| Summary: | 碩士 === 國立中興大學 === 運動與健康管理研究所 === 107 === Background: Hemiplegia caused by stroke may make it difficult to control the upper limb of the affected side. When the affected side can’t grasp and release object, it also may have shoulder’s movement limitation, drop-hand or spastic. It’s inconvenient for daily life. Occupational therapy usually offers the dynamic splint for position or inhibit abnormal muscle tone. Considerate that dynamic splint it’s too heavy can’t easy to do daily living activities. We provide spider orthoses to increase the possibility of using the affected side in daily life, achieve the same effect of upper limb performance. Objective: the purpose of this study was to examine the effect of upper limb movements and user’s opinion who wearing dynamic splint and spider orthoses. Method: Compare patient didn’t wear any orthoses, wearing dynamic splint and spider orthoses who did the Action Research Arm Test and Block and Box test. The test including the way of disposing items, quality and dexterity of upper limb movements. We asked the patient to answer the questionnaire to investigate the user’s opinion. Result: Both of wearing dynamic splint and spider orthoses had improvement at the Action Research Arm Test. Especially the grip part was significantly increased (P=.007). At Block and Box test, wearing spider orthoses was significantly increased at dexterity part. And there were significant differences in spider orthoses between the two assistant devices. There had 30% subject responded positive with dynamic splint and about 60% subjects responded negative. More than half of the other subject responded positive about wearing comfortable with spider orthoses but it’s no significant differences. Apart from this, most items among the questionnaire showed satisfaction with spider orthoses, especially the looks and willing to wear more than 70%. The score of spider orthoses was significantly higher than dynamic splint (P=.006). Conclusion: Like the other studies, dynamic splint can improve upper limb movements. And spider orthoses can also achieve the same effect as the dynamic splint, correct drop hand and improve upper limb movements immediate. User satisfaction shown spider orthoses was better than dynamic splint. It provides a choice for the future.
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