Journal of hand therapy : official journal of the American Society of Hand Therapists · 2008
Opposition splint for partial thumb amputation: a case study measuring disability before and after splint use.
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Dewey W S, Richard R L, Hedman T L, Chapman T T, Quick C D, Renz E M, Blackbourne L H, Wolf S E, Holcomb J B
Аннотация
STUDY DESIGN: Case report.
INTRODUCTION: A combined burn and a partial amputation can be extremely debilitating as the thumb constitutes 40% of the entire hand when evaluating functional impairment.
PURPOSE OF THE STUDY: Measure disability with and without opposition splint use after partial thumb amputation due to a burn.
METHODS: Impairment and disability measures were completed at discharge from the hospital and subsequently during outpatient follow-up visits while wearing and not wearing a thumb opposition splint at 3, 6, 8, and 15 months. Comparisons between disability and impairment scores were assessed over time.
RESULTS: The difference between DASH scores with and without using the splint were 25 at 3 months, 16 at 6 months, 10 at 8 months, and 12 at 15 months.
CONCLUSIONS: Splint use in this case demonstrated clinically significant changes over time with minimal changes in impairment indicating enhanced function and improved patient perception of disability.
LEVEL OF EVIDENCE: 4.
INTRODUCTION: A combined burn and a partial amputation can be extremely debilitating as the thumb constitutes 40% of the entire hand when evaluating functional impairment.
PURPOSE OF THE STUDY: Measure disability with and without opposition splint use after partial thumb amputation due to a burn.
METHODS: Impairment and disability measures were completed at discharge from the hospital and subsequently during outpatient follow-up visits while wearing and not wearing a thumb opposition splint at 3, 6, 8, and 15 months. Comparisons between disability and impairment scores were assessed over time.
RESULTS: The difference between DASH scores with and without using the splint were 25 at 3 months, 16 at 6 months, 10 at 8 months, and 12 at 15 months.
CONCLUSIONS: Splint use in this case demonstrated clinically significant changes over time with minimal changes in impairment indicating enhanced function and improved patient perception of disability.
LEVEL OF EVIDENCE: 4.