Effectiviness of Volar Static Hand-Wrist Orthesis in Stroke Patients
orthesis in stroke patients
Objective: To evaluate the volar static hand-wrist orthoses, upper extremity motor development, manual dexterity and independence in daily life activities in stroke patients. Methods: Forty patients were prospectively randomized to use a volar splint or no splint (control group). All patients were included in a 6-week rehabilitation programme. Fugl-Meyer Assessment was used for clinical motor assessment, the Modified Ashworth Scale was employed for spasticity, the Nine Hole Peg Test (NHPT) was used for evaluating fine motor dexterity, and the Barthel index was employed for functional evaluation Results: Only a significant difference was found in the Modified Ashworth finger flexor values in Group 1 patients between hospitalisation and week 3 and week 6 but other scales were not significantly different among the groups. Conclusions: Volar static hand-wrist orthoses were shown to be particularly effective on finger flexors with exercise therapy in reducing muscle tone, and also beneficial exercise programmes in post-stroke rehabilitation.
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