Effectiveness of dorsum hand splint and NMES on hand functions in stroke patients

2016-05-21T11-50-00Z
Source: International Journal of Health and Rehabilitation Sciences (IJHRS)
Salameh Al Dajah, Sami Abdulwahab.
Background: Upper extremity spasticity is a common clinical outcome following stroke and may be seriously debilitating condition. Regaining functions in the upper extremities is often more difficult than in lower extremities, which can seriously affect the progress of rehabilitation. Mainly, the hand and wrist synergistic spasticity limits rehabilitation outcomes and physical function. Therefore, rehabilitation process appears to be a challenge in stroke patients, mainly with upper limb synergistic spasticity Objectives: The aim of this study is to evaluate the effectiveness of the electro stimulation and the dorsum hand splint to reduce hand flexion spastic synergy and to enhance the functional activity of paretic hand. Methods and Materials Sixty patients with hand flexion synergistic spasticity selected for this study. They randomly assigned into two groups. One group received NMES as well as hand functions activities and asked to wear a dorsum splint for 2x3/day hours for 12 weeks. The second group received traditional physical therapy, which include active assistive range of motion and hand activities. Subjects in both groups evaluated before and after 12 weeks of treatment using Wolf Motor Function Test and active ROM for the wrist and fingers. Results: The mean value for seven factors of Wolf Motor Functional Test evaluated in both groups. There was significant difference p


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