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Rehabilitation Practice and Science

Translated Title

動態手部副木對於痙攣偏癱患者手部之治療效益：一隨機對照試驗

Abstract

Background: It is usually challenging to treat patients following stroke or brain injury with spastic hemiparetic upper limbs. Dynamic hand splints have been used to manage this issue for years, but evidence of their efficacy is still lacking. Objective: To investigate the treatment efficacy of dynamic hand splinting in spastic hemiparetic patients. Methods: In this randomized controlled single-blind clinical trial, patients with spastic hemiparesis lasting more than half a year after a stroke or brain injury were enrolled. They were randomly divided into a splint group and a control group, and received 1 month of task-oriented training with or without wearing a dynamic hand splint, respectively. Outcome measurements were performed at baseline, post-training and at a 3-month follow-up by the evaluators blinded to the grouping of the subjects. Results: Thirty-five subjects (splint group = 18, control group = 17) completed the study. Compared to baseline measurements, scores on the Modified Ashworth Scale of wrists and fingers, and the maximal and mean F/M ratio all significantly decreased in the splint group after training. The Fugl-Meyer Assessment for upper extremity score also showed significant increases at the 3-month follow-up compared to baseline in the splint group. However, the repeated measures ANOVA only showed significant interaction effects between the groups and over time for the maximal F/M ratio variable. Conclusion: The results suggested that training with dynamic hand splints might reduce the excitability of spinal alpha motor neurons for spastic muscles.

Language

English

First Page

59

Last Page

71

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