Dynamic splinting for the stiff hand after trauma : Predictors of contracture resolution

Glasgow, Celeste, Tooth, Leigh R., Fleming, Jenny and Peters, Susan (2011) Dynamic splinting for the stiff hand after trauma : Predictors of contracture resolution. Journal of Hand Therapy, 24 3: 195-205. doi:10.1016/j.jht.2011.03.001

Author Glasgow, Celeste
Tooth, Leigh R.
Fleming, Jenny
Peters, Susan
Title Dynamic splinting for the stiff hand after trauma : Predictors of contracture resolution
Journal name Journal of Hand Therapy   Check publisher's open access policy
ISSN 0894-1130
Publication date 2011-07
Sub-type Article (original research)
DOI 10.1016/j.jht.2011.03.001
Volume 24
Issue 3
Start page 195
End page 205
Total pages 11
Place of publication Philadelphia, PA, United States
Publisher Hanley and Belfus
Collection year 2012
Language eng
Formatted abstract
Study Design: Prospective cohort. Introduction: Many variables are believed to influence the success of dynamic splinting, yet their relationship with contracture resolution is unclear. Purpose of the Study: To identify the predictors of outcome with dynamic splinting of the stiff hand after trauma. Methods: Forty-six participants (56 joints) completed eight weeks of dynamic splinting, and the relationship between 13 clinical variables and outcome was explored. Results: Improvement in passive range of motion, active range of motion (AROM), and torque range of motion averaged 21.8°, 20.0°, and 13.0°, respectively (average daily total end range time, 7.96 hours). Significant predictors included joint stiffness (modified Weeks Test), time since injury, diagnosis, and deficit (flexion/extension). For every degree change in ROM on the modified Weeks Test, AROM improved 1.09° (standard error, 0.2). Test-retest reliability of the modified Weeks Test was high (intraclass correlation coefficient [2, 1] = 0.78). Conclusions: Better progress with dynamic splinting may be expected in joints with less pretreatment stiffness, shorter time since injury (<12 weeks), and in flexion rather than extension deficits. Further research is needed to determine the accuracy with which the modified Weeks Test may predict contracture resolution.
Keyword Complications
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Public Health Publications
School of Health and Rehabilitation Sciences Publications
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Citation counts: TR Web of Science Citation Count  Cited 10 times in Thomson Reuters Web of Science Article | Citations
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