Opposition splint for partial thumb amputation: a case study measuring disability before and after splint use.

Autor: Dewey WS; US Army Institute of Surgical Research, Army Burn Center, Fort Sam Houston, Texas 78234-6315, USA. scott.dewey@amedd.army.mil, Richard RL, Hedman TL, Chapman TT, Quick CD, Renz EM, Blackbourne LH, Wolf SE, Holcomb JB
Jazyk: angličtina
Zdroj: Journal of hand therapy : official journal of the American Society of Hand Therapists [J Hand Ther] 2009 Jan-Mar; Vol. 22 (1), pp. 79-86; quiz 87. Date of Electronic Publication: 2008 Nov 04.
DOI: 10.1016/j.jht.2008.08.004
Abstrakt: Study Design: Case report.
Introduction: A combined burn and a partial amputation can be extremely debilitating as the thumb constitutes 40% of the entire hand when evaluating functional impairment.
Purpose of the Study: Measure disability with and without opposition splint use after partial thumb amputation due to a burn.
Methods: Impairment and disability measures were completed at discharge from the hospital and subsequently during outpatient follow-up visits while wearing and not wearing a thumb opposition splint at 3, 6, 8, and 15 months. Comparisons between disability and impairment scores were assessed over time.
Results: The difference between DASH scores with and without using the splint were 25 at 3 months, 16 at 6 months, 10 at 8 months, and 12 at 15 months.
Conclusions: Splint use in this case demonstrated clinically significant changes over time with minimal changes in impairment indicating enhanced function and improved patient perception of disability.
Level of Evidence: 4.
Databáze: MEDLINE
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