Serial casting versus positioning for the treatment of elbow contractures in adults with traumatic brain injury: a randomized controlled trial
| Autor: | Joan Leung, Leanne Hassett, Anne M. Moseley, Robert D. Herbert, Jennifer S Clare, Lisa A. Harvey |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Contracture Traumatic brain injury medicine.medical_treatment Posture Physical Therapy Sports Therapy and Rehabilitation law.invention Randomized controlled trial law Elbow Joint medicine Humans Serial casting Range of Motion Articular Rehabilitation business.industry Motion Therapy Continuous Passive medicine.disease Confidence interval Casts Surgical Treatment Outcome Elbow flexion contracture Anesthesia Brain Injuries Physical therapy Patient Compliance Female medicine.symptom Range of motion business Follow-Up Studies |
| Zdroj: | Clinical rehabilitation. 22(5) |
| ISSN: | 0269-2155 |
| Popis: | Objective: To compare the effects of serial casting with positioning for 1 hour per day for the treatment of elbow flexion contracture in adults with traumatic brain injury.Design: Pragmatic randomized controlled trial with concealed allocation and assessor blinding.Setting: Four brain injury rehabilitation units.Subjects: Twenty-six adults with elbow flexion contracture after traumatic brain injury participating in multidisciplinary inpatient rehabilitation.Interventions: Subjects were randomized to receive either serial casting or positioning for two weeks. In the subsequent four weeks subjects could be positioned for up to 1 hour/day.Main measures: Torque-controlled passive elbow extension was measured at baseline, post-intervention (two weeks), post-intervention plus one day, and at follow-up (four weeks post-intervention).Results: All 26 subjects completed the study. Post-intervention, serial casting reduced contracture by an average of 22 degrees (95% confidence interval (CI) 13 to 31; P Conclusions: Serial casting induces transient increases in range of motion. These effects are not maintained. |
| Databáze: | OpenAIRE |
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