Comparing the Efficacy of Various Hand Splints in Post Stroke Recovery
a Brief Literature Review
DOI:
https://doi.org/10.47611/jsrhs.v10i1.1374Keywords:
Stroke, Stroke Recovery, Splints, Hand Splints, Orthosis, Hand Orthosis, Static Splints, Dynamic Splints, Robotic Splints, Literature ReviewAbstract
Stroke is the leading cause of long-term disability in the United States, according to the CDC, and causes reduced mobility in half of all survivors age 65 and over. Additionally, most stroke survivors suffer from impaired upper extremity function, and this debilitating impairment limits persons with stroke from performing basic activities of daily living; as a result, their quality of life is reduced. Splinting seeks to aid persons with stroke in gaining critical hand function through shaping the hand properly, reducing joint pain, preventing or treating muscle contracture and spasticity, and providing assistance. While there are many splints designed for persons with stroke currently commercially available, a majority of them can be classified as part of one of two categories: static splints and dynamic splints. To examine how effective each kind of splint is at improving upper limb function after stroke, we reviewed the various designs of static and dynamic splints, their functionality, and mechanics, and summarized the study results from the literature. We also discussed both the current limitations of each design of splint, as well as designs and treatments that could be developed in the future.
Downloads
References or Bibliography
Al-Quraishi, M., Elamvazuthi, I., Daud, S., Parasuraman, S., & Borboni, A. (2018, October 7). EEG-Based Control for Upper and Lower Limb Exoskeletons and Prostheses: A Systematic Review. Retrieved September 30, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6211123/
AliLite™ Functional Position Splint. (n.d.). Retrieved October 01, 2020, from https://www.alimed.com/alimed-functional-position-splint.html
AliMed® Turnbuckle Functional Position Splint. (n.d.). Retrieved October 01, 2020, from https://www.alimed.com/alimed-turnbuckle-functional-position-splint.html
Andringa, A., Van de Port, I., & Meijer, J. (2013, February 27). Long-Term Use of a Static Hand-Wrist Orthosis in Chronic Stroke Patients: A Pilot Study. Retrieved September 29, 2020, from https://www.hindawi.com/journals/srt/2013/546093/
Barry, J. G., Ross, S. A., & Woehrle, J. (2012, March). Therapy incorporating a dynamic wrist-hand orthosis versus manual assistance in chronic stroke: A pilot study. Retrieved September 29, 2020, from https://pubmed.ncbi.nlm.nih.gov/22354108/
Chang, W., & Lai, P. (2015, March 31). New design of home-based dynamic hand splint for hemiplegic hands: A preliminary study. Retrieved September 29, 2020, from https://pubmed.ncbi.nlm.nih.gov/25931740/
Fujiwara, T., Kawakami, M., Honaga, K., Tochikura, M., & Abe, K. (2017, January 16). Hybrid Assistive Neuromuscular Dynamic Stimulation Therapy: A New Strategy for Improving Upper Extremity Function in Patients with Hemiparesis following Stroke. Retrieved September 29, 2020, from https://www.hindawi.com/journals/np/2017/2350137/
Jo, M., Chen, W., Zhang, M., Shang, K., & Carstanje, B. (2018, December 20). A dynamic splint for the treatment of spasticity of the hand after stroke?Recognition of its design, functionality and limitations: A narrative reviewarticle: Semantic Scholar. Retrieved September 29, 2020, from https://www.semanticscholar.org/paper/A-dynamic-splint-for-the-treatment-of-spasticity-of-Bianca-Jo/ff5be21b67bd9d079fb786e8db80f27e92643cc7
Leung, J., Harvey, L., Moseley, A., Tse, C., Bryant, J., Wyndham, S., & Barry, S. (2012, November 22). Electrical stimulation and splinting were not clearly more effective than splinting alone for contracture management after acquired brain injury: A randomised trial. Retrieved September 29, 2020, from https://www.sciencedirect.com/science/article/pii/S1836955312701248
Orihuela-Espina, F., Femat Roldán, G., Sánchez-Villavicencio, I., Palafox, L., Leder, R., Sucar, L. E., & Hernández-Franco, J. (2015, November 6). Robot training for hand motor recovery in subacute stroke patients: A randomized controlled trial. Retrieved September 29, 2020, from https://pubmed.ncbi.nlm.nih.gov/26847320/
Smania, N., Gandolfi, M., Paolucci, S., Iosa, M., Ianes, P., Recchia, S., . . . Farina, S. (2012). Reduced-Intensity Modified Constraint-Induced Movement Therapy Versus Conventional Therapy for Upper Extremity Rehabilitation After Stroke. Neurorehabilitation and Neural Repair, 26(9), 1035-1045. doi:10.1177/1545968312446003
The Internet Stroke Center. (n.d.). Retrieved September 30, 2020, from http://www.strokecenter.org/patients/about-stroke/what-is-a-stroke/
Vanoglio, F., Bernocchi, P., Mulè, C., Garofali, F., Mora, C., Taveggia, G., . . . Luisa, A. (2017, March). Feasibility and efficacy of a robotic device for hand rehabilitation in hemiplegic stroke patients: A randomized pilot controlled study. Retrieved September 29, 2020, from https://www.ncbi.nlm.nih.gov/pubmed/27056250/
Villafañe, J., Taveggia, G., Galeri, S., Bissolotti, L., Imperio, G., Valdes, K., . . . Negrini, S. (2018, January). Efficacy of Short-Term Robot-Assisted Rehabilitation in Patients With Hand Paralysis After Stroke: A Randomized Clinical Trial. Retrieved September 29, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5755871/
Wagner, T. H., Lo, A. C., Peduzzi, P., Bravata, D. M., Huang, G. D., Krebs, H. I., . . . Guarino, P. D. (2011, July 14). An Economic Analysis of Robot-Assisted Therapy for Long-Term Upper-Limb Impairment After Stroke. Retrieved September 30, 2020, from https://www.ahajournals.org/doi/10.1161/strokeaha.110.606442
Woo, Y., Jeon, H., Hwang, S., Choi, B., & Lee, J. (2012, October 30). Kinematics variations after spring-assisted orthosis training in persons with stroke. Retrieved September 29, 2020, from https://pubmed.ncbi.nlm.nih.gov/23112278/
Yue, Z., Zhang, X., & Wang, J. (2017). Hand Rehabilitation Robotics on Poststroke Motor Recovery. Retrieved September 29, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5688261/
Yurkewich, A., Kozak, I. J., Hebert, D., Wang, R. H., & Mihailidis, A. (2020, February 26). Hand Extension Robot Orthosis (HERO) Grip Glove: Enabling independence amongst persons with severe hand impairments after stroke. Retrieved September 29, 2020, from https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-020-00659-5
Published
How to Cite
Issue
Section
Copyright (c) 2021 Smitha Bhagavatula; Dr. Chang
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright holder(s) granted JSR a perpetual, non-exclusive license to distriute & display this article.