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

https://doi.org/10.1136/ebn.10.3.86

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    Lannin NA, Cusick A, McCluskey A, et al. Effects of splinting on wrist contracture after stroke: a randomized controlled trial. Stroke 2007;38:111–6.OpenUrlAbstract/FREE Full Text

    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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    Footnotes

    • For correspondence: Dr N A Lannin, Royal Rehabilitation Centre, Sydney, New South Wales, Australia. nlannin{at}mail.usyd.edu.au

    • Source of funding: no external funding.