Abd El-Kafy Ehab Mohamed, Alayat Mohamad Salaheldien, Alwhaibi Reem M, Basuodan Reem M
Department of Physical Therapy, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah, Saudi Arabia.
Department of Pediatric Physical Therapy, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Prosthet Orthot Int. 2024 Dec 1;48(6):706-712. doi: 10.1097/PXR.0000000000000325. Epub 2024 Jan 3.
The rehabilitation process for the upper extremities of individuals with stroke requires therapists to use splints for supportive and corrective purposes. The aim of this study was to assess the effectiveness of spiral strapping in inhibiting spasticity and improving the upper extremity motor functions of individuals with chronic stroke.
Forty Saudi individuals aged 50-60 years with chronic stroke participated in this study. Their degrees of spasticity according to the Modified Ashworth Scale ranged across grades 1, 1+, and 2. Participants were randomly assigned to experimental and control groups. Participants in both groups received 1 h of conventional physical therapy for 3 d/wk to improve the motor functions of their upper extremities. In addition, participants in the experimental group wore an upper-limb spiral strapping with a hand splint 10 h/d for 6 d/wk. The treatment program for both groups was delivered for 4 weeks. Changes in the scores of Action Research Arm Test for elbow joint spasticity, active range of motion of the shoulder, elbow, and forearm joints, and hand grip strength were evaluated before and after treatment in both groups.
Significant improvements in all measured variables after treatment were reported in both groups, except for elbow joint spasticity in the control group. The experimental group showed significant post-treatment improvement in the scores for all measured variables compared with the control group.
Spiral strapping was beneficial in inhibiting mild degrees of spasticity and improving the motor functions of the upper extremities of stroke patients.
中风患者上肢的康复过程需要治疗师使用夹板来提供支撑和进行矫正。本研究的目的是评估螺旋绑扎在抑制慢性中风患者痉挛和改善其上肢运动功能方面的有效性。
40名年龄在50 - 60岁的沙特慢性中风患者参与了本研究。根据改良Ashworth量表，他们的痉挛程度在1级、1+级和2级之间。参与者被随机分配到实验组和对照组。两组参与者均接受每周3天、每次1小时的常规物理治疗，以改善其上肢运动功能。此外，实验组参与者每周6天、每天佩戴上肢螺旋绑扎和手部夹板10小时。两组的治疗方案均持续4周。在治疗前后评估两组患者肘关节痉挛的动作研究臂测试得分、肩、肘和前臂关节的主动活动范围以及握力的变化。
两组治疗后所有测量变量均有显著改善，但对照组的肘关节痉挛除外。与对照组相比，实验组治疗后所有测量变量的得分均有显著改善。
螺旋绑扎有助于抑制轻度痉挛并改善中风患者上肢的运动功能。
