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Changes in impairment and function after static progressive splinting for stiffness after distal radius fracture.

Publication ,  Journal Article
Lucado, AM; Li, Z; Russell, GB; Papadonikolakis, A; Ruch, DS
Published in: J Hand Ther
2008

The purpose of this study was to describe changes in range of motion, grip strength, and function in subjects treated with static progressive splinting for stiffness after distal radius fracture. A retrospective review was conducted on 25 patients; outcomes reviewed included wrist/forearm motion, grip strength and Disability of the Arm, Shoulder, and Hand (DASH) scores. The Wilcoxon-Signed Rank test was used to assess differences between pre-/postsplinting outcome measurements. Spearman correlation coefficients were calculated for the DASH scores with each of the other measurements. Wrist extension and flexion improved 18.6 (p<0.0001) and 11.4 degrees (p<0.0001), respectively. Forearm pronation and supination improved 20.0 (p<0.0001) and 14.5 degrees (p<0.0001), respectively. Grip strength improved 24.5 pounds (p=0.0012). The median DASH score improved from 43 to 19 (p>0.0001). DASH scores demonstrated a significant negative correlation with wrist extension (r=-0.50, p=0.011) and forearm supination (r=-0.47, p=0.02). Increased wrist extension and supination correlated with better functional outcome as reflected by the DASH scores.

Duke Scholars

Published In

J Hand Ther

DOI

ISSN

0894-1130

Publication Date

2008

Volume

21

Issue

4

Start / End Page

319 / 325

Location

United States

Related Subject Headings

  • Wrist Joint
  • Supination
  • Retrospective Studies
  • Recovery of Function
  • Range of Motion, Articular
  • Radius Fractures
  • Orthopedics
  • Muscle Strength
  • Humans
  • Health Status Indicators
 

Citation

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Lucado, A. M., Li, Z., Russell, G. B., Papadonikolakis, A., & Ruch, D. S. (2008). Changes in impairment and function after static progressive splinting for stiffness after distal radius fracture. J Hand Ther, 21(4), 319–325. https://doi.org/10.1197/j.jht.2008.01.002
Lucado, Ann M., Zhongyu Li, Gregory B. Russell, Anastasios Papadonikolakis, and David S. Ruch. “Changes in impairment and function after static progressive splinting for stiffness after distal radius fracture.J Hand Ther 21, no. 4 (2008): 319–25. https://doi.org/10.1197/j.jht.2008.01.002.
Lucado AM, Li Z, Russell GB, Papadonikolakis A, Ruch DS. Changes in impairment and function after static progressive splinting for stiffness after distal radius fracture. J Hand Ther. 2008;21(4):319–25.
Lucado, Ann M., et al. “Changes in impairment and function after static progressive splinting for stiffness after distal radius fracture.J Hand Ther, vol. 21, no. 4, 2008, pp. 319–25. Pubmed, doi:10.1197/j.jht.2008.01.002.
Lucado AM, Li Z, Russell GB, Papadonikolakis A, Ruch DS. Changes in impairment and function after static progressive splinting for stiffness after distal radius fracture. J Hand Ther. 2008;21(4):319–325.
Journal cover image

Published In

J Hand Ther

DOI

ISSN

0894-1130

Publication Date

2008

Volume

21

Issue

4

Start / End Page

319 / 325

Location

United States

Related Subject Headings

  • Wrist Joint
  • Supination
  • Retrospective Studies
  • Recovery of Function
  • Range of Motion, Articular
  • Radius Fractures
  • Orthopedics
  • Muscle Strength
  • Humans
  • Health Status Indicators