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A bi-modal approach to treat and prevent wrist contracture in adults with acquired brain injury: a randomised controlled trial

Not Applicable
Completed
Conditions
Contracture after acquired brain injury
Physical 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
Inclusion Criteria

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

Exclusion Criteria

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
NameTimeMethod
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
NameTimeMethod
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