Evaluation of performance and personal satisfaction of the patient with spastic hand after using a volar dorsal orthosis

Arquivos de Neuro-Psiquiatria

Danielle Dos Santos Cutrim Garros¹  Rubens José Gagliardi¹  Regina Aparecida Rossetto Guzzo¹ 

[1] ,Faculty of Medical Sciences Santa Casa de São Paulo Occupational Therapy Discipline Neurology Discipline

关键词: occupational therapy;    hand;    splint;    performance;    hemiplegia;    stroke;    rehabilitation;    terapia ocupacional;    mão;    contenções;    avaliação de desempenho;    monoplegia;    acidente cerebral vascular;    reabilitação;   

DOI  :  10.1590/S0004-282X2010000300011

来源: SciELO

【 摘 要 】

The performance and the satisfaction of the patient were quantitatively compared with the use of the volar dorsal orthosis in order to position the spastic hand. Thirty patients wearing the orthosis for eight hours daily were evaluated by the Canadian Occupational Performance Measure and the box and blocks test, for a three-month period. Five activities were selected (among daily life activities, productive activities, and leisure activities) by the patients, which were impaired by spasticity. There was an improvement related to performance after use of orthosis, with an average of 1.4±0.5 to 6.3±0.8 (p<0.01). Patient satisfaction average after wearing the orthosis was of 1.7±0.4 to 6.3±0.6 (p<0.01). In this casuistic, the use of orthosis for wrist and finger spasticity has shown an improvement in the functional performance and patient satisfaction.

【 授权许可】

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