Affiliations: [a] School of Health, Sport and Rehabilitation Sciences, University of Salford, Salford, UK | [b] Academic Unit of Rehabilitation Medicine, University of Leeds, Leeds, UK | Rehabilitation Studies Unit, Sydney Medical School, The University of Sydney, Australia
Correspondence:
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Corresponding author: Dr. Sarah Tyson, School of Health, Sport and Rehabilitation Sciences, Frederick Road Campus, University of Salford, Salford, M6 6PU, UK. Tel.: +44 161 295 7028; E-mail: [email protected]
Abstract: Upper limb orthotics, or splints, are widely advocated for people with stroke however opinion about whether, and how, they should be used is varied. We therefore systematically reviewed the literature on upper limb orthotics for people with stroke and other non-progressive brain lesions to establish whether an orthosis can improve function or/and impairments. Search strategy:The Cochrane library, MEDLINE, EMBASE, CINAHL, AMED, PsycINFO and RECAL were searched. We screened reference lists and contacted lead authors and other researchers in the field. Selection criteria:Randomised controlled trials of upper limb orthoses in stroke survivors and other non-progressive brain lesions. Data collection and analysis:Two reviewers independently identified trials, extracted data and assessed trial quality. Results for continuous outcomes were combined and analysed using mean difference or standardised mean difference, both with 95% confidence intervals and fixed-effect model. Main results:We analysed 4 trials with 126 participants. Upper limb orthoses showed no effect on upper limb function, range of movement at the wrist, fingers or thumb, nor pain. Conclusions:Current evidence suggests that an upper limb orthosis does not effect upper limb function, range of movement at the wrist, fingers or thumb, nor pain.
