Orthoses as Enablers of Occupation: Client-Centred Splinting for Better Outcomes

McKee, Pat; Rivard, Annette

doi:10.1177/000841740407100510

Cited by 35 publications

(34 citation statements)

References 16 publications

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“…The searches resulted in 1,619 potentially relevant articles, of which 1,590 were excluded according to the predefined selection criteria for full‐text review. Four reviewers (IK together with RHM, BS‐C, or TU) performed a full‐text review of the remaining 29 articles, resulting in exclusion of an additional 17 (22, 26–41). The most common reasons for exclusion were study design (37–39, 41), mixed patient populations (26, 27, 34, 38, 40), or that studies were treatment recommendations without any effect evaluation (22, 30–32).…”

Section: Resultsmentioning

confidence: 99%

Systematic review of design and effects of splints and exercise programs in hand osteoarthritis

Kjeken

Smedslund

Moe

et al. 2011

Arthritis Care & Research

119

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Objective. To describe and evaluate the design and effects of splints and exercise programs in hand osteoarthritis. Methods. Controlled trials identified through systematic literature reviews were included. Design of splints and exercise programs were evaluated according to existing recommendations and classification systems. The risk of bias was assessed by 2 independent reviewers and effects were summarized descriptively or by meta-analyses.

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Section: Resultsmentioning

confidence: 99%

Systematic review of design and effects of splints and exercise programs in hand osteoarthritis

Kjeken

Smedslund

Moe

et al. 2011

Arthritis Care & Research

119

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“…Splinting is one of the most important treatments for minimizing dysfunction of the hand and restoring function of the hand14 ) . From the point of view of a patient, the best functional outcome when wearing a splint is independent performance in ADL, work and leisure activities.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Muscle Activation while Performing Tasks Similar to Activities of Daily Livings with and without a Cock-up Splint

Jung

Chang

2013

J Phys Ther Sci

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[Purpose] This study investigated changes in the activation of the main elbow muscle while performing tasks similar to activities of daily living (ADL) with and without a cock-up splint. [Methods] Sixteen participants performed a simulated feeding task and picked up light and heavy cans in the Jebsen-Taylor hand function test. The activation of the biceps brachii, the triceps brachii, and the brachioradialis with and without the cock-up splint was measured using a BTS FreeEMG 300 wireless electromyography system (BTS, Inc., Milan, Italy). [Results] The activation of the biceps brachii and the brachioradialis was significantly higher while performing the simulated feeding task with the cock-up splint than without the splint. While picking up the light and heavy cans, the activation of the brachioradialis was significantly decreased by wearing the cock-up splint. In the heavy cans task, the activation of the triceps brachii was significantly higher with the cock-up splint than without the splint. [Conclusion] This study showed that diverse muscles' activation was increased or decreased when wearing the cock-up splint while performing tasks similar to ADL. The results of this study can be used as an educational resource for therapists teaching patients about splint application and splint compliance in ADL.

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“…That is a hard conclusion to reach, especially because the Canadian Occupational Performance Measure is not a specifically sensitive evaluation device in terms of orthosis properties (angles, materials, biomechanics), as well as in terms of spasticity aspects, working as a complementary evaluation; however, its methodology provides the patient with a specific identification in terms of disability as well as a more attentive look at the functional changes related to the orthosis, according to the work by McKeee and Rivard 22 , who corroborated the hypothesis that the application of that methodology in orthosis interventions help the Occupational Therapist plan the treatment of the patient and build equipment by focusing aspects such as comfort, aesthetics, convenience (usage situations), monitoring the condition, and individual satisfaction.…”

Section: Spastic Hand Evaluation After Volar Dorsal Orthosis Garros Ementioning

confidence: 99%

“…The Occupational Therapist helps the patient know his/her situation, and its impact on his/her occupational performance, as well as helps the patient find a solution due to his/her knowledge of the disease, tissue treatment, biomechanics, orthotic principles, variety of materials and manufacturing tecniques 22 . For the patients, the influence of the orthosis on performance resides in the comfort of the spastic hand, the improvement in body's positioning, viewing the extended hand, decreasing the sensation of weight in the spastic upper member, decrease in pain and improvement in walking, through an improvement in the control of the upper member, for the scapular waist (upper member) to be really important for the gait due to the fact that it influences posture, balance and step symmetry.…”

Section: Spastic Hand Evaluation After Volar Dorsal Orthosis Garros Ementioning

confidence: 99%

Evaluation of performance and personal satisfaction of the patient with spastic hand after using a volar dorsal orthosis

Garros¹,

Gagliardi²,

Guzzo³

2010

Arq. Neuro-Psiquiatr.

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The performance and the satisfaction of the patient were quantitatively compared with the use of the volar dorsal orthosis in order to position the spastic hand. Thirty patients wearing the orthosis for eight hours daily were evaluated by the Canadian Occupational Performance Measure and the box and blocks test, for a three-month period. Five activities were selected (among daily life activities, productive activities, and leisure activities) by the patients, which were impaired by spasticity. There was an improvement related to performance after use of orthosis, with an average of 1.4±0.5 to 6.3±0.8 (p<0.01). Patient satisfaction average after wearing the orthosis was of 1.7±0.4 to 6.3±0.6 (p<0.01). In this casuistic, the use of orthosis for wrist and finger spasticity has shown an improvement in the functional performance and patient satisfaction. Key words: occupational therapy, hand, splint, performance, hemiplegia, stroke, rehabilitation.Avaliação do desempenho e da satisfação pessoal do paciente com mão espástica após o uso da órtese dorsal volar RESUMO Comparou-se quantitativamente o desempenho e a satisfação do paciente com o uso da órtese dorsal volar para posicionamento da mão espástica. Foram analisados 30 pacientes que fizeram uso da órtese por 8 horas diárias, avaliados por meio da Medida Canadense de Desempenho Ocupacional e teste caixa e blocos, no intervalo de 3 meses. Foram selecionadas 5 atividades (entre as atividades de vida diária, produtivas e de lazer) pelos pacientes que estavam comprometidas pela espasticidade. Obteve-se melhora em relação ao desempenho após o uso da órtese, com média de 1,4±0,5 para 6, 3±0,8 (p<0,01). Quanto à média da satisfação foi de 1,7±0,4 para 6,3±0,6 (p<0,01) com o uso da órtese. Nesta casuística, o uso da órtese de punho e dedos para espasticidade apresentou melhora no desempenho funcional e satisfação do paciente.

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Orthoses as Enablers of Occupation: Client-Centred Splinting for Better Outcomes

Abstract: Orthoses that are thoughtfully designed with client input and carefully constructed can make a difference in a person's life by relieving pain, providing protection and joint stabilization and enabling valued occupations.

Cited by 35 publications

References 16 publications

Systematic review of design and effects of splints and exercise programs in hand osteoarthritis

Systematic review of design and effects of splints and exercise programs in hand osteoarthritis

Comparison of Muscle Activation while Performing Tasks Similar to Activities of Daily Livings with and without a Cock-up Splint

Evaluation of performance and personal satisfaction of the patient with spastic hand after using a volar dorsal orthosis

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