Application of A Dynamic Wrist-hand Orthosis for Upper Limb and Hand Function Rehabilitation in Chronic Stroke Patients
10.3969/j.issn.1006-9771.2019.11.019
- VernacularTitle:动态腕手矫形器应用于慢性期脑卒中患者上肢及手功能康复的疗效
- Author:
Ming-zhen YANG
1
;
Song-hua HUANG
2
;
Yu-long BAI
1
Author Information
1. Department of Rehabilitation, Huashan Hospital, Fudan University, Shanghai, 200040, China
2. Department of Rehabilitation, Huashan Hospital North, Fudan University, Shanghai 201907, China
- Publication Type:Research Article
- Keywords:
stroke;
upper limb;
hand;
wrist-hand orthosis;
motor function;
spasticity
- From:
Chinese Journal of Rehabilitation Theory and Practice
2019;25(11):1361-1364
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effect of grasping training under a dynamic wrist-hand orthosis (Saebo Glove) on upper limb and hand function in chronic stroke patients. Methods:From October, 2018 to January, 2019, eleven patients with hemiplegia in upper limb and hand after chronic stroke were recruited. They received conventional rehabilitation and grasping training under dynamic wrist-hand orthosis for three weeks. They were tested surface electromyography of flexor and extensor muscle of wrist and upper limb, assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE), Action Reach Arm Test (ARAT), modified Ashworth Scale (MAS), modified Tardieu Scale (MTS) and Triple Spasticity Scale (TSS), and measured grip force, active range of motion of wrist and metacarpophalangeal joints before and after treatment. Results:The scores of FMA, ARAT and TSS, and active range of motion of wrist flexor improved after treatment (t > 2.739, P < 0.05). Conclusion:Grasping training assisted with dynamic wrist-hand orthosis can improve upper limb and hand function of motor and release spasticity in hemiplegics after chronic stroke.
