Document Detail

No difference between wearing a night splint and standing on a tilt table in preventing ankle contracture early after stroke: a randomised trial.
MedLine Citation:
PMID:  18298357     Owner:  NLM     Status:  MEDLINE    
QUESTION: Is wearing a night splint as effective as standing on a tilt table in preventing ankle dorsiflexion contracture and promoting the ability to stand up early after stroke? DESIGN: Randomised trial with concealed allocation, assessor blinding, and intention-to-treat analysis. PARTICIPANTS: 30 patients undergoing rehabilitation who were not yet walking and within three weeks of their first stroke. INTERVENTION: For four weeks, one group wore a splint with the affected ankle at plantargrade, 7 nights per week, while the other group stood on a tilt table for 30 min with the ankle at maximum dorsiflexion, 5 times per week. This was followed by a period of no intervention for six weeks. Both groups received inpatient and outpatient rehabilitation emphasising mobility. OUTCOME MEASURES: The primary outcome was contracture measured as maximum passive ankle dorsiflexion. RESULTS: The night splint group had the same amount of ankle dorsiflexion as the tilt table group by Week 4 (mean difference 1 deg, 95% CI -5 to 7), and by Week 10 (mean difference 3.5 deg, 95% CI -3 to 10). CONCLUSION: When added to early rehabilitation, wearing a night splint on the affected ankle in stroke patients appears to be as effective as standing on a tilt table in preventing contracture at the ankle. However, since there was no control group, the prevention of contracture may have been due to other factors.
Wendy Robinson; Robyn Smith; Ohnmar Aung; Louise Ada
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Australian journal of physiotherapy     Volume:  54     ISSN:  0004-9514     ISO Abbreviation:  Aust J Physiother     Publication Date:  2008  
Date Detail:
Created Date:  2008-02-26     Completed Date:  2008-06-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370615     Medline TA:  Aust J Physiother     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  33-8     Citation Subset:  IM    
Bankstown/Lidcombe Hospital, Bankstown, NSW, 2200, Australia.
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MeSH Terms
Aged, 80 and over
Ankle Joint*
Contracture / etiology,  prevention & control*
Exercise Therapy*
Middle Aged
Range of Motion, Articular
Stroke / complications,  rehabilitation*
Tilt-Table Test

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