Status:
COMPLETED
The Efficacy of Dynamic Hand Splint Treatment in Spastic Hemiparetic Patients
Lead Sponsor:
Chang Gung Memorial Hospital
Conditions:
Stroke
Brain Injuries
Eligibility:
All Genders
20-85 years
Phase:
NA
Brief Summary
The purpose of this randomized controlled trial was designed to study the efficacy of dynamic hand splinting on spastic hemiparetic patients due to stroke or traumatic brain injury.
Detailed Description
Subjects were recruited from both inpatients and outpatients who received rehabilitation programs in the Department of Physical Medicine and Rehabilitation at a regional teaching hospital in Taiwan. T...
Eligibility Criteria
Inclusion
- an age of 20 to 85 years
- the duration of stroke or brain injury more than 6 months
- unilateral hemiparesis with intact sound side limbs function
- the Brunnstrom's stage of both arm and hand ≥ III
- able to follow instructions, wear a dynamic hand splint and perform therapeutic activities
- wrist spasticity with a Modified Ashworth Scale score 1-3
- willing to provide the written informed consent.
Exclusion
- patients with apraxia
- cognitive impairment with a Mini-Mental State Examination (MMSE) score \< 25
- any fixed contracture of the affected wrist or fingers
- a history of peripheral nerve injury, other severe neuromuscular disease or musculoskeletal deformity change in the affected side upper extremity
- a history of alcohol or phenol injection to the affected side upper extremity
- Botulinum toxin injection to the affected side upper extremity for the treatment of spasticity within 4 months before the study
- surgical treatment for spasticity to the affected side upper extremity
- active infection
- obvious atrophy of muscles in the affected side upper extremity
- bilateral upper extremities weakness
- any dermatosis or open wounds in the affected upper extremity or an allergy to the splint.
Key Trial Info
Start Date :
November 4 2016
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
March 22 2019
Estimated Enrollment :
35 Patients enrolled
Trial Details
Trial ID
NCT04441437
Start Date
November 4 2016
End Date
March 22 2019
Last Update
June 23 2020
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