Edema Control

Artzberger, Sandra M.; White, Jocelyn

doi:10.1016/b978-0-323-17281-3.00023-x

Cited by 2 publications

(2 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Poststroke hand oedema occurs in 37% of individuals who experience a chronic stroke and in up to 18.5% of individuals with acute stroke (Gebruers, Truijen, Engelborghs, & De Deyn, 2011;Leibovitz et al, 2007). Although the exact aetiology of poststroke hand oedema is still inconclusive, a few possible causes have been identified, including sympathetic vasomotor dysfunction and dysregulation of the autonomic nervous system caused by stroke (Artzberger & White, 2011;Hesse, Jahnke, Ehret, & Mauritz, 1995), venous congestion due to immobility, and dependent positioning (Artzberger & White, 2011;Geurts, Visschers, van Limbeek, & Ribbers, 2000). Vascular changes after stroke might also alter the mechanism of filtration and reabsorption of excessive amount of interstitial fluid in the vessels, which may also lead to hand oedema (Wang, Chen, Lan, Wong, & Lai, 2004;Wang, Yang, Liaw, & Wong, 2002).…”

Section: Introductionmentioning

confidence: 99%

“…Persistent hand oedema is correlated with pain and fibrosis of the tissue, which have negative effects on hand functions (Boomkamp-Koppen, Visser-Meily, Post, & Prevo, 2005;Geurts et al, 2000). The two most common outcome measures of hand oedema are circumferential measurements and volumetric measurement (Artzberger & White, 2011). The rehabilitation management of poststroke hand oedema includes electrical stimulation (Faghri, 1997;Pandyan, Powell, Futter, Granat, & Stott, 1996), compression therapy (Bell & Muller, 2013;Gustafsson, Walter, Bower, Slaughter, & Hoyle, 2014;Roper, Redford, & Tallis, 1999), orthosis (Bürge et al, 2008;Gracies et al, 2000;Kuppens, Pijlman, Hitters, & van Heugten, 2014), and mobilization (Dirette & Hinojosa, 1994;Giudice, 1990;Kim, Lee, & Sohng, 2014).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Rehabilitation Interventions for Poststroke Hand Oedema: A Systematic Review

Giang

Ong

Krishnamurthy

et al. 2016

Hong Kong Journal of Occupational Therapy

View full text Add to dashboard Cite

Objective/BackgroundTo review the evidence of rehabilitation interventions for the management of poststroke hand oedema.MethodsWe conducted a systematic review of research articles in electronic databases published in English between 1999 and 2015. Two investigators working independently retrieved articles from the Cochrane Central Register of Controlled Trials, SCOPUS, Taylor & Francis Online, Wiley Online Library, CINAHL, Springer (MetaPress), ScienceDirect, PubMed, SAGE Journals Online, EBSCO, and Web of Science. Only controlled trials with outcome measures and interventions for poststroke hand oedema were included. Three investigators critically appraised the selected studies using the Physiotherapy Evidence Database Scale.ResultsOf the 189 articles identified, nine (5 randomized controlled trials, 3 nonrandomized controlled trials, and 1 crossover controlled trial) were selected. These studies are heterogeneous in terms of design and types of intervention for poststroke hand oedema. The interventions reducing hand oedema are Lycra pressure garments with glove splints, bilateral passive motion upper-limb exercises, laser therapy, and acupressure. However, due to these studies’ short intervention periods and the fact that hand oedema is not their primary outcome measure, it is not possible to draw a firm conclusion on their clinical significance for managing poststroke hand oedema.ConclusionFurther study needs to focus solely on interventions for poststroke hand oedema and their long-term effects. No conclusion can be made on the most effective management of poststroke hand oedema until much more evidence is available.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Rehabilitation Interventions for Poststroke Hand Oedema: A Systematic Review

Giang

Ong

Krishnamurthy

et al. 2016

Hong Kong Journal of Occupational Therapy

View full text Add to dashboard Cite

show abstract

Current practice trends of oedema management in the hands of people with tetraplegia in Australia

Gustafsson

Eames

2019

Spinal Cord Ser Cases

View full text Add to dashboard Cite

Study design Survey research design.Objectives To describe current practice methods for oedema management in people with tetraplegia. Setting Australia. Methods Online survey with open and closed questions regarding clinical practice trends in the assessment and treatment of oedema in the hands in people with tetraplegia. Results Seventeen occupational therapists working in spinal cord injury (SCI) in Australia completed the survey. Oedema was identified by visual inspection (n = 17, 100%) and recorded using circumferential tape measurement (n = 13, 76%). Elevation was used by all participants in conjunction with compression gloves (n = 13, 76%), retrograde massage (n = 13, 76%), compression bandaging (n = 12, 71%) and the boxing glove splint (n = 9, 53%). Participants stated that oedema presented challenges to patients with difficulty exercising (n = 11, 65%), changes to body image (n = 5, 29%) and pain (n = 4, 24%). Conclusion Assessment and treatment practices were not consistent. Oedema in the hands in people with tetraplegia was perceived to have various impacts on a person's rehabilitation and hand function. The findings highlight the need for research evidence to guide practice.

show abstract

Edema Control

Cited by 2 publications

References 27 publications

Rehabilitation Interventions for Poststroke Hand Oedema: A Systematic Review

Rehabilitation Interventions for Poststroke Hand Oedema: A Systematic Review

Current practice trends of oedema management in the hands of people with tetraplegia in Australia

Contact Info

Product

Resources

About