Occupational therapy upper limb splinting practice for clients with acquired brain injuries: A cross-sectional study from South Africa

IF 1.3 4区医学 Q3 REHABILITATION

British Journal of Occupational Therapy Pub Date : 2023-11-29 DOI:10.1177/03080226231206674

Megan Barbara van Wyk, Susan de Klerk, L. J. Jacobs-Nzuzi Khuabi

{"title":"Occupational therapy upper limb splinting practice for clients with acquired brain injuries: A cross-sectional study from South Africa","authors":"Megan Barbara van Wyk, Susan de Klerk, L. J. Jacobs-Nzuzi Khuabi","doi":"10.1177/03080226231206674","DOIUrl":null,"url":null,"abstract":"Acquired brain injuries (ABIs) form part of the caseload of occupational therapists treating adult clients with neurological conditions. One adjunct to treatment of the upper limb condition following ABI is splinting. Little is known about the occupational therapy splinting practices in this field. This study aimed to describe these practices within a South African context. A quantitative, cross-sectional survey design was utilised. A convenience sample of occupational therapists from across South Africa completed a survey. The survey comprised of demographic factors; types of splints used; wear schedule regimens during the motor recovery phases and influencing factors. Data were analysed using Statistical Package for Social Sciences. Fifty-two participants ( n = 115) completed the survey, representing a 45.2% response rate. Participants (52.9% ( n = 27) indicated that splints are provided to 25% of clients with ABI. Splints are used to maintain soft tissue length and to ensure correct biomechanical alignment. Splinting for clients with ABI in South Africa is used as a preventative and maintenance approach. Failing more high-level evidence to support the use of splints for clients with ABI, therapists should consider the client-, therapist- and environment-related factors when determining the suitability and appropriateness of splinting clients with ABI.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"1 1","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Occupational Therapy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/03080226231206674","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}

引用次数: 0

Abstract

Acquired brain injuries (ABIs) form part of the caseload of occupational therapists treating adult clients with neurological conditions. One adjunct to treatment of the upper limb condition following ABI is splinting. Little is known about the occupational therapy splinting practices in this field. This study aimed to describe these practices within a South African context. A quantitative, cross-sectional survey design was utilised. A convenience sample of occupational therapists from across South Africa completed a survey. The survey comprised of demographic factors; types of splints used; wear schedule regimens during the motor recovery phases and influencing factors. Data were analysed using Statistical Package for Social Sciences. Fifty-two participants ( n = 115) completed the survey, representing a 45.2% response rate. Participants (52.9% ( n = 27) indicated that splints are provided to 25% of clients with ABI. Splints are used to maintain soft tissue length and to ensure correct biomechanical alignment. Splinting for clients with ABI in South Africa is used as a preventative and maintenance approach. Failing more high-level evidence to support the use of splints for clients with ABI, therapists should consider the client-, therapist- and environment-related factors when determining the suitability and appropriateness of splinting clients with ABI.

查看原文本刊更多论文

后天性脑损伤患者的上肢夹板职业治疗实践：南非横断面研究

后天性脑损伤（ABI）是职业治疗师为患有神经系统疾病的成年客户提供治疗的病例之一。夹板是治疗后天性脑损伤上肢状况的辅助手段之一。人们对这一领域的职业治疗夹板实践知之甚少。本研究旨在描述南非的这些做法。研究采用了横断面定量调查设计。来自南非各地的方便抽样职业治疗师完成了调查。调查内容包括人口统计学因素、使用的夹板类型、运动恢复阶段的穿戴计划和影响因素。数据使用社会科学统计软件包进行分析。52名参与者（n = 115）完成了调查，回复率为45.2%。参与者（52.9%，n = 27）表示，有 25% 的 ABI 患者使用夹板。夹板用于保持软组织长度，确保正确的生物力学排列。在南非，为患有 ABI 的患者提供夹板是一种预防和维护方法。如果没有更多高水平的证据来支持为有 ABI 的客户使用夹板，治疗师在确定是否适合为有 ABI 的客户使用夹板时，应考虑与客户、治疗师和环境相关的因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

British Journal of Occupational Therapy REHABILITATION-

CiteScore

2.20

自引率

15.40%

发文量

审稿时长

6-12 weeks

期刊介绍： British Journal of Occupational Therapy (BJOT) is the official journal of the Royal College of Occupational Therapists. Its purpose is to publish articles with international relevance that advance knowledge in research, practice, education, and management in occupational therapy. It is a monthly peer reviewed publication that disseminates evidence on the effectiveness, benefit, and value of occupational therapy so that occupational therapists, service users, and key stakeholders can make informed decisions. BJOT publishes research articles, reviews, practice analyses, opinion pieces, editorials, letters to the editor and book reviews. It also regularly publishes special issues on topics relevant to occupational therapy.