer, and 2) Grip strength by using digital hand dynamometer.


Keywords

Stroke ,Spasticity ,Static Splint and Dynamic Splint
Subscription Login to verify subscription
User
Notifications
Font Size


  • Donnan GA, Fisher M, Macleod M, Davis SM. Stroke. Lancet 2008; 371 (9624): 1612–1623.

  • Assunta Pizzi, Giovanna Carlucci, Catuscia Falsini, etal. Application of a volar static splint in poststroke spasticity of the upper limb. Arch Phys Med Rehabil 2005; 86:1855-1859.

  • Ruth Turk, Jane H. Burridge, Ross Davis, etal. Therapeutic Effectiveness of Electric Stimulation of the Upper-Limb Poststroke Using Implanted Microstimulators. Arch Phys Med Rehabil 2008; 89:1913-1922.

  • Katz R, Rymer WZ. Spastic hypertonia: mechanism and measurement. Arch Phys Med Rehabil 1989; 70:144-155.

  • Wilton JC: Splinting and casting in the presence of neurological dysfunction. In: WIlton JC, Hand splinting: principles of design and fabrication. London: WB Saunders 1997; 168-197.

  • Patricia A. Burtner, Janet L. Poole, Theresa Torres, etal. Effect of wrist hand splints on grip, pinch, manual dexterity, and muscle activation in children with spastic hemiplegia: A Preliminary Study. J HAND THER 2008; 21:36–43.

  • Collins K, Oswald P, Burger G, Nolden J. Customized adjustable orthoses: Their use in spasticity, Arch Phys Med Rehab 1985;66:397-8.

  • Langlois S, Pederson L, MacKinnon J: The effects of splintingon the spastic hemiplegic hand: report of a feasibility study. Canadian J Occup Ther 1991; 58(1):17-25.

  • Neeman R, Neeman M: Rehabilitation of a poststroke patient with upper extremity hemiparetic movement dysfunction by orthokinetic orthoses, J Hand Ther 1992; 3(5):147-155.

  • Natasha A. Lannin, Sally A, Horsley, etal. Splinting the Hand in the Functional Position after Brain Impairment: A Randomized, Controlled Trial. Arch Phys Med Rehabil 2003; 84:297-302.

  • Jean-Michel Gracies, Jeno Emil Marosszeky, Roger Renton, etal. Short-term effects of dynamic lycra splints on upper limb in hemiplegic patients. Arch Phys Med Rehabil 2000 ;( 81):1547-1555.

  • Lannin NA, Cusick A, McCluskey A, etal. Effects of splinting on wrist contracture after stroke: a randomized controlled trial. Stroke 2007; 38(1): 111-116.

  • Patricia A. Burtner, Jennifer Bradley Anderson, Michelle Lee Marcum, etal. A comparison of static and dynamic wrist splints using electromyography in individuals with rheumatoid arthritis. J HAND THER 2003 ;( 16):320–325.

  • Stern EB, Yterberg SR, Krug HE, Mullin GT, Mahowald ML. Immediate and short-term effects of three commercial wrist extensor orthoses on grip strength and function in patients with rheumatoid arthritis. Arthritis Care Res 1996 ;(9):42–50.

  • Turton AJ, Britton E. A pilot randomized controlled trial of a daily muscle stretch regime to prevent contractures in the arm after stroke. Clin Rehabil 2005 ;( 19):600–612.

  • Feldman P.Upper extremity splinting and casting. In: Glenn MB,Whyte J (eds). The Practical Management of Spasticity in Children and Adults. Malvern, PA: Lea & Febiger 1990; pp 59–166.

  • Reid DT, Sochaniwskyj A. Influences of a hand positioning device on upper extremity control of children with cerebralpalsy. Int J Rehabil Res 1992; (15):15–29.

  • Bulthaup S, Cipriani DJ, Thomas JJ. An electromyography study of wrist extension orthoses and upper extremity function. Am J Occup Ther 1999 ;(53):434–440.

  • Jansen CWS, Olson SL, Hasson SM. The effect of use of a wrist orthosis during functional activities on surface electromyography of the wrist extensors in normal subjects. J Hand Ther 1997 ;(10): 283–289.


Abstract Views: 665

PDF Views: 0




  • Influence of different Types of Hand Splints on Flexor Spasticity in Stroke Patients

Abstract Views: 665  |  PDF Views: 0

Authors

Eman Samir Fayez
Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt
Hayam Mahmoud Sayed
Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt

Abstract


Objective: The aim of this study is to evaluate the efficacy of each static and dynamic splint on hand flexor spasticity and to compare between their effectiveness on hemiplegic patients.

Design: Randomized controlled trial. Subject: 29 hemiplegic (stroke) patients (45-65 Y/o) with mild to moderate spasticity of upper limb. The onset of stroke was from 6 month to one year before starting the study.

Intervention: The patients were randomly assigned into two equal study groups of 15 (A and B). The assessment were performed pre and post application of static splint for group A and dynamic splint for group B. The duration of splint application was one hour for both groups. All participants were receiving designed program of treatment of hemiplegia after application of splint.

Outcome measures: (1 The mean of active and passive range of motion for wrist extension using goniometer, and 2) Grip strength by using digital hand dynamometer.


Keywords


Stroke ,Spasticity ,Static Splint and Dynamic Splint

References