| Effects of Resting Hand Splint in Early Stroke Patients. |
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Park, Eun Ha , Kang, Jin Young , Chun, Min Ho |
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Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Korea. mhchun@amc.seoul.kr |
| 초기 뇌졸중 환자에서 수부 안정 보조기의 효과 |
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박은하, 강진영, 전민호 |
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울산대학교 의과대학 서울아산병원 재활의학교실 |
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| Abstract |
Objective
To assess effectiveness of resting hand splints to prevent contracture, maintain functional position and minimize spasticity in early stroke patients.
Method
Subjects were hemiplegic patients with stroke less than one month. Both splint and control groups participated in individual motor training and upper limb stretching exercise. The subjects of the splint group wore resting hand splints for maximum of 12 hours each night for 4 weeks. Measurements of edema by measuring circumference of the third phalanx, pain at hemiplegic upper extremity using visual analog scale, spasticity at the wrist graded by the modified Ashworth scale, passive range of motion at the wrist with goniometer, and functional hand use with themanual function test (MFT) were made. All measurements were taken during standard rehabilitation at the beginning and end of a 4-week treatment period.
Results
Before treatment, the circumferences of the splint and control groups were 6.7⁑0.5 cm and 6.7⁑0.8 cm, respectively. After 4 weeks, both were 6.8⁑0.6 cm and 6.8⁑0.8 cm, which showed no significant differences between the groups. The effects of splinting were statistically nonsignificant between control and splint groups for all measurements.
Conclusion
An overnight splint-wearing regimen for early stroke patients may not produce clinically beneficial effects. (J Korean Acad Rehab Med 2006; 30: 261-265) |
| Key Words:
Spasticity, Stroke, Splint, Edema |
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