Physical Medicine and Rehabilitation Clinic, Konya Beyhekim State Hospital, Konya, Turkey.
Top Stroke Rehabil. 2012 Jul-Aug;19(4):329-37. doi: 10.1310/tsr1904-329.
To determine the effect of volar and dorsal splinting on the spasticity of the wrist flexor muscles in patients who had stroke.
Thirty-nine subjects were prospectively randomized to use a dorsal or volar splint or no splint (control group). All the patients underwent home-based exercise program, and the experimental groups used either dorsal or volar hand splints according to their distribution. The primary outcome measure was spasticity assessed clinically by the Modified Ashworth Scale (MAS) and electrophysiologically by H latency and Hmax:Mmax ratio of flexor carpi radialis. Secondary outcome measure was passive range of motion (PROM) of wrist extension.
Spasticity parameters (MAS, H latency, Hmax:Mmax ratio) and wrist PROM were not significantly different among the groups.
This study failed to demonstrate any statistically significant difference in spasticity or in wrist PROM of both the volar and dorsal splint groups. These splints could be recommended as part of an integrative approach without expecting a major clinical effect rather than as an alternative to other treatment.
确定掌侧和背侧夹板对脑卒中后腕屈肌痉挛的影响。
39 名受试者前瞻性随机分为使用背侧或掌侧夹板或不使用夹板（对照组）。所有患者均接受家庭运动方案，实验组根据其分布使用背侧或掌侧手部夹板。主要结局测量指标为改良 Ashworth 量表（MAS）评估的临床痉挛程度和桡侧腕屈肌的 H 潜伏期和 Hmax:Mmax 比值的电生理评估。次要结局测量指标为腕伸展的被动活动范围（PROM）。
各组的痉挛参数（MAS、H 潜伏期、Hmax:Mmax 比值）和腕 PROM 无显著差异。
本研究未能证明掌侧和背侧夹板组在痉挛或腕 PROM 方面存在任何统计学显著差异。这些夹板可以作为综合治疗的一部分推荐，而不是作为其他治疗的替代方法，而不是期望产生重大的临床效果。
