J Korean Acad Rehabil Med.
2001 Dec;25(6):1069-1073.
An Orthosis Designed to Control Contracture of the Shoulder and Forearm with Spasticity
- Affiliations
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- 1Department of Physical Medicine, Gachon Medical School, Korea.
- 2Department of Rehabilitation, Gachon Medical School, Korea.
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.
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