Hand Splinting for Poststroke Spasticity: A Randomized Controlled Trial

Başaran, Aynur; Emre, Ufuk; Karadavut, Kıymet İkbal; Balbaloglu, Ozlem; Bulmus, Nercivan

doi:10.1310/tsr1904-329

Cited by 33 publications

(22 citation statements)

References 31 publications

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“…543,547 The use of resting hand splints is not effective for reducing wrist and finger spasticity, and the use of such splints is controversial for the prevention of contracture in the setting of spasticity. 75 For ankle plantarflexor spasticity, a short course of ankle casting may facilitate spasticity reduction after injection of botulinum toxin. Taping, however, has no effect on spasticity after lower limb botulinum toxin injection and is not recommended.…”

Section: Spasticitymentioning

confidence: 99%

“…73,74 Applying serial casting or static adjustable splints may be beneficial in preventing elbow or wrist contractures, although data are conflicting. 4,72,75,76 Surgical release of the brachialis, brachioradialis, and biceps muscles is a reasonable option to treat pain and range-of-motion limitations in patients with substantial established elbow flexor contractures. 77 Ankle plantarflexion contractures after stroke can affect gait quality and safety.…”

mentioning

confidence: 99%

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Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,083

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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Section: Spasticitymentioning

confidence: 99%

mentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,083

840

View full text Add to dashboard Cite

show abstract

“…The principal advantage of orthoses is the duration of their effectiveness, because they can be placed and left for several hours without the presence of a physiotherapist or nurse. Nevertheless, their efficacy is not yet proven by any double-blind studies and they have recently failed to provide any significant improvement in spasticity of the wrist flexor or range of wrist motion, when they were applied to the hand [86].…”

Section: Orthosesmentioning

confidence: 99%

Spasticity after stroke: Physiology, assessment and treatment

et al. 2013

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Background: Spasticity following a stroke occurs in about 30% of patients. The mechanisms underlying this disorder, however, are not well understood. Method: This review aims to define spasticity, describe hypotheses explaining its development after a stroke, give an overview of related neuroimaging studies as well as a description of the most common scales used to quantify the degree of spasticity and finally explore which treatments are currently being used to treat this disorder. Results: The lack of consensus is highlighted on the basis of spasticity and the associated absence of guidelines for treatment, use of drugs and rehabilitation programmes. Conclusions: Future studies require controlled protocols to determine the efficiency of pharmacological and non-pharmacological treatments for spasticity. Neuroimaging may help predict the occurrence of spasticity and could provide insight into its neurological basis.

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“…W innych badaniach uzupełniono kinezyterapię zabiegami tonolizy oraz krioterapii [24]. Uznaną metodą leczenia jest także stosowanie ortez [34,35].…”

Section: Discussionunclassified

“…In other cases, kinesiotherapy was completed with tonolysis and cryotherapy [24]. The application of orthoses is another acknowledged treatment method [34,35].…”

Section: Discussionmentioning

confidence: 99%

A method of hand motor control assessment in patients with post-stroke spasticity

Zwolińska¹,

Drużbicki²,

Perenc³

et al. 2017

Advances in Rehabilitation

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A -opracowanie koncepcji i założeń (preparing concepts) B -opracowanie metod (formulating methods) C -przeprowadzenie badań (conducting research) D -opracowanie wyników (processing results) E -interpretacja i wnioski (interpretation and conclusions) F -redakcja ostatecznej wersji (editing the final version) StreszczenieWstęp: Do oceny stanu ręki niedowładnej u pacjentów po udarze mózgu niezbędna jest obiektywna i czuła metoda umożliwiająca charakterystykę kontroli motorycznej. Jest to istotne ze względu na konieczność monitorowania efektów procesu terapeutycznego zgodnie z wymogami Evidence Based Medicine (EBM). Celem badania była ocena przydatności pomiarów ciśnień generowanych w czasie maksymalnego chwytu cylindrycznego oraz jego zwalniania do oceny poziomu kontroli motorycznej ręki u pacjentów po udarze mózgu na tle skal subiektywnych.Materiał i metody: Do charakterystyki kontroli motorycznej zaproponowano wskaź-nik liczbowy wyliczony w oparciu o pomiary ciśnień generowanych podczas chwytu cylindrycznego ręki oraz jego zwolnienia. W celu przeprowadzenia pomiarów do badania włączono 12 osób z niedowładem połowiczym po przebytym udarze mózgu.Badanie obejmowało ocenę stopnia niedowładu ręki w skali Brunnström, ocenę stopnia nasilenia spastyczności w zmodyfikowanej skali Ashworth oraz ocenę sprawności ruchowej ręki według skali Fugl-Meyer (FMA). Dokonywano pomiaru ciśnień generowanych w czasie chwytu cylindrycznego, a następnie jego zwolnienia oraz pomiaru powierzchni ręki metodą fotometryczną. Badanie przeprowadzono dwukrotnie: w dniu przyjęcia do oddziału rehabilitacji stacjonarnej oraz po zakończeniu trzytygodniowej hospitalizacji.Wyniki: W badaniu drugim odnotowano nieznaczne zmniejszenie nasilenia niedowładu wyrażonego w skali Brunnström oraz obniżenie nasilenia spastyczności w skali Ashworth. Odnotowano wyższą punktację w skali FMA. Uzyskano zmianę wartości zaproponowanego wskaźnika, ale w żadnym przypadku zmiana nie była istotna statystycznie.Wnioski: 1. W odniesieniu do innych skal subiektywnych nie potwierdzono przydatności pomiarów ciśnień generowanych w czasie maksymalnego chwytu cylindrycznego oraz jego zwolnienia do oceny poziomu kontroli motorycznej ręki u pacjentów po udarze mózgu. 2. Dalsza weryfikacja przydatności proponowanej metody oceny kontroli motorycznej ręki z niedowładem spastycznym wymaga kontynuacji badań realizowanych zgodnie z wymogami EBM. In the case of post-stroke patients, it is significant to carry out objective assessment of the state of a paretic hand, including the intensity of spasticity and the level of motor control. These factors lead to the deterioration of limb function and disability [3][4][5]. In their research, Keng et al. revealed that 3 months post stroke, spasticity occurred in 33% of the patients [6]. The level of spasticity is usually assessed with Modified Ashworth Scale (MAS) and Modified Tardieu Scale (MTS) [7][8][9][10][11][12][13][14][15]. MAS is a subjective evaluation method [16], while Key words: WstępNabyte uszkodzenie górnego neuronu ruchowego ma negaty...

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Hand Splinting for Poststroke Spasticity: A Randomized Controlled Trial

Cited by 33 publications

References 31 publications

Guidelines for Adult Stroke Rehabilitation and Recovery

Guidelines for Adult Stroke Rehabilitation and Recovery

Spasticity after stroke: Physiology, assessment and treatment

A method of hand motor control assessment in patients with post-stroke spasticity

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