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Neutral functional realignment orthosis prevents hand pain in patients with subacute stroke: a randomized trial

Bürge, Elisabeth
Kupper, Danièle
Ryerson, Susan
Leemann, Béatrice
Published in Archives of Physical Medicine and Rehabilitation. 2008, vol. 89, no. 10, p. 1857-62
Abstract OBJECTIVE: To quantify the preventive effect of a neutral functional realignment orthosis on pain, mobility, and edema of the hand in subacute hemiparetic poststroke patients with severe motor deficits. DESIGN: Randomized trial. SETTING: Rehabilitation center. PARTICIPANTS: Poststroke patients (N=30) with subacute hemiparesis and severe deficits of the upper limb were enrolled. Fifteen patients were randomized to a standard rehabilitation program without orthosis and 15 patients received an experimental orthosis in addition to their standard rehabilitation program. INTERVENTION: The orthosis group wore the neutral functional realignment orthosis for at least 6 hours daily. MAIN OUTCOME MEASURES: Hand pain at rest (visual analog scale), wrist range of motion (Fugl-Meyer Assessment subscale), and edema of hand and wrist (circumferences). Outcome measures were assessed at time of randomization and after 13 weeks between groups. RESULTS: At baseline, 2 patients in each group complained about a painful hand. After 13 weeks, 8 subjects in the control group and 1 subject in the orthosis group complained of hand pain (P=.004). Mobility and edema evolved similarly in both groups. CONCLUSIONS: Neutral functional realignment orthoses have a preventive effect on poststroke hand pain, but not on mobility and edema in the subacute phase of recovery.
Keywords AdultAgedAged, 80 and overBiomechanicsHand/physiopathologyHumansMiddle AgedOrthotic DevicesPain/physiopathology/rehabilitationPain MeasurementParesis/physiopathology/rehabilitationPhysical Therapy ModalitiesRange of Motion, Articular/physiologyRecovery of FunctionStroke/physiopathology/rehabilitationTreatment Outcome
Stable URL https://archive-ouverte.unige.ch/unige:1402
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PMID: 18929013
Research groups Amnésie (289)
Mécanisme de l'inflammation articulaire (44)

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Deposited on : 2009-04-27

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