Callinan N J, Mathiowetz V
Sister Kenny Institute, Abbott Northwestern Hospital, Minneapolis, Minnesota, USA.
Am J Occup Ther. 1996 May;50(5):347-53. doi: 10.5014/ajot.50.5.347.
This study compared soft versus hard resting hand splints on pain and hand function in 39 persons with rheumatoid arthritis. Splint preference was also evaluated to determine its effects on splint wear compliance.
A repeated measures research design was used to compare the two experimental conditions, wearing a soft splint versus a hard splint on the dominant hand for 28 days at night only, and an unsplinted control period of 28 days.
Arthritis pain was considerably less during both splinted periods when compared with the pretest. Subjects identified fewer joints as being painful during the soft splint condition than during the unsplinted condition. There were no significant differences among conditions on hand function measures. Splint preference was 57% for the soft splint, 33% for the hard splint, and 10% for no splint. Splint wear compliance was significantly better with the soft splint (82%) than with the hard splint (67%).
The findings indicate that resting hand splints are effective for pain relief and that persons with rheumatoid arthritis are more likely to prefer and comply with soft splint use for this purpose. Individualized splint prescription that focuses on client comfort and preference may enhance splint wear compliance.
本研究比较了软质与硬质静息手夹板对39例类风湿性关节炎患者疼痛和手部功能的影响。还评估了夹板偏好，以确定其对夹板佩戴依从性的影响。
采用重复测量研究设计，比较两种实验条件，即仅在夜间将优势手佩戴软质夹板与硬质夹板28天，以及28天的无夹板对照期。
与预测试相比，在两个夹板期的关节炎疼痛均明显减轻。与无夹板状态相比，受试者在软质夹板状态下识别出疼痛的关节更少。在手部功能测量方面，各条件之间无显著差异。软质夹板的夹板偏好为57%，硬质夹板为33%，无夹板为10%。软质夹板的夹板佩戴依从性（82%）明显优于硬质夹板（67%）。
研究结果表明，静息手夹板对缓解疼痛有效，类风湿性关节炎患者更倾向于并更愿意为此目的使用软质夹板。注重患者舒适度和偏好的个性化夹板处方可能会提高夹板佩戴依从性。
