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Hand splinting for poststroke spasticity: a randomized controlled trial.

Aynur Basaran1, Ufuk Emre, Kiymet Ikbal Karadavut

  • 1Physical Medicine and Rehabilitation Clinic, Konya Beyhekim State Hospital, Konya, Turkey.

Topics in Stroke Rehabilitation
|July 4, 2012
PubMed
Summary

Volar and dorsal splinting did not significantly reduce wrist spasticity or improve wrist range of motion in stroke patients. These splints may be part of a broader treatment plan but do not offer major clinical benefits alone.

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Area of Science:

  • Neurorehabilitation
  • Orthotics and Prosthetics

Background:

  • Stroke survivors often experience upper limb spasticity, particularly affecting wrist flexor muscles.
  • Spasticity can impair motor function and activities of daily living.
  • Splinting is a common intervention, but evidence for its efficacy in reducing spasticity is varied.

Purpose of the Study:

  • To evaluate the impact of volar and dorsal splinting on wrist flexor spasticity in post-stroke patients.
  • To assess the effect of splinting on passive range of motion (PROM) for wrist extension.

Main Methods:

  • A prospective randomized controlled trial involving 39 stroke patients.
  • Participants were assigned to receive dorsal splinting, volar splinting, or no splint (control).
  • Spasticity was measured using the Modified Ashworth Scale (MAS) and electrophysiological measures (H latency, Hmax:Mmax ratio); PROM was also assessed.

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Main Results:

  • No statistically significant differences were observed in spasticity parameters (MAS, H latency, Hmax:Mmax ratio) among the three groups.
  • Passive range of motion for wrist extension also showed no significant differences between splinted and control groups.

Conclusions:

  • Neither volar nor dorsal splinting demonstrated a significant effect on reducing wrist spasticity or improving PROM in this patient cohort.
  • Splints may serve as an adjunct in a comprehensive rehabilitation program but should not be relied upon for substantial clinical improvement independently.