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Overnight splinting of the wrist in a neutral or extended position did not prevent contracture after stroke

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Q Does overnight splinting of the wrist prevent contracture after stroke? Is splinting in an extended position more effective than splinting in a neutral position?

METHODS

Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:

concealed.

Embedded ImageBlinding:

blinded (outcome assessor).

Embedded ImageFollow up period:

6 weeks.

Embedded ImageSetting:

9 inpatient rehabilitation and stroke units in Sydney, Australia.

Embedded ImagePatients:

63 patients ⩾18 years of age (mean age 71 y, 52% women) who had had a stroke in the previous 8 weeks (mean 4 wks), no active wrist extension, and sufficient cognitive and hearing function to participate in the trial.

Embedded ImageIntervention:

neutral splint (0–10° extension) (n = 21), extension splint (comfortable end of range position [>45°] …

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