Department of Rehabilitation, Academic Medical Center, University of Amsterdam, PO Box 22660, NL-1100 DD Amsterdam, The Netherlands.
J Rehabil Med. 2012 Mar;44(3):249-53. doi: 10.2340/16501977-0932.
To assess initial efficacy and tolerability of a thumb opposition splint on manual dexterity, perceived upper limb functioning and occupational performance in patients with Charcot-Marie-Tooth disease.
One group pre-post design.
Thirteen patients were provided with a neoprene opposition splint for their dominant hand. Manual dexterity (Sollerman hand function test), perceived upper limb functioning (Michigan Hand Outcomes Questionnaire) and occupational performance (Canadian Occupational Performance Measure) were assessed after using the splint and compared with pre-treatment scores (paired t-tests). Usability and tolerability were assessed with a questionnaire.
Sollerman test scores improved significantly from a mean of 47 (standard deviation (SD) 11) to 52 (SD 12) points (norm 80 points) (p = 0.006). Perceived functioning in the domain activities of daily living (scale 0-100) improved significantly from 51 (SD 20) to 60 (SD 17) points (p = 0.04). Both occupational performance and satisfaction scores improved significantly (p = 0.020). Efficacy did not relate to age, disease duration or severity. Subjects were satisfied with splint cosmesis and comfort.
These results indicate that a thumb opposition splint can be applied effectively to improve upper limb functioning in patients with Charcot-Marie-Tooth disease.
评估拇指对掌夹板对手部灵巧度、上肢感知功能和职业表现的初步疗效和耐受性，在 Charcot-Marie-Tooth 病患者中。
一组患者治疗前后的设计。
13 名患者在其优势手上佩戴氯丁橡胶对掌夹板。使用夹板后评估手部灵巧度（Sollerman 手功能测试）、上肢感知功能（密歇根手功能问卷）和职业表现（加拿大职业表现测量），并与治疗前的评分进行比较（配对 t 检验）。使用问卷评估可用性和耐受性。
Sollerman 测试评分从平均 47（标准差 11）显著提高至 52（标准差 12）分（正常值 80 分）（p=0.006）。日常生活活动领域的感知功能（0-100 分）显著提高，从 51（标准差 20）提高至 60（标准差 17）分（p=0.04）。职业表现和满意度评分均显著提高（p=0.020）。疗效与年龄、疾病持续时间或严重程度无关。患者对夹板的美观和舒适度感到满意。
这些结果表明，拇指对掌夹板可有效应用于改善 Charcot-Marie-Tooth 病患者的上肢功能。
