Compliance in Wearing Wrist Working Splints in Rheumatoid Arthritis

Agnew, Patricia J.; Maas, Frikkie

doi:10.1177/153944929501500302

Cited by 26 publications

(37 citation statements)

References 6 publications

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“…The finding that nearly all clients implemented the recommended splint-wearing program is different from previous studies [1,6] due to several possible factors indicated either directly by clients or indirectly implied from other information in this study. The most indicated factors by clients for following the splint-wearing program were therapist-related factors.…”

Section: Discussioncontrasting

confidence: 99%

“…Literature indicates that occupational therapy recommendations for use of assistive devices, including upper limb splints, are often not taken up by clients following fabrication [1,6]. Reasons for not using assistive devices are varied, however reduced client compliance is often cited without providing strong evidence for underlying reasons [6,8].…”

Section: Impact Of Splints On Upper Limb Hypertonicitymentioning

confidence: 99%

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Do clients with acquired brain injury use the splints prescribed by occupational therapists? A descriptive study

Kuipers

Rassafiani

Ashburner

et al. 2009

NRE

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Clients with acquired brain injury often demonstrate hypertonicity and decreased function in their upper limbs, requiring appropriate intervention. Splinting is one of the intervention methods that is widely used to address these issues. Literature shows that some clients are not using splints following fabrication. However, there is a paucity of research about the factors that influence clients to use or not use splints. This study aims to investigate these influential factors for clients with upper limb hypertonicity. Two survey tools including therapist and client questionnaires were developed and completed by both therapists and clients. Six therapists and 14 clients participated in this study and completed the relevant questionnaires. The results illustrate that most clients (13 out of 14) were continuing to use their splints four weeks following discharge from hospital. The main goals of choosing splints for both therapists and clients were prevention of contracture and deformity. The most indicated client reasons for adhering to the splint wearing program were therapist-related factors including clients' trust and reliance on their therapists. Further reasons for clients implementing the recommended splint-wearing program and clinical implications are discussed.

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Section: Discussioncontrasting

confidence: 99%

Section: Impact Of Splints On Upper Limb Hypertonicitymentioning

confidence: 99%

Do clients with acquired brain injury use the splints prescribed by occupational therapists? A descriptive study

Kuipers

Rassafiani

Ashburner

et al. 2009

NRE

View full text Add to dashboard Cite

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“…Compliance with splinting was assessed by 5 studies (63,64,66,67,70), all of which had a low methodological quality. In one RCT (64), positive significant results on compliance were reported.…”

Section: Steultjens Et Almentioning

confidence: 99%

Occupational therapy for rheumatoid arthritis: A systematic review

Steultjens¹,

Dekker²,

Bouter³

et al. 2002

Arthritis & Rheumatism

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“…In their study, Agnew and Mass14 ) reported that only 15.6% patients who were prescribed the splint were fully compliant due to the mildness of symptoms, poor cosmesis, discomfort, dysfunction in ADL, failure to relieve pain, and other causes15, 16 ) . Splint intervention should be customized by, taking the individual’s unique biological or physical and psychosocial needs into consideration, along with personal factors and the patient’s specific context, including life roles and environment8 ) .…”

Section: Discussionmentioning

confidence: 99%

Comparison of Task Performance, Hand Power, and Dexterity with and without a Cock-up Splint

Chang

Jung

2013

J Phys Ther Sci

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[Purpose] The purpose of this study was to investigate the difference in task performance, grip and pinch strength, and dexterity with and without cock-up splints, which are widely used in occupational therapy practice. [Methods] Twenty-three participants performed Jebsen-Taylor hand function test and grooved pegboard for task performance and dexterity. The power grip and pinch strength was measured using Jamar hydraulic hand dynamometer and pinch gauge. [Results] In the result of the Jebsen-Taylor hand function test, task performance with the cock-up splint was slower compared to without the splint for all items. Men’s grip power with the cock-up splint was found to be significantly decreased compared to without the splint. Women’s grip and palmar pinch strength with the splint decreased significantly compared to without the splint. In the grooved pegboard test, the dexterity of both men and women with the cock-up splint decreased significantly compared to without the splint. [Conclusion] To assist patients to make wise decisions regarding the use of splints, occupational therapists must have empirical knowledge of the topic as well as an understanding of the theoretical, technical, and related research evidence. The results of this study will be useful in the analysis and understanding of changes in hand function in splint applications for people with hand dysfunction.

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Compliance in Wearing Wrist Working Splints in Rheumatoid Arthritis

Cited by 26 publications

References 6 publications

Do clients with acquired brain injury use the splints prescribed by occupational therapists? A descriptive study

Do clients with acquired brain injury use the splints prescribed by occupational therapists? A descriptive study

Occupational therapy for rheumatoid arthritis: A systematic review

Comparison of Task Performance, Hand Power, and Dexterity with and without a Cock-up Splint

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