This paper presents an evaluation of the Soft Splint used in the management of hypertonicity at the elbow. An “A1,B1,A2,B2” single system design was used with elbow range of motion, measured with a standard goniometer, as the dependent variable. Visual analysis of the data and the two standard deviation band method of data analysis indicated that the Soft Splint is highly effective in the management of hypertonicity. Elbow range of motion improved significantly during the intervention phases. During the A2 (non-intervention) phase the measurements returned to the baseline level. The findings support the continuing use of the Soft Splint in reducing hypertonicity at the elbow. Replication of this design is required to generalize the results of this study.
AndersonJ. P.SnowB.DoreyF. J., & KaboJ. M. (1988). Efficacy of soft splints in reducing severe knee-flexion contractures. Developmental Medicine and Child Neurology, 30, 502–508.
2.
AshbyP., & BurkeD. (1971). Stretch reflexes in the upper limb of spastic man. Journal of Neurology, Neurosurgery and Psychiatry, 34, 765–771.
3.
BartkoJ. J., & CarpenterW. T. (1976). On the methods and theory of reliability. The Journal of Nervous and Mental Disease, 263(5), 307–317.
4.
BotteM. J.NickelV. L., & AkesonW. H. (1988). Spasticity and contracture: Physiologic aspects of formation. Clinical Orthopaedics and Related Research, 233, 7–18.
5.
CarlsonS. J. (1984). A neurophysiological analysis of inhibitive casting. Physical and Occupational Therapy in Pediatrics, 4(4), 31–42.
6.
CruickshankD. A., & O'NeillD. L. (1990). Upper extremity inhibitive casting in a boy with spastic quadriplegia. American Journal of Occupational Therapy, 44(6), 552–555.
7.
CusickA., & OttenbacherK. (1990). Clinical evaluation and research in occupational therapy: Single systems designs. Australian Occupational Therapy Journal, 37(1), 31–38.
8.
GossmanM. R.SahrmannS. A., & RoseS. J. (1982). Review of length-associated changes in muscle. Physical Therapy, 62(12), 1799–1808.
9.
HackerB. (1980). Single subject research strategies in occupational therapy. (Parts 1 and 2). American Journal of Occupational Therapy, 34(2 and 3), 103–108 and 169–175.
10.
HarrisS. R.SmithL. H., & KrukowskiL. (1985). Goniometric reliability for a child with spastic quadriplegia. Journal of Pediatric Orthopedics, 5(3), 348–351.
11.
HepburnG. R. (1987). Case studies: Contracture and stiff joint management with Dynasplint. Journal of Orthopaedic and Sports Physical Therapy, 8(10), 