An Orthosis Designed to Control Contracture of the Shoulder and Forearm with Spasticity.
- Author:
Ju Kang LEE
1
;
Yoon Myung YIM
;
Oh Kyung LIM
;
Do Hoon KIM
;
Seung Gyun OH
;
Jung Tae KIM
Author Information
1. Department of Physical Medicine, Gachon Medical School, Korea.
- Publication Type:Original Article
- Keywords:
Shoulder;
Contracture;
Orthosis;
Supination
- MeSH:
Contracture*;
Elbow;
Forearm*;
Hand;
Humans;
Muscle Spasticity*;
Orthotic Devices*;
Plastics;
Range of Motion, Articular;
Shoulder*;
Supination;
Upper Extremity;
Wrist
- From:Journal of the Korean Academy of Rehabilitation Medicine
2001;25(6):1069-1073
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To develop and evaluate newly designed orthosis to control contracture of the shoulder and the forearm in the spastic upper limb. METHOD: Subjects were 6 hemiplegic patients and 1 tetraplegic patient who showed the features of spasticity. Volar wrist hand orthosis was modified to attach a plastic stick which can be easily separated. The orthosis was applied in supinated position for 8 weeks. The shoulder and elbow range of motion was measured every 2 weeks for 8 weeks. RESULTS: The subjects with spasticity showed significant improvement in the shoulder abduction (p<0.05), adduction (p<0.05) and external rotation (p<0.05) after applying modified volar wrist hand orthosis for 8 weeks. The forearm supination was well maintained for 8 weeks. CONCLUSION: The newly designed orthosis showed significant effects in the improvement of the shoulder abduction, adduction and external rotation and the forearm supination of spastic upper limbs.
