[ARTICLE] Use of Hand Rehabilitation Board (Dominic’s Board) in Post Traumatic/ Stroke Rehabilitation of the Upper Limbs – Full Text PDF

ABSTRACT
In recent years, the increasing number of patients with upper limb musculoskeletal disorders seeking timely, intensive, prolonged and task oriented hospital- and home- based physical rehabilitation, and the decreasing numbers of trained therapist to provide the needed care, have left a palpable gab. These have resulted in several preventable deformities with associated complications leading to social and economic burdens. Although the introduction of some robotic devices has addressed some of these concerns, the shortfalls from the use of these devices limit their effectiveness. The newly introduced hand rehabilitation board (Dominic’s Board) was prospectively evaluated in 82 patients with ULMDs of different etiologies to assess its therapeutic effi cacy in rehabilitation of ULMDs. Additive, but complementary effect was observed when used along with conventional hospital-based therapy and at home, suggesting the effectiveness of this device in preventing or ameliorating the complications associated with ULMDs.

INTRODUCTION

Upper limb musculoskeletal disorders (ULMDs) are disorders affecting muscles, bones, tendons, nerves and blood vessels of the neck, shoulders, elbows, arms and hands [1]. They are common and debilitating and are associated with functional impairment including interference with daily activities such as eating, dressing, washing clothes, dificulty shopping and carrying a shopping bag as well as dificulty with hobbies. There are growing numbers of patients with ULMDs leading to varying prevalence across different populations. However, the prevalence ranges from 58% to 81% [2,3] and may be inluenced by the socio-demographic characteristics of the study participants and other covariates. Due to the high prevalence and associated disabilities, ULMDs frequently lead to higher health care use with many patients presenting in the primary care centers and rheumatology clinics [4]. Because these deformities limit patients’ upper limb functionality, and hence independence, they are always in dire need for assistant both at the rehabilitation centers and at home. Also, since the restoration of upper limb functionality depends signiicantly on the onset, duration, intensity and task orientation of the training [5], home based physical therapy/care has become a signiicant component of physical rehabilitation of patients with ULMDs. However, the increasing demand for home base physical therapy/care is despite the unavailability of enough trained therapist and care givers to provide this very important component of rehabilitation therapy and care.[…]

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