Effects of a dynamic hand orthosis for functional use of the impaired upper limb in sub-acute stroke patients: A multiple single case experimental design study

Franck, Johan Anton; Timmermans, Annick; Seelen, Henk

doi:10.3233/tad-130374

Cited by 16 publications

(17 citation statements)

References 41 publications

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“…However, these positive results cannot be ignored as it is well documented that UL outcomes following stroke are poor (Kwakkel et al, ). Francka et al () investigated the usability and the effects of a dynamic spring‐loaded orthosis along with usual therapy on functional use of the impaired hand in eight moderately/severely impaired sub‐acute stroke patients. This study reported improvements on ARAT scores supporting the improvements we noted on ARAT scores in our study.…”

Section: Discussionmentioning

confidence: 99%

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Feasibility of SaeboFlex Upper-limb Training in Acute Stroke Rehabilitation: A Clinical Case Series

2014

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Upper-limb (UL) recovery following stroke is often poor. UL rehabilitation therefore continues to be a major focus for occupational therapy. Published evidence for the effectiveness of SaeboFlex training in acute stroke rehabilitation is scarce. The purpose of this study is to explore the feasibility and patient experience of SaeboFlex training in acute stroke. This feasibility study recruited stroke patients (< 84 days post-stroke) with moderate/severe UL weakness. They participated in SaeboFlex sessions for 12 weeks in addition to conventional rehabilitation. A battery of measures was taken at baseline, 4, 8 and 12 weeks. Eight participants were recruited. For the action research arm test score and UL Motricity Index, clinically significant improvements were noted in five out of seven (71%) and six out of seven participants (86%) respectively. Clinically significant improvements were also noted in secondary outcomes. Shoulder complications occurred in one participant. SaeboFlex training facilitated clinically significant improvements in UL function. It has the potential to improve participation and independence in ADLs, reduce carer burden and associated costs. Being a feasibility study with no control arm, we urge caution in interpreting these results. Future research is needed to evaluate the efficacy, optimum dosage and impact on dependency levels of SaeboFlex training as part of a randomized controlled trial.

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Section: Discussionmentioning

confidence: 99%

“…The user actively flexes their fingers to grasp; the extension spring system assists in opening the hand. There is weak evidence for effectiveness of SaeboFlex training in both chronic stroke (Farrell et al, ; Heise et al, ) and acute stroke (Davenport et al, ; Francka et al, ).…”

Section: Introductionmentioning

confidence: 99%

Feasibility of SaeboFlex Upper-limb Training in Acute Stroke Rehabilitation: A Clinical Case Series

2014

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“…By focusing on grasp, the device aims to improve independent finger movement, an integral action in many activities of daily living (Barry, Saabye, Baker, Fogarty & Beck, 2006). The repetitive movements recommended in the Saebo TM exercise programme (Butler, Blanton, Rowe & Wolf, 2006;Franck, Timmerman & Seelen, 2013) aim to provide the massed practice training thought to facilitate neural plastic changes and improve movement ability.…”

Section: Introductionmentioning

confidence: 99%

Upper limb motor training using a Saebo^™ orthosis is feasible for increasing task‐specific practice in hospital after stroke

Lannin

Cusick

Hills

et al. 2016

Aus Occup Therapy J

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“…The common parameters employed for assessing splinting efficacy have been found to be range of motion (active or passive), muscle tone, and upper extremity function. Range of motion is measured using standard goniometry, muscle tone with modified ashworth scale and tardieu scale, and upper extremity function using Fugl-Meyer upper extremity assessment, box and block test, functional reach test, and action research arm test (5,6,7,8,9,10). Also, the effect of splinting on ADL components has been studied using COPM (11).…”

Section: Literature Surveymentioning

confidence: 99%

“…If the patient has increased tone/spasticity and/or soft tissue shortening, thena 15 degrees of wrist mount if recommended. The primary benefit of the SaeboFlex in this population is the facilitation of massed practice and improvement in motor control and overall arm function (7,8,10). A multiple single-case design study was conducted by Franck JA (2013) (A-B-A design) (10).…”

Section: Static To Dynamic Trendmentioning

confidence: 99%

Evidence Base of Stroke and Hand Splinting

2016

IJSR

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Post-stroke spasticity results in affected upper extremity posture which hinders daily activities and affects overall quality of life. Among the various rehabilitation options for management of spastic hand, orthosis have been widely used. Literature lacks specific guidelines for type of orthosis, wearing schedule and duration, and material use. Recent researches have emphasized that static splint use has no potential benefit in either reducing muscle tone or providing adequate stretch to shortened muscles and also adds to the discomfort of wearing the splint. Dynamic splinting prevents learned non-use as well as allows patient to use hand during functional activities while maintaining muscle length when no activity occurs. This necessitates the need for evidence based practice for splint use in stroke patients instead of splint prescriptions given by occupational therapists based on preference.

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Effects of a dynamic hand orthosis for functional use of the impaired upper limb in sub-acute stroke patients: A multiple single case experimental design study

Cited by 16 publications

References 41 publications

Feasibility of SaeboFlex Upper-limb Training in Acute Stroke Rehabilitation: A Clinical Case Series

Feasibility of SaeboFlex Upper-limb Training in Acute Stroke Rehabilitation: A Clinical Case Series

Upper limb motor training using a Saebo^™ orthosis is feasible for increasing task‐specific practice in hospital after stroke

Evidence Base of Stroke and Hand Splinting

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Effects of a dynamic hand orthosis for functional use of the impaired upper limb in sub-acute stroke patients: A multiple single case experimental design study

Cited by 16 publications

References 41 publications

Feasibility of SaeboFlex Upper-limb Training in Acute Stroke Rehabilitation: A Clinical Case Series

Feasibility of SaeboFlex Upper-limb Training in Acute Stroke Rehabilitation: A Clinical Case Series

Upper limb motor training using a Saebo™ orthosis is feasible for increasing task‐specific practice in hospital after stroke

Evidence Base of Stroke and Hand Splinting

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Upper limb motor training using a Saebo^™ orthosis is feasible for increasing task‐specific practice in hospital after stroke