A comparison of static and dynamic wrist splints using electromyography in individuals with rheumatoid arthritis

This study compared strength, dexterity, and the muscle activation of individuals with rheumatoid arthritis (RA) when different splints were worn. Five persons with RA were observed in four splint conditions (none, static, hinged, spiral) during grip, pinch, and dexterity tests by recording muscle a...

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Published in:Journal of hand therapy 2003-10, Vol.16 (4), p.320-325
Main Authors: Burtner, Patricia A, Anderson, Jennifer Bradley, Marcum, Michelle Lee, Poole, Janet L, Qualls, Clifford, Picchiarini, Margaret Sarah
Format: Article
Language:English
Subjects:
Adult
Analysis of Variance
Arthritis, Rheumatoid - physiopathology
Arthritis, Rheumatoid - rehabilitation
Electromyography
Female
Hand Strength - physiology
Humans
Male
Middle Aged
Muscle, Skeletal - innervation
Splints
Upper Extremity - innervation
Wrist - innervation
Wrist - physiopathology
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cited_by cdi_FETCH-LOGICAL-c355t-5e2eb4bf762a5a8273b635bcf749504c0e414b9086c200c8931d913c598846f33
cites cdi_FETCH-LOGICAL-c355t-5e2eb4bf762a5a8273b635bcf749504c0e414b9086c200c8931d913c598846f33
container_end_page 325
container_issue 4
container_start_page 320
container_title Journal of hand therapy
container_volume 16
creator Burtner, Patricia A
Anderson, Jennifer Bradley
Marcum, Michelle Lee
Poole, Janet L
Qualls, Clifford
Picchiarini, Margaret Sarah
description This study compared strength, dexterity, and the muscle activation of individuals with rheumatoid arthritis (RA) when different splints were worn. Five persons with RA were observed in four splint conditions (none, static, hinged, spiral) during grip, pinch, and dexterity tests by recording muscle activity of eight muscles in the upper extremity using electromyography (EMG). Statistically significant differences were found in clinical tests when hinged (p
doi_str_mv 10.1197/S0894-1130(03)00158-3
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Five persons with RA were observed in four splint conditions (none, static, hinged, spiral) during grip, pinch, and dexterity tests by recording muscle activity of eight muscles in the upper extremity using electromyography (EMG). Statistically significant differences were found in clinical tests when hinged (p&lt;0.001) and spiral splints (p = 0.02) were worn. Grip strength decreased when hinged splints were worn, whereas two-point pinch increased and dexterity improved on the Nine-Hole Peg Test with the spiral splint. Although no significant EMG differences were found during different splint conditions, wrist muscles were recruited more for grip, and shoulder muscles were used most during pinch and dexterity tests. Individuals with RA who wore splints had decreased grip when wearing hinged splints, but improved pinch and dexterity were found when the spiral splint was worn. 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identifier ISSN: 0894-1130
ispartof Journal of hand therapy, 2003-10, Vol.16 (4), p.320-325
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subjects Adult
Analysis of Variance
Arthritis, Rheumatoid - physiopathology
Arthritis, Rheumatoid - rehabilitation
Electromyography
Female
Hand Strength - physiology
Humans
Male
Middle Aged
Muscle, Skeletal - innervation
Splints
Upper Extremity - innervation
Wrist - innervation
Wrist - physiopathology
title A comparison of static and dynamic wrist splints using electromyography in individuals with rheumatoid arthritis
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