Burr et al. (2002) reported the results of a 19-month follow-up study on a static splinting regimen as an alternative to dynamic extension splinting after metacarpophalangeal (MCP) joint arthroplasty. However, the long-term results of static splinting therapy have not been reported. Therefore, we conducted a 3-year follow-up study on the use of alternating static splinting in extension and flexion after MCP joint arthroplasty. Active flexion and extension of the MCP joints and grip strength were evaluated before surgery and at 12 weeks and 3 years after surgery. The range of motion (ROM) of the MCP joints and grip strength improved at 12 weeks and 3 years postoperatively. The efficacy of dynamic extension splinting after MCP joint arthroplasty indicated no change in the ROM and grip strength. The findings in this case indicate the positive long-term results of a static splinting regimen.
Objective: To determine the efficacy of intense constraint-induced movement therapy (CIMT) for patients who cannot achieve finger extension due to a severe plegic hand after stroke. Design: Pre-post, pre-1 month follow-up, single-blinded, multi-baseline case. Participants: Fifteen participants who were all >12 months post-stroke. Interventions: Two weeks of CIMT including restraint of the nonparetic upper extremity and 6 hours of training each day. Outcome: There was a statistically significant effect of CIMT on upper extremity motor impairment assessed by the Fugl-Meyer Motor Assessment (FMA), the Motor Activity Log for low functioning patients (Grade 5 MAL) and Active Range of Motion (AROM). Post hoc analysis showed significant differences between pre- and post-treatment motor impairment scores, and the improvements in these scores were maintained at 1 month after completion of treatment. Improvements were mostly in the use of the involved upper extremity for bimanual activities. Conclusions: Intense CIMT conferred significant changes in objective measures in subjects with chronic severe plegic hand after stroke. Additional studies of the long-term benefits of this treatment on post-stroke motor impairments and related functional disabilities are warranted.
The purpose of this study is to verify the effects of interventional programmes to reduce the psychological distress of family caregivers of persons with traumatic brain injury. An interventional programme was conducted over five sessions which were held for four hours and took place once a week, involving a total of 16 persons. The interventional programme mainly consisted of providing basic knowledge of traumatic brain injury, ways of treating cognitive dysfunction and training of communication skills applying assertiveness training. Evaluation criteria were GHQ-30, SDS, STAI, and RAS as assessment measures and were analysed before and after the intervention and at three month and six month follow-ups after the interventional programme. A considerable reduction of the mean score was statistically recognised compared with SDS at pre-intervention and after the six month follow-up, and STAI at pre-intervention and post-intervention in the analysis of variance of pre- and post-intervention and follow-ups.