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Rehabilitation Practice and Science

Translated Title

比較中風病人使用彈性繃帶和新型手部輔具執行上肢被動運動的手溫變化

Abstract

Elastic bandages are often used to secure stroke patients' affected upper limbs to exercise equipment during physical rehabilitation. However, the application of elastic bandages can cause soft tissue injuries in patients' extremities. Therefore, our research team developed novel medical hand gloves, called ＂Yole Hands,＂ to safely secure stroke patients' affected hands to exercise equipment. This study compared conventional elastic bandages with Yole Hands by measuring changes in stroke patients' hand temperature during passive upper limb exercises. This study recruited 18 stroke patients aged 63.1 ± 13.4 years from a rehabilitation clinic. A thermograph (midi LOGGER GL220, Graphtec) was used to record patients' hand temperature initially, throughout the exercise (15 minutes), and 5 minutes after completing the exercise. Paired t tests were used to compare the differences in hand temperature between patients' affected and unaffected hands during and after exercise and between Yole Hands and elastic bandage usage conditions. When patients used elastic bandages during the exercise, no significant differences were observed in the lowest temperatures between their affected and unaffected hands (p = 0.07). However, a significant difference was observed in the highest temperature between patients' affected and unaffected hands (30.93°C vs. 31.64°C, p = 0.002). When patients used Yole Hands during exercise, no significant differences were observed in either the lowest temperatures (p = 0.09) or highest temperatures (p = 0.35) between their affected and unaffected hands. The average temperature change in patients' affected hands that were secured with elastic bandages was lower than that in hands secured with Yole Hands (approximately -3.29°C vs. -1.77°C, p = 0.001). After completing exercises, the temperature recovery of patients' affected hands was significantly different between elastic bandage and Yole Hands usage conditions (-1.05°C vs. 0.25°C, p = 0.01). During exercise, the temperature of the patients' affected hands was significantly lower under the elastic bandage usage condition than under the Yole Hands usage condition. After completing exercise, the temperatures of the patients' affected hands that were secured with elastic bandages did not return to their initial baselines. Thus, clinicians should be highly concerned about the hidden risks of using elastic bandages to secure stroke patients' affected upper limbs to exercise equipment.

Language

Traditional Chinese

First Page

11

Last Page

18

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