Spiral strapping for improving upper extremity motor functions in individuals with stroke: A randomized controlled...

Area of Science:

• Neurorehabilitation
• Physical Therapy
• Stroke Recovery

Background:

• Stroke rehabilitation often involves splinting for upper extremity support and correction.
• Spasticity and impaired motor function are common challenges post-stroke.

Purpose of the Study:

• To evaluate the efficacy of spiral strapping in managing spasticity.
• To assess improvements in upper extremity motor function following stroke.

Main Methods:

• Forty Saudi individuals (50-60 years) with chronic stroke and mild-to-moderate spasticity (Modified Ashworth Scale 1-2) were studied.
• Participants received conventional physical therapy; the experimental group also used spiral strapping with a hand splint for 4 weeks.
• Outcomes measured included spasticity, active range of motion, and grip strength using the Action Research Arm Test.

Main Results:

• Both groups showed improvements, but the experimental group demonstrated significantly greater gains across all measured variables.
• Spiral strapping was associated with significant reductions in elbow joint spasticity compared to the control group.
• Improvements were noted in shoulder, elbow, and forearm active range of motion and hand grip strength in the experimental group.

Conclusions:

• Spiral strapping is a beneficial intervention for inhibiting mild spasticity in stroke patients.
• This method significantly enhances upper extremity motor function, including range of motion and grip strength.
• Spiral strapping offers a promising adjunctive therapy for improving functional outcomes in stroke survivors.