مقایسه تأثیر اسپلینت‌های داینامیک و استاتیک بر میزان اسپاستی‌سیتی مچ دست بیماران مبتلا به سکته مغزی

  Comparison of the Effect of Dynamic and Static Splints on Wrist Spasticity in Post-Stroke Patients     J. Eghlidi [1] , D. Elyaspour [2] , S.M. Tabatabaee [3] , A.A. Jamehbozorgi1, F. Farshchi [4] , M. Heidari [5]     Received: 10/04/26 Sent for Revision: 08/06/10 Received Revised Manuscript: 02/10/10 Accepted: 09/10/10     Background and Objectives: Among several methods which are accessible for manageing wrist spasticity after stroke, wrist splinting is commonly used as an adjacent treatment, but there are many controversies surrounding its efficacy. The aim of this study was to compare the effect of the Dynamic and Static splints on wrist spasticity after stroke.   Material and Methods: In this interntional study, 31 stroke patients were selected and randomly divided into three groups including: Dynamic splint, Static splint and control group. Participants in the intervention groups wore their own splints for three months, five days per week and on average, six hours per day. Wrist spasticity was measured by both Modified Ashworth Scale (MAS) and electromyography (EMG) tests at the baseline and after third month. Kroskal-Wallis and one-way ANOVA were used to statistically analyze MAS and Hmax/Mmax ratio scores respectively.   Results: Statistical analysis of data showed no significant reduction of spasticity during study period according to either MAS or EMG data in any of the groups (p>0/05) .   Conclusion: Based on these findings, use of the splint as a method for reducing wrist spasticity could not be beneficial in the selected patients.   Key words : Wrist Spasticity, Stroke, Dynamic and Static splints     Funding: This research was funded by Shaheed Beheshti University of Medical Sciences.   Conflict of interest: None declared.   Ethical approval: The Ethics committee of Shaheed Beheshti University of Medical Sciences approved the study .     How to cite this article : Eghlidi J, Elyaspour D, Tabatabaee SM, Jamehbozorgi AA, Farshchi F, Heidari M. Comparison of the Effect of Dynamic and Static Splints on Wrist Spasticity in Post-Stroke Patients. J Rafsanjan Univ Med Sci 2011 10(1): 35-45. [Farsi]     [1] - Academic Member, Dept. of O ccupational T herapy , S chool of R ehabilitation, Shaheed Beheshti University of Medical Sciences , Tehran, Iran   [2] - Assistant Prof., Dept. of Physical Medicine and Rehabilitation, Shohadaye-Tajrish hospital, Shaheed Beheshti University of Medical Sciences, Tehran, Iran.   [3] - Academic Member, Dept. of Biostatistics, School of Rehabilitation, Shaheed Beheshti University of Medical Sciences, Tehran, Iran   [4] - Academic Member, Dept. of Occupational Therapy, School of Rehabilitation, Iran University of Medical Sciences, Tehran, Iran   [5] - Academic Member, Dept. of Occupational Therapy, School of Health, Department of Occupational Health, Qom University of Medical Sciences, Qom, Iran   Corresponding Author, Tel: (0251) 7745265, Fax: (0251) 7745265, E-mail: [email protected]