تاثیر انواع اسپلینت بر اسپاستی سیتیه و عملکرد اندام فوقانی بیماران سکته مغزی و فلج مغزی: مرور سیستماتیک

نوع مقاله: مقاله مروری

نویسندگان

1 کارشناسی ارشد ارگونومی. مربی هییت علمی گروه کاردرمانی دانشگاه علوم پزشکی زنجان، زنجان، ایران

2 استادیار گروه کاردرمانی، دانشکده توانبخشی، دانشگاه علوم پزشکی ایران، تهران، ایران

چکیده

زمینه و اهداف
اختلالات نورولوژیکال نظیر سکته مغزی و فلج مغزی مهم­ترین علت­های معلولیت و ناتوانی در عملکرد اندام فوقانی می­باشد. این امر بسیار مهم است تا بتوان فرد را برای انجام کارهای روزمره زندگی توانمند ساخت. مداخلات توانبخشی نظیر تجویز انواع اسپلینت یکی از انواع مداخلات در تسریع روند بهبودی و کاهش سطح ناتوانی ناشی از معلولیت می­باشد. مطالعه­ی حاضر با هدف مطالعه مروری و طبقه­بندی تاثیر انواع اسپلینت بر کاهش اسپاستی سیتیه و عملکرد بیماران فوق انجام شده است.
ابزار و روش
مطالعه حاضر تلفیق نتایج ناشی از تجویز انواع اسپلینت بر کاهش اسپاستی سیتیه و عملکرد اندام فوقانی بیماران سکته مغزی و فلج مغزی می­باشد که با روش مرور سیستماتیک مبتنی بر شواهد Duffy انجام شد.
یافته ­ها
در مطالعه حاضر 46 مقاله یافت شد که تنها 25 مقاله معیار ورود به مطالعه مذکور را داشتند. در مطالعه حاضر انواع اسپلینت­ها به انواع: اسپلینت­های ولار، اسپلینت­های دورسال، اسپلینت­های ولار-دورسال، اسپلینت­های داینامیک، اسپلینت c-Bar، آنتی پرونیشن، اکستنشن اسپلینت و اسپلینت  Saeboتقسیم شدند. نتایج نشان داد که در بین اسپلینت­های استاتیک (غیرمتحرک) با توجه به سهولت در ساخت و استفاده راحت در هنگام شب، اسپلینت دورسال بیشترین مزیت را دارد، با وجود اینکه تفاوت معناداری در نتیجه استفاده انواع اسپلینت­های استاتیک وجود نداشت. علاوه بر این نتایج حاکی از آن بود که بهترین اسپلینت به منظور بهبود حرکات انگشتان و دامنه حرکتی فعال دست اسپلینت C-Bar می­باشد.
نتیجه ­گیری
نتایج مطالعه مذکور نشان می­دهد که تجویز اسپلینت یکی از مفیدترین روش­ها در درمان بیماران سکته مغزی و فلج مغزی می­باشد، اما هدف از تجویز، شرایط بیمار و دیدگاه درمانگر عوامل موثری هستند که باید در نظر گرفته شود.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effect of Different Types of Splinting on Spasticity and Function of Upper Exterimity of Cva and CP Patients: A Systematic Review

نویسندگان [English]

  • Marzieh Pashmdarfard 1
  • Malek Amini 2
1 MSc of Ergonomics, Occupational Therapy Department, Zanjan University of Medical Sciences, Zanjan, Iran
2 Department of Occupational Therapy, School of rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
چکیده [English]

Background and Aim: Neurological disorders such as Cerebro Vascular Accident (CVA) and Cerebral Palsy (CP) are the major causes of disability in adults and functional disability of the upper limbs. These are the most major difficulties that make a person unable to perform daily activities. Splinting is a kind of rehabilitation intervention in therapeutic performance that increases the process of recovery and decreases the level of functional disability post-disorder. The purpose of the present study was to categorize and review articles concerning the effect of splinting on spasticity and upper extremity function in children with CP and CVA patients.
Materials and Methods: The current study includes a combination of the results of splinting on spasticity and upper extremity function in children with CP and CVA patients. The study was conducted using the evidence-based Duffy method.
Results: From among 46 articles found in the field of splinting and their results on the function of CVA and CP patients, only 25 used the inclusion criteria for the type of splinting categorized as: Volar splint, Dorsal splint, Volar-Dorsal splint, Extension splint, C-Bar splint, Dynamic Splint, Anti-pronation splint, and Saebo splint. The results showed no significant differences between the effects of Volar splint, Dorsal splint, and Volar-Dorsal splint on upper extremity function, but due to the ease of using a Dorsal splint, it is more useful than other static splints. Furthermore, the C-Bar splint was found to be most useful and sufficient for finger activity and active Range of Motion of the hand.
Conclusion: The results of the study demonstrated that splinting is a useful method of therapeutic intervention. However, the aim of splinting, the patients’ condition, and the therapist’s opinion on splinting are the factors that should be the most attended to.

کلیدواژه‌ها [English]

  • Cerebral Vascular Accident
  • Cerebral palsy
  • Splinting
  • Upper extremity function
  • Rhabilitation
  • occupational therapy
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