Lau C
Department of Special Education, University of Nevada, Las Vegas, USA.
J Hand Ther. 1998 Jan-Mar;11(1):45-8. doi: 10.1016/s0894-1130(98)80060-4.
Therapists are frequently presented with new splinting material promising better and faster results. Managed care and cost containment make it important to evaluate the splinting materials used in the fabrication process. A new precut splint, QuickCast, is made from a fiberglass material that becomes pliable from the heat of a standard household hair dryer. Graduate occupational therapy students participated in timed trials fabricating resting hand splints with QuickCast and Ezeform brands of thermoplastic. Second-year occupational therapy students chosen as splint makers answered a questionnaire measuring fit, edges, strap application, aesthetics, safety, and ease of positioning. First-year students who had no neurologic or orthopedic involvement in the upper extremities participated as clients. They answered a questionnaire on comfort, weight, and aesthetics of the splint and the safety and comfort of the splinting process. Analysis of timed trials revealed no significant difference in the time required to fabricate the QuickCast precut thermoplastic and the sheet thermoplastic splints. From the questionnaire, the thermoplastic splint was rated safer than the QuickCast material by splint makers. Further studies are suggested for comparing time and cost effectiveness between commercially available splinting materials.
治疗师经常会接触到声称能带来更好更快效果的新型夹板材料。管理式医疗和成本控制使得评估制作过程中使用的夹板材料变得很重要。一种新型预切割夹板QuickCast由玻璃纤维材料制成，用标准家用吹风机加热后会变得柔韧。职业治疗专业的研究生参与了使用QuickCast和Ezeform品牌热塑性塑料制作静息手夹板的定时试验。被选为夹板制作人员的二年级职业治疗专业学生回答了一份关于贴合度、边缘、绑带应用、美观性、安全性和定位便利性的问卷。上肢无神经或骨科问题的一年级学生作为患者参与。他们回答了一份关于夹板舒适度、重量、美观性以及夹板制作过程安全性和舒适度的问卷。对定时试验的分析表明，制作QuickCast预切割热塑性夹板和片状热塑性夹板所需时间没有显著差异。根据问卷，夹板制作人员认为热塑性夹板比QuickCast材料更安全。建议进行进一步研究，以比较市售夹板材料之间的时间和成本效益。
