Application of a Volar Static Splint in Poststroke Spasticity of the Upper Limb

Pizzi, A.; Carlucci, Giovanna; Falsini, C.; Verdesca, Sonia; Grippo, Antonello

doi:10.1016/j.apmr.2005.03.032

Cited by 63 publications

(38 citation statements)

References 34 publications

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“…Although there was no control group, the authors found that the use of functional resting splints on forty subjects with a stroke were beneficial, measured by an assessment of spasticity, passive range of motion (PROM), pain, presence of spasms and a subjective report of comfort. There was also a significant difference in passive wrist extension and spasms were found to have decreased 17 . The wrist extension splint has also been used in patients with neurological impairments.…”

Section: Introduction Literature Reviewmentioning

confidence: 84%

“…The functional resting splint is usually positioned in 30° extension at the wrist, 50° flexion in the metacarpophalangeal joints and progressive 10° -30° degree flexion at the interphalangeal joints 18 . The effectiveness of the functional resting splint in a stroke population was examined by Pizzi et al 17 . Although there was no control group, the authors found that the use of functional resting splints on forty subjects with a stroke were beneficial, measured by an assessment of spasticity, passive range of motion (PROM), pain, presence of spasms and a subjective report of comfort.…”

Section: Introduction Literature Reviewmentioning

confidence: 99%

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Current trends in splinting the hand in children with neurological impairments

Hepworth

Govender

Rencken

2017

S. Afr. j. occup. ther

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AIM: The study aimed to explore Occupational therapy clinicians' current splinting practises in hand function intervention for children with neurological impairments within the South African context. METHODOLOGY: A quantitative cross-sectional design with use of an electronic questionnaire served to address the objectives of this study. The sample included occupational therapists working within the paediatric neurology field in South Africa. The study sample was accessed via convenience and snowball sampling in order to target therapists specifically working in the area of paediatric neurology. RESULTS AND DISCUSSION: Forty therapists from around South Africa (majority from KwaZulu Natal) completed the survey in its entirety. Therapists splint for various reasons and splints are considered effective in neurological cases. The three most prevalent splints were the functional resting, thumb abductor and anti-spasticity splint with the purpose of splinting mainly reported to maintain or improve range of motion (ROM). In this study, therapists appeared to consider knowledge, competency and experience prior to the availability of resources when rationalising the choice to splint. CONCLUSIONS: This study provides insight into the splinting practices amongst occupational therapists who work with neurologically impaired children. Despite the controversy that surrounds splinting in neurology, therapists are using splints in their management with a number of factors considered during the decision-making process. Key words: Splinting, paediatrics, neurology, occupational therapy

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Section: Introduction Literature Reviewmentioning

confidence: 84%

Section: Introduction Literature Reviewmentioning

confidence: 99%

Current trends in splinting the hand in children with neurological impairments

Hepworth

Govender

Rencken

2017

S. Afr. j. occup. ther

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“…Studie autorů Pizzi et al (17), popisuje pozitivní efekty tříměsíční terapie pomocí zápěstní fixní dlahy a to na zmírnění spasticity lokte a zápěstí, zlepšení rozsahu hybnosti a zmírnění bolesti zápěstí u pacientů čtyři měsíce po CMP se spastickou hemiparézou. Obdobně v případové studii autorky Denham (18) je pozorován dobrý antispastický a funkční výsledek po kombinované terapii aplikace BTX-A, ergoterapii a dlahování (fixní ortéza).…”

Section: Tabulka 2 Vstupní a Výstupní Data Spasticity A Funkčních Testůunclassified

The Influence of Combinations Air-splinting and Botulinum Toxin-A Therapy to Changes in Spasticity of the Hand

Konečný¹,

Sedláček²,

Tarasová³

2017

Profese on-line

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Neurologická klinika, Lékařská Fakulta, Univerzita Palackého, Olomouc, Česká Republika ABSTRAKT Východiska: Spastická paréza akra horní končetiny způsobuje problémy v úchopových a manipulativních funkcích ruky, v běžných denních aktivitách, hygieně, ošetřovatelské a rehabilitační péči, zhoršuje kvalitu života a pů-sobí bolest. Snížení event. odstranění spasticity patří k základním úkolům při rehabilitaci spastické parézy ruky po cévní mozkové příhodě (iktu). Cíl: Cílem práce je popsat vliv kombinované terapie botulotoxinem-A a vzduchových dlah u pacientů po iktu se spastickou parézou ruky. Metodika: Jedná se o prospektivní observační kohortovou studii, popisující závislost mezi snížením spasticity a dlahováním pomocí vzduchových dlah (experimentální kohorta s 20 probandy, 16 žen, 14 mužů, průměrný věk 59,5 ± 9,8 let) versus konvenční rehabilitace s progresivním strečinkem spastických svalů (kontrolní kohorta s 20 probandy,18 žen, 12 mužů, průměrný věk 60,0 ± 9,5 let). Všichni pacienti měli postiktální spastickou parézu akra horní končetiny a terapii botulotoxinem-A s navazující šesti týdenní rehabilitací. Naměřená data byla statisticky zhodnocena na hladině významnosti p < 0,05 pomocí Studentova t-testu, Mann-Whitney U-testu, Chí kvadrát testu a pomocí logistické regresní analýzy. Výsledky: V letech 2015-2016 v centru léčebné rehabilitace v Prostějově rehabilitovalo 44 pacientů se spastickou parézou akra horní končetiny. Observační studii, sledující vztah změny spasticity akra horní končetiny a vlivu různé antispastické terapie, dokončilo 40 pacientů (20 v experimentální a 20 v kontrolní kohortě). Po šesti tý-denní terapii byla prokázána velmi významná závislost mezi terapií vzduchovou dlahou a zmírnění spasticity při Odds Ratio 4,0 (95% CI: 3,5-5,0) a významná závislost konvenční rehabilitace (s progresivním strečinkem) a zmírnění spasticity při Odds Ratio 1,5 (95% CI: 1,1-2,0). Závěr: V naší práci je popsán významnější vztah mezi snížením spasticity akra horní končetiny a kombinované terapie pomocí botulotoxinu-A spolu se vzduchovými dlahami, oproti kombinované terapii pomocí botulotoxinu-A se standardní rehabilitací a progresivním strečinkem.ABSTRACT Background: Spastic paresis of the hand causes problems in the grip and manipulative function of hand in activities of daily living, hygiene, nursing and rehabilitative care, detriorations in quality of life and it also causes pain. Reduction or elimination of spasticity is one of the fundamental tasks of the rehabilitation of spastic paresis of the hand after cerebrovascular disease (stroke). Aim: The aim is to describe the combined effect of botulinum toxin-A and air-splinting in patients after stroke with spastic paresis of hand. Methods: This was a prospective observational cohort study describing an association between reduction of spasticity and splinting with air-splints (experimental cohort of 20 patients, 16 women, 14 men, mean age 59.5 ± 9.8 years) versus conventional rehabilitation with progressive stretching of spastic muscles (control cohort of 20 pa...

