A comparison of prefabricated and custom made resting hand splints for individuals with cervical spinal cord injury: A randomized controlled trial
| Autor: | Paula Richley Geigle, Sara Kate Frye |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Scale (ratio) medicine.medical_treatment Pilot Projects Physical Therapy Sports Therapy and Rehabilitation law.invention Randomized controlled trial law medicine Hand splints Humans Spinal cord injury Spinal Cord Injuries Aged Aged 80 and over Hand function Hand Strength business.industry Rehabilitation Cervical Cord Patient Preference Middle Aged Hand medicine.disease Splints Cervical spinal cord injury Physical therapy Female Splint (medicine) business |
| Zdroj: | Clinical Rehabilitation. 35:861-869 |
| ISSN: | 1477-0873 0269-2155 |
| DOI: | 10.1177/0269215520983486 |
| Popis: | Objective: To compare prefabricated and custom resting hand splints and establish the feasibility of splinting research for larger scale trials. Design: A Randomized controlled pilot study where the randomization unit was each hand, rather than each individual. Setting: Thirty-two-bed spinal cord injury and multi-trauma rehabilitation unit in an urban academic rehabilitation center. Subjects: Thirty-six hands from 19 individuals with cervical spinal cord injury were enrolled during their acute rehabilitation stay. Interventions: Each eligible hand was randomized to receive a custom or prefabricated resting hand splint for night use. Main measures: The Graded Redefined Assessment of Strength, Sensation and Prehension (GRASSP) was completed at both admission and discharge, and a structured interview was completed at discharge. Results: No difference existed in GRASSP outcomes or user preference between custom and prefabricated resting hand splints. Mann-Whitney tests indicated that there was no significant difference in qualitative prehension scores (U = 141, P = 0.522) nor quantitative prehension scores (U = 135, P = 0.382) between groups. Adherence to the splinting program was high (18 out of 19 participants), and no adverse effects occurred. Four themes emerged from the participant comments: the participants felt splints were helpful in their recovery; they found it challenging to direct their caregivers to help with the splints; they needed to take ownership for managing their splints; and they wished they received more education on splint rationale. Conclusion: There was no obvious difference in outcome or user preference between prefabricated and custom resting hand splints. |
| Databáze: | OpenAIRE |
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