Objective Evaluation of a Splint Designed to Reduce Hypertonicity

McPherson, James J.

doi:10.5014/ajot.35.3.189

Cited by 28 publications

(11 citation statements)

References 8 publications

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“…A decrease in flexor tone was consistently noticed immediately following application. Further investigation confirmed the results of a decrease in hypertonicity (McPherson, 1981).…”

Section: Finger Spreadersupporting

confidence: 85%

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Hand Splints and Cerebral Spasticity: A Review of the Literature

Langlois¹,

MacKinnon²,

Pederson³

1989

Can J Occup Ther

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The literature pertaining to the use of hand splints to treat cerebral spasticity is reviewed. Splinting patients with hand dysfunction as a result of spasticity remains a controversial treatment technique because of a paucity of research, methodological weakness in study designs, and contradictory results from investigations. The various splint designs commonly used. the corresponding neurophysiological rationale and research examining splinting and spasticity are discussed. Sug,gestions incorporating ,sound research methodology are offered to further explore this treatment technique.

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“…A decrease in flexor tone was consistently noticed immediately following application. Further investigation confirmed the results of a decrease in hypertonicity (McPherson, 1981).…”

Section: Finger Spreadersupporting

confidence: 85%

“…Design limitations such as small sample size (e.g. McPherson, 1981;Mills, 1984) and lack of comparison groups (e.g. Dayhoff, 1975;Mills, 1984;Zislis, 1964) have affected studies, and thereby call into question some of the results.…”

Section: Discussionmentioning

confidence: 98%

Hand Splints and Cerebral Spasticity: A Review of the Literature

Langlois¹,

MacKinnon²,

Pederson³

1989

Can J Occup Ther

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“…McPherson [31] looked at the effectiveness of a spasticity reduction splint and found a significant reduction in hypertonicity following four weeks use of a splint in five subjects with increased flexor tone at the wrist. However, this reduction was not sustained and hypertonicity increased following splint removal.…”

Section: Influence Of Splint Is Local and Temporarymentioning

confidence: 99%

Do clients with acquired brain injury use the splints prescribed by occupational therapists? A descriptive study

Kuipers

Rassafiani

Ashburner

et al. 2009

NRE

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Clients with acquired brain injury often demonstrate hypertonicity and decreased function in their upper limbs, requiring appropriate intervention. Splinting is one of the intervention methods that is widely used to address these issues. Literature shows that some clients are not using splints following fabrication. However, there is a paucity of research about the factors that influence clients to use or not use splints. This study aims to investigate these influential factors for clients with upper limb hypertonicity. Two survey tools including therapist and client questionnaires were developed and completed by both therapists and clients. Six therapists and 14 clients participated in this study and completed the relevant questionnaires. The results illustrate that most clients (13 out of 14) were continuing to use their splints four weeks following discharge from hospital. The main goals of choosing splints for both therapists and clients were prevention of contracture and deformity. The most indicated client reasons for adhering to the splint wearing program were therapist-related factors including clients' trust and reliance on their therapists. Further reasons for clients implementing the recommended splint-wearing program and clinical implications are discussed.

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“…The efficacy of splinting after acquired brain impairment is yet to be established. 7,9,12,17 Most published studies [21][22][23][24][25] have not used true experimental designs, 17,24 and most have measured the effect of splinting on spasticity. The clinical relevance of spasticity as an outcome is questionable because recent research suggests that spasticity is unrelated, or only weakly related, to functional ability after stroke.…”

mentioning

confidence: 99%