Document Detail


A comparative study of splint effectiveness in limiting forearm rotation.
MedLine Citation:
PMID:  20456918     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Case Study Series. INTRODUCTION: Restriction of forearm rotation may be required for effective management and rehabilitation of the upper limb after trauma. PURPOSE OF THE STUDY: To compare the effectiveness of four splints in restricting forearm rotation. METHODS: Muenster, Sugartong, antipronation distal radioulnar joint (DRUJ), and standard wrist splints were fabricated for five healthy participants. Active range of motion (AROM) in forearm pronation and supination was measured with a goniometer for each splint, at the initial point of sensory feedback and during exertion of maximal force. RESULTS: Repeated-measures analysis of variance indicated significant differences between splints for all four AROM measures. Post hoc paired t-tests showed that the Sugartong splint was significantly more restrictive in pronation than the Muenster splint. The antipronation DRUJ splint provided significantly greater restriction in pronation than the standard wrist splint. No splints immobilized the forearm completely. CONCLUSIONS: The Sugartong splint is recommended for maximal restriction in pronation, but individual patient characteristics require consideration in splint choice. LEVEL OF EVIDENCE: IV.
Authors:
Adrienne Slaughter; Lyn Miles; Jennifer Fleming; Steven McPhail
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-04-24
Journal Detail:
Title:  Journal of hand therapy : official journal of the American Society of Hand Therapists     Volume:  23     ISSN:  0894-1130     ISO Abbreviation:  J Hand Ther     Publication Date:    2010 Jul-Sep
Date Detail:
Created Date:  2010-07-26     Completed Date:  2010-11-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8806591     Medline TA:  J Hand Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  241-7; quiz 248     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.
Affiliation:
Occupational Therapy Department, Princess Alexandra Hospital, School of Health and Rehabilitation Sciences, The University of Queensland, Woolloongabba, Queensland, Australia. adrienne_slaughter@health.qld.gov.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Arthrometry, Articular
Elbow Joint
Equipment Design
Female
Forearm*
Humans
Male
Pronation*
Range of Motion, Articular
Rotation
Splints*
Supination*
Wrist Joint

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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