关于偏瘫患者使用手部夹板的支持与反对理由的调查。

A survey of rationales for and against hand splinting in hemiplegia.

作者信息

Neuhaus B E, Ascher E R, Coullon B A, Donohue M V, Einbond A, Glover J M, Goldberg S R, Takai V L

出版信息

Am J Occup Ther. 1981 Feb;35(2):83-90. doi: 10.5014/ajot.35.2.83.

DOI:10.5014/ajot.35.2.83

Abstract

This study investigated rationales underlying splinting decisions involving patients with hemiplegia. The survey incorporated a limited-choice, multiple-option questionnaire based on the case study of a man with a left hemiparesis at three hypothetical stages of recovery. Ninety-three occupational therapists who answered indicated whether they would or would not recommend a splint at each stage, and selected one or more reasons for their decisions. The respondents fell into three major categories: those who would 1. never splint, 2. always splint, and 3. splint only in the presence of moderate to severe spasticity. Those with longer clinical experience reflected more tendency to splint. The results indicated conflicting practices in splinting and showed the need for further clinical research in this area.

摘要

本研究调查了偏瘫患者夹板固定决策背后的基本原理。该调查采用了一份基于一名左侧偏瘫男性在三个假设恢复阶段的案例研究的有限选择、多选项问卷。93名作答的职业治疗师表明了他们在每个阶段是否会推荐使用夹板，并为自己的决定选择了一个或多个理由。受访者分为三大类：1. 从不使用夹板者，2. 总是使用夹板者，3. 仅在存在中度至重度痉挛时使用夹板者。临床经验较长者表现出更多使用夹板的倾向。结果表明在夹板固定方面存在相互矛盾的做法，并显示出该领域需要进一步的临床研究。