View source for STROKE-UPPER LIMB INTERVENTIONS, ORTHOSIS

===== [[Summary Article|'''SUMMARY''']] =====
1. Common orthosis used in hemiplegic upper extremity is the wrist-hand-orthosis/splints. 
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<br/>2. Can be static/passive (volar, dorsal splints) or dynamic/active (eg. Saebo-Flex®). 
<br/>3. Splinting, taping, and orthoses do not improve upper limb motor function, dexterity, ADLs, spasticty or muscle strength but may improve ROM.
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<br/><i>GOALS</i>
<br/>1. Reduction in spasticity 
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<br/>2. Reduction in pain 
<br/>3. Improvement in functional outcome (only dynamic orthosis)
<br/>4. Prevention of contracture (only dynamic orthosis)
<br/>5. Prevention of edema 
<br/>6. There is strong evidence that static hand splinting does not improve motor function or reduce contracture formation


==Reference(s)==
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. [https://amzn.to/3YHrI6K Get it on Amazon.]
<br/>Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. [https://amzn.to/3k7WSW0 Get it on Amazon.]
<br/>Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
<br/>Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].

[[Category:Stroke]]
[[Category:Neurology]]
[[Category:Medicine]]