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“…A função respiratória também fica prejudicada, uma vez que os músculos do tronco também atuam no controlo da respiração, além de serem responsáveis pela estabilidade e mobilidade do tronco (5,13) . (32) , a fraqueza dos músculos respiratórios após AVC pode estar diretamente relacionada as alterações que ocorrem no tónus muscular e nas propriedades viscoelásticas dos músculos do tronco, causando contratura e rigidez da caixa torácica e levando, assim, à perda da capacidade e desempenho dos movimentos dos músculos respiratórios.…”

Section: Porque é Que Essas Alterações Ocorrem?unclassified

“…Respiratory function is also impaired, since the trunk muscles, in addition to being responsible for the stability and mobility of the trunk, also act in breathing control (5,13) . Pizzi et al (2001) (32) indicated that the post-stroke respiratory muscle weakness may be directly related to the changes that occur in muscle tone and viscoelastic properties of the trunk muscles, causing spasm and stiffness in the thoracic cage, thus leading to loss of capacity and performance of respiratory muscle movement. Teixeira -Salmela et al (2005) (8) described the occurrence of a decrease in abdominal muscle activation after the onset of stroke, and this modifies the thoracic cage positioning, which tends to remain in an inspiration position.…”

Section: Why Do These Changes Occur?mentioning

confidence: 99%

Respiratory Changes in Patients with Stroke

Ocko

Costa

2014

BBR

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141 Biomedical and Biopharmaceutical Research J o r n a l d e I n v e s t i g a ç ã o B i o m é d i c a e B i o f a r m a c ê u t i c a Respiratory Changes in Patients with Stroke Alterações Respiratórias nos Pacientes com Acidente Vascular AbstractThis study aimed to review published literature concerning the major changes that occur in the respiratory system after stroke, and also the impact of respiratory muscle training in these patients. The literature search was conducted through electronic databases (PubMed, SciELO and Pedro) in Portuguese and English languages on themes related to changes in the respiratory system and methods of assessment and rehabilitation of respiratory muscle strength in individuals affected by stroke. There is scientific evidence that individuals affected by stroke may show decreased inspiratory and expiratory muscle strength. Studies suggest that respiratory muscle training through threshold load can bring benefits by improving respiratory function and respiratory muscle strength. However, more studies should be conducted to deepen the knowledge about the benefits and long-term effects of pulmonary rehabilitation in patients with stroke. Keywords: Stroke, Respiratory Muscle Strength, Maximum Respiratory Pressure and Respiratory MuscleTraining. ResumoO objetivo deste estudo foi realizar uma revisão de literatura sobre as principais alterações que ocorrem no sistema respiratório após o Acidente Vascular Cerebral (AVC) e também sobre os efeitos de treino muscular respiratório nestes pacientes. A metodologia adotada foi a pesquisa de artigos através das bases de dados electrónicas (Pubmed, Scielo e Pedro) em língua portuguesa e inglesa relacionando os temas: alterações do sistema respiratório e métodos de avaliação e reabilitação da força muscular respiratória em indivíduos acometidos pelo AVC. Existe evidência científica de que indivíduos acometidos pelo AVC podem apresentar diminuição da força muscular inspiratória e expiratória. Estudos sugerem que o treino muscular respiratório, através de carga limiar, pode trazer benefícios quanto a melhora da função respiratória e da força dos músculos respiratórios. Porém, mais estudos devem ser realizados para o aprofundamento do conhecimento sobre os benefícios e efeitos a longo prazo da reabilitação respiratória em pacientes com AVC.

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Application of a Volar Static Splint in Poststroke Spasticity of the Upper Limb

Cited by 63 publications

References 34 publications

Current trends in splinting the hand in children with neurological impairments

Current trends in splinting the hand in children with neurological impairments

The Influence of Combinations Air-splinting and Botulinum Toxin-A Therapy to Changes in Spasticity of the Hand

Respiratory Changes in Patients with Stroke

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