Effectiveness of Elbow Flexion-Extension Splint among Stiffness Elbow Patients

Authors

  • Udomsri Dechsang Occupational therapy department Hatyai hospital, Hatyai District, Songkhla Province. 90110
  • Apinya Thindoem Occupational therapy department Hatyai hospital, Hatyai District, Songkhla Province. 90110
  • Katha Panomupathum Occupational therapy department Hatyai hospital, Hatyai District, Songkhla Province. 90110

Keywords:

Rehabilitation, Stiffness elbow, Elbow flexion-extension splint

Abstract

A stiff elbow is a complication occurred after an injury or operation, it reduces ability of motion and muscle strength. As a result, patients use less arms and hands to perform them in their daily activities. Occupational therapy, therefore has modified static progressive splint from the thermoplastic in order to help increasing the ability of elbow movement. The patients are able to take the device home and reduce being hospitalized. Thus, this study aimed to identify the effects of an elbow flexion-extension splint on stiff elbow patients. A quasi - experimental research conducting a group of twenty participants and divided into ten participants for each experimental and control groups. The control group received a conventional program and a continuous passive motion of elbow machine. The experimental group received a conventional program and take the elbow flexion- extension splint home. Thai instruction version of functional arc motion and movement disabilities of the arms, shoulders and hands: (DASH) were examined before and after 3 months of follow-up. Demographic data analysis used descriptive statistics, Wilcoxon signed-rank test and Mann-Whitney U test, comparing within and between groups. The results revealed that the target movement abilities of the arms, shoulders and hands were significantly different (p-value < 0.05). The elbow flexion-extension splint is useful for stiff elbows. In addition, the patients were able to use their arms and hands to work and perform in their daily activities.

 

Downloads

Download data is not yet available.

References

พิศักดิ์ ชินชัย และทศพร บรรยมาก. กิจกรรมบำบัดสำหรับผู้มีปัญหาด้านระบบประสาท. พิมพ์ครั้งที่ 2. เชียงใหม่, ออเร้นท์-กรุ๊ปเทคนิคดีไซด์. 2551. หน้า 123-43.

ตุลยพฤกษ์ ถาวรสวัสดิ์รักษ์. ตำราการบาดเจ็บทางออร์โธปิดิกส์. พิมพ์ครั้งที่ 1. กรุงเทพฯ, สำนักพิมพ์บริษัททรัสต์อัสจำกัด. 2562. หน้า 47-50.

Nandi S, Maschke S, Evans PJ, and Lawton JN. The stiff elbow. Hand. 2009; 4(4): 368-79. DOI: 10.1007/s11552-009-9181-z.

Gullucci GL, Boretto JG, Davalos MA, Donndorff A, Alfie VA, and Carli PD. Dynamic splint For the treatment of stiff elbow. Shoulder and Elbow. 2011; 3(1): 52-5. DOI: 10.1111/j.1758-5740.2010.00096.x.

Gelinas JJ, Faber KJ, Patterson SD, and King GJ. The effectiveness of turnbuckle splinting for elbow contractures. The Journal of Bone and Joint Surgery. 2000; 82(1): 74-8. DOI: 10.1302/0301-620x.82b1.9792.

Lindenhovius AL, Doornberg JN, Brouwer KM, Jupiter JB, Mudgal CS, and Ring D. A prospective randomized controlled trail of dynamic versus static progressive elbow splinting for posttraumatic elbow stiffness. The Journal of Bone Joint Surgery. 2012; 94(8): 694-700. DOI: 10.2106/JBJS.J.01761.

Filho GM, and Galvao MV. Post-traumatic stiffness of the elbow. Revista Brasileira de Ortopedia. 2015; 45(4): 347-54. DOI: 10.1016/S2255-4971(15)30380-3.

Garofalo R, Conti M, Notarnicola A, Maradei L, Giardella A, and Castagna A. Effects of one-month continuous passive motion after arthroscopic rotator cuff repair: results at 1-year follow-up of a prospective randomized study. Musculoskeletal Surgery. 2010; 94 (Suppl1): 79-83. DOI: 10.1007/s12306-010-0058-7.

อุดมศรี เดชแสง. ผลของการใช้อุปกรณ์ดามข้อศอกในท่างอและเหยียด. [โปสเตอร์]. การประชุมวิชาการกระทรวงสาธารณสุข ประจำปี 2557. เชียงใหม่. 2557.

Institute for Work & Health. แบบประเมิน Disabilities of the arm, shoulder ฉบับภาษาไทย. สืบค้นเมื่อ 21 มกราคม 2566 จาก https://dash.iwh.on.ca/sites/dash/public/translations/DASH_Thai.pdf.

Seyedoshohadaee M, Ghezeljeh TN , Sargolzaei MS, Khoshnazar TA, Kohestani D, and Haghani S. The effect of implementing a rehabilitation nursing program on hand burn patients’ daily functioning: a randomized clinical trial. Middle East Journal of Rehabilitation and Health Studies. 2022; 9(4): e123847. DOI: 10.5812/mejrh-123847.

Veltman ES, Doornberg JN, Eygendaal D, and van den Bekerom MP. Static progressive versus dynamic splinting for posttraumatic elbow stiffness: a systematic review of 232 patients. Archives of Orthopaedic and Trauma Surgery. 2015; 135(5): 613-7. DOI: 10.1007/s00402-015-2199-5.

Veltman ES, Lindenhovius AL, and Kloen P. Improvements in elbow motion after resection of heterotopic bone: a systematic review. Strategies in Trauma and Limb Reconstruction. 2014; 9(2): 65-71. DOI: 10.1007/s11751-014-0192-0.

Feltri P, Monteleone AS, Marbach F, Filardo G, and Candrian C. Arthroscopic rotator cuff repair: patients with physically demanding work have significantly worse time to return to work, level of employment, and job loss. Knee Surgery Sports Traumatology Arthroscopy. 2022; 31(1): 153-60. DOI: 10.1007/s00167-022-07172-3.

ศศิธร มุกประดับ, ประณีต ส่งวัฒนา, และวิภา แซ่เซี้ย. โปรแกรมส่งเสริมการเคลื่อนไหวแบบมุ่งเป้าหมายต่อผลลัพธ์ด้านกล้ามเนื้อกระดูกและข้อต่อในผู้ป่วยบาดเจ็บที่มีข้อจำกัดด้านการเคลื่อนไหว: การศึกษานำร่อง. วารสารสภาการพยาบาล. 2557; 29(2): 49-60.

Downloads

Published

20.10.2023

How to Cite

Dechsang, U., Thindoem, A., & Panomupathum , K. . (2023). Effectiveness of Elbow Flexion-Extension Splint among Stiffness Elbow Patients. Journal of Education and Research in Public Health, 2(1), 79–91. retrieved from https://so12.tci-thaijo.org/index.php/JERPH_Yala/article/view/687

Issue

Section

Research articles

Categories