The helpful use of splints in the rehabilitation of flexible claw hand in leprosy

um importante recurso no tratamento da mão em garra móvel de Hansenianos

Authors

  • Valéria Meirelles Carril Elui Terapeuta Ocupacional, Doutoranda em Saúde Pública da Escola de Enfermagem de Ribeirão Preto, da Universidade de São Paulo.
  • Maria Helena Pessini de Oliveira Professora Livre Docente da Escola de Enfermagem de Ribeirão Preto, da Universidade de São Paulo.
  • Claudia Benedita dos Santos Professora Doutora da Escola de Enfermagem de Ribeirão Preto, da Universidade de São Paulo.

DOI:

https://doi.org/10.47878/hi.2001.v26.36404

Keywords:

Claw hand, Splints

Abstract

The objective of this study was the comparison of two kinds of dynamic splints, fabricated in leather and in thermoplastic material used to correct the flexible claw hand in leprosy affected individuals, regarding; the claw correction through active extension of proximal interphalangeal joint (PIP) goniometry. The subject population was formed by 30 leprosy patients, both sexes, witch presented with flexible ulnar or ulnar-median claw hand, with ages between 20 and 81 years, submitted to the use of a leather or thermoplastic splints. The two splints were compared. The results where statistically treated, showing that both splints improved the claw pattern, the thermoplastic splint had 85,5% claw correction and, the leather splint had 53%. It was concluded, that the splints, are helpful in correcting the claw hand deformities and self-esteem.

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References

1 BRAND, P.W. The forces of dynamic splinting: ten questions before applying a dynamic splinting to the hand. In: HUNTER, J.M.; SCHNEIDER, L.H.; MACKIN, E.J.; CALLAHAN, A.D. Rehabilitation of the hand: surgery and therapy. St. Louis, Mosby, 1990.
2 BRAND, P.W.; HOLLISTER A. Clinical mechanics of the hand. 2.ed. St. Louis: Mosby, 1993
3 CAMBRIDGE, AC Range of motion measurements of the hand. In: HUNTER, J. M.; MACKIN, E.J.; CALLAHAN, A.D. Rehabilitation of the hand: surgery and therapy. St. Louis, Mosby, 1995. cap.8, p.93-108.
4 COLDITZ, J.C. Splinting the hand with a peripheral nerve injury. In: HUNTER, J. M.; MACKIN, E.J.; CALLAHAN, A.D. Rehabilitation of the hand: surgery and therapy. St. Louis, Mosby, 1995. cap.38, p.679-692.
5 DUERKSEN, F; VIRMOND, M. Fisiopatologia da mão em hanseníase. In: DUERKSEN, F.; VIRMOND, M. Cirurgia reparadora e reabilitação em hanseníase. Bauru: Centro de estudos Dr. Reynaldo Quagliato/Instituto Lauro de Souza Lima/ALM Internacional, 1997. cap.24, p.199-210.
função e da auto-estima. ABSTRACT
The objective of this study was the comparison of two kinds of dynamic splints, fabricated in leather and in thermoplastic material used to correct the flexible claw hand in leprosy affected individuals, regarding; the claw correction through active extension of proximal interphalangeal joint (PIP) goniometry. The subject population was formed by 30 leprosy patients, both sexes, witch presented with flexible ulnar or ulnar-median claw hand, with ages between 20 and 81 years, submitted to the use of a leather or thermoplastic splints. The two splints were compared. The results where statistically treated, showing that both splints improved the claw pattern, the thermoplastic splint had 85,5% claw correction and, the leather splint had 53%. It was concluded, that the splints, are helpful in correcting the claw hand deformities and self-esteem.
Uniterms: Claw hand, Splints
6 FESS, E.E.; GETTLEK, K.; STRICKILAND, J. Hand splinting: Principles and methods. St. Louis: Mosby, 1981.
7 FESS, E.E. Principles and methods of splinting for mobilization of joints. In: HUNTER, J. M.; SCHNEIDER, L. H.; MACKIN, E. J.; C AHAN, A. D. Rehabilitation of the hand: surgery and therapy. St. Louis: Mosby, 1995. cap.95, p.1589-1598.
8 MALICK, M.H. Manual de férulas dinámicas de mano con materials termoplásticos- materials de baja temperatura y técnicas. Versión espanola por Doris Schanzer, Pittsburgh: Harmaville Rehabilitation Center, 1974.
9 OLIVEIRA, M.H.P.; GOMES, R.A hanseníase na perspectiva do gênero. In: BARATA, R.B.; BRICEÑO-LEON, R. Doença endêmicas: abordagem sociais, culturais e comportamentais. Rio de Janeiro. Fiocruz, 2000.
10 TROMBLY, C.A. Orthoses: Purposes and treatment In: TROMBLY, C.A. (Ed.) Occupational Therapy for physical dysfunction. 3rd ed. Baltimore: Willians and Wilkins, 1989. cap. XX, p. 329-355.

Published

2001-11-30

How to Cite

1.
Elui VMC, Oliveira MHP de, Santos CB dos. The helpful use of splints in the rehabilitation of flexible claw hand in leprosy: um importante recurso no tratamento da mão em garra móvel de Hansenianos. Hansen. Int. [Internet]. 2001 Nov. 30 [cited 2024 Jul. 22];26(2):105-11. Available from: https://periodicos.saude.sp.gov.br/hansenologia/article/view/36404

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Section

Original articles