Discipline of Occupational Therapy, The University of Sydney, Sydney, Australia.
Phys Occup Ther Pediatr. 2012 Aug;32(3):243-55. doi: 10.3109/01942638.2011.622035. Epub 2011 Oct 12.
Pain associated with hypermobility of wrist and hand joints can contribute to decreased handwriting output. This study examined the effectiveness of a neoprene wrist/hand splint in reducing pain and increasing handwriting speed and endurance for students with joint hypermobility syndrome.
Multiple baseline, single system design (SSD) methodology was used. Four ninth grade students with handwriting difficulties because of joint hypermobility syndrome participated in this study.
Visual and statistical (two standard deviation band method) analyses indicated a significant decrease in handwriting speed when using the splint for three out of four participants. No significant change in pain or endurance was noted during intervention. There was a significant decrease in pain following withdrawal of the splint for three participants.
Evidence from this study does not support use of this particular splint for decreasing pain and increasing handwriting speed and endurance for ninth grade students with joint hypermobility syndrome.
手腕和手部关节过度活动引起的疼痛可能会导致书写输出减少。本研究旨在探讨氯丁橡胶手腕/手部夹板在减轻疼痛、提高患有关节过度活动综合征的学生的书写速度和耐力方面的有效性。
本研究采用多基线、单系统设计(SSD)方法。四名因关节过度活动综合征而导致书写困难的九年级学生参与了这项研究。
视觉和统计(双标准差带法)分析表明,对于三名参与者中的三名,使用夹板时书写速度显著下降。干预过程中疼痛或耐力没有明显变化。三名参与者在取下夹板后疼痛明显减轻。
本研究的证据不支持使用这种特殊夹板来减轻疼痛、提高患有关节过度活动综合征的九年级学生的书写速度和耐力。