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Arch Phys Med Rehabil. 2008 Oct;89(10):1857-62. doi: 10.1016/j.apmr.2008.03.023.

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

Author information

1
Haute école de santé Geneva, HES-SO/University of Applied Sciences Western Switzerland, Geneva, Switzerland. Elisabeth.burge@hesge.ch

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.

PMID:
18929013
DOI:
10.1016/j.apmr.2008.03.023
[Indexed for MEDLINE]

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