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dc.contributor.authorCormican, Adrienne
dc.contributor.authorChockalingam, Manigandan
dc.identifier.citationAdrienne C, Manigandan C. (2011) 'Inpatient occupational therapists hand-splinting practice for clients with stroke: A cross-sectional survey from Ireland'. Journal of Neurosciences in Rural Practice, 2 (2):141-149.en_IE
dc.description.abstractIntroduction: Hand splinting after stroke is a common practice despite inadequate evidence. This warrants a better understanding of the therapists’ splinting practice, to develop clinically meaningful treatment options. Aims: The study examined the nature and prevalence of the factors associated with therapists’ hand splinting practice and their perceived splinting efficacy. Settings and Design: A cross-sectional national survey of hand-splinting practice among inpatient occupational therapists (OTs) in Ireland. Materials and Methods: Sixty-two therapists participated in this national survey.Statistical analysis used: A number of factors were analyzed to explore their relationship with therapists’ perception of splint efficacy using Spearman’s rank order correlation. Results: 53(85.5%) out of 62 survey respondents prescribed splints to their clients at the time of taking the survey. To reduce spasticity, to correct contractures and thus increase range of motion (ROM) were the commonly used splinting goals. These were the goals that were significantly associated with the therapists’ splinting efficacy too. Conclusions: Hand-splint prescription following stroke was found to be a common practice among OTs who perceive splints to be quite effective. A custom-made, volar forearmbased wrist-hand splint is the preferred splint among therapists to achieve a number of clinical aims such as improving ROM, stretching soft tissue contractures and reducing spasticity in the upper extremity. A wide variety of splinting regimens is currently practiced, reflecting the lack of a universally accepted and comprehensive practice guideline to regulate therapy. Methodologically valid clinical trials evaluating the efficacy of therapist-preferred splints in achieving their favored outcomes are needed. Development of common, universally accepted therapeutic guidelines based on comprehensive scientific review of such studies is thus needed.en_IE
dc.publisherMedknow Publications for Associacion Ayuda Enfermo Neuroquirurgico (Association for Helping Neurosurgical Sick People)en_IE
dc.relation.ispartofJournal of Neurosciences in Rural Practiceen
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 Ireland
dc.subjectHand splinten_IE
dc.subjectOccupational therapyen_IE
dc.titleInpatient occupational therapists hand-splinting practice for clients with stroke: a cross-sectional survey from Ireland.en_IE
dc.local.contactManigandan Chockalingam, Occupational Therapy, Nui Galway. 5313 Email:

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