A bi-modal approach to treat and prevent wrist contracture in adults with acquired brain injury: a randomised controlled trial
- Conditions
- Contracture after acquired brain injuryPhysical Medicine / Rehabilitation - Physiotherapy
- Registration Number
- ACTRN12609000495224
- Lead Sponsor
- ifetime Care and Support Authority of NSW
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 36
first diagnosis of stroke or traumatic brain injury
-weakness of wrist and finger extensors (inability to extend wrist fully in a gravity eliminated position)
-presence of reduced flexibility, spasticity (Tardieu scale score >1) or dystonia in the wrist and finger flexor muscles
-inpatient rehabilitation stay anticipated to be of at least 4 weeks
-ability to participate in a splinting regimen and an electrical stimulation programme
-passive wrist extension to at least neutral with fingers extended (ie. able to place the hand with wrist in neutral and fingers extended on a flat surface)
-informed consent from the participants or their person responsible
medical conditions that limit compliance with a hand splint or electrical stimulation;
recent wrist or finger fractures; fixed flexion deformities in the individual finger joints; previous wrist problems that limit passive wrist range of motion.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Extensibility of the extrinsic wrist and finger flexor muscles. This will be determined by measuring the passive wrist extension range at a torque of 3Nm with fingers in full extension.[At baseline, at the end of the 4-week intervention period (i.e., post-intervention) and 2 weeks later (i.e., follow-up).]
- Secondary Outcome Measures
Name Time Method