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Evid Based Nurs 10:86 doi:10.1136/ebn.10.3.86
  • Treatment

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


 
 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

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

concealed.

GraphicBlinding:

blinded (outcome assessor).

GraphicFollow up period:

6 weeks.

GraphicSetting:

9 inpatient rehabilitation and stroke units in Sydney, Australia.

GraphicPatients:

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.

GraphicIntervention:

neutral splint (0–10° extension) (n = 21), extension splint (comfortable end of range position [>45°] with the metacarpophalangeal and interphalangeal joints extended) (n = 21), or no splint (n = 21). Patients in the 2 splint groups wore the custom …

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