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A comparison of prefabricated and custom made resting hand splints for individuals with cervical spinal cord injury: A randomized controlled trial.
- Source :
-
Clinical Rehabilitation . Jun2021, Vol. 35 Issue 6, p861-869. 9p. - Publication Year :
- 2021
-
Abstract
- Objective: To compare prefabricated and custom resting hand splints and establish the feasibility of splinting research for larger scale trials. Design: A Randomized controlled pilot study where the randomization unit was each hand, rather than each individual. Setting: Thirty-two-bed spinal cord injury and multi-trauma rehabilitation unit in an urban academic rehabilitation center. Subjects: Thirty-six hands from 19 individuals with cervical spinal cord injury were enrolled during their acute rehabilitation stay. Interventions: Each eligible hand was randomized to receive a custom or prefabricated resting hand splint for night use. Main measures: The Graded Redefined Assessment of Strength, Sensation and Prehension (GRASSP) was completed at both admission and discharge, and a structured interview was completed at discharge. Results: No difference existed in GRASSP outcomes or user preference between custom and prefabricated resting hand splints. Mann-Whitney tests indicated that there was no significant difference in qualitative prehension scores (U = 141, P = 0.522) nor quantitative prehension scores (U = 135, P = 0.382) between groups. Adherence to the splinting program was high (18 out of 19 participants), and no adverse effects occurred. Four themes emerged from the participant comments: the participants felt splints were helpful in their recovery; they found it challenging to direct their caregivers to help with the splints; they needed to take ownership for managing their splints; and they wished they received more education on splint rationale. Conclusion: There was no obvious difference in outcome or user preference between prefabricated and custom resting hand splints. [ABSTRACT FROM AUTHOR]
- Subjects :
- *PILOT projects
*SPINAL cord
*SPINAL cord injuries
*SPLINTS (Surgery)
*INTERVIEWING
*MANN Whitney U Test
*PRODUCT design
*RANDOMIZED controlled trials
*COMPARATIVE studies
*DESCRIPTIVE statistics
*RESEARCH funding
*REHABILITATION
*STATISTICAL sampling
*DATA analysis software
*THEMATIC analysis
Subjects
Details
- Language :
- English
- ISSN :
- 02692155
- Volume :
- 35
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Clinical Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 150826326
- Full Text :
- https://doi.org/10.1177/0269215520983486