Splint efficacy in chronic post-stroke spasticity: a pilot study

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dc.contributor.authorOnder, B.
dc.contributor.authorSelcuk, B.
dc.contributor.authorAtci, A.G.
dc.contributor.authorKurtaran, A.
dc.contributor.authorAkyuz, M.
dc.date.accessioned2024-09-29T16:16:06Z
dc.date.available2024-09-29T16:16:06Z
dc.date.issued2022
dc.departmentKarabük Üniversitesien_US
dc.description.abstractIntroduction. Hand spasticity after stroke is a serious issue and may lead to hygiene problems, range of motion limitations, or contractures. Hand splints are often used to reduce spasticity and prevent movement limitations; however, there is little research available on the efficacy of splints in spasticity. The study aimed to investigate the efficacy of a reflex inhibitory splint (RiS) for upper extremity spasticity in stroke patients by using clinical and electrophysiological studies. Methods. Stroke patients with elbow and hand spasticity were allocated into 2 groups. The splint group (n = 16) wore RiS. The control group (n = 13) did not wear any upper extremity splint. Both groups received the same rehabilitation program during this period. They were evaluated for motion in the upper extremity with the Brunnstrom scale and Fugl-Meyer upper extremity scale. Electrophysiological measurements showing motor neuron excitability such as the ratio between the maximum amplitude of H-reflex and the maximum amplitude of M-response (Hmax/Mmax ratio), H-reflex latency, and F-wave persistence and latency were also studied. All clinical and electrophysiological measurements were performed in both groups on days 0 and 15. Results. At the end of the treatment, elbow and finger flexion tonus decreased and active wrist extension angle increased in the splint treatment group compared with both baseline and the control group. Compared with the pre-treatment status, a correlation was detected between the Hmax/Mmax ratio and the wrist flexion tonus in the splint group. Conclusions. RiS may be useful for the management of post-stroke upper-limb spasticity. © Wroclaw University of Health and Sport Sciencesen_US
dc.identifier.doi10.5114/pq.2021.108667
dc.identifier.endpage23en_US
dc.identifier.issn2544-4395
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85132227685en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage20en_US
dc.identifier.urihttps://doi.org/10.5114/pq.2021.108667
dc.identifier.urihttps://hdl.handle.net/20.500.14619/8864
dc.identifier.volume30en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherUniversity School of Physical Education in Wroclawen_US
dc.relation.ispartofPhysiotherapy Quarterlyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAshworth scaleen_US
dc.subjectH-reflexen_US
dc.subjectreflex inhibitory splinten_US
dc.subjectspasticityen_US
dc.titleSplint efficacy in chronic post-stroke spasticity: a pilot studyen_US
dc.typeArticleen_US

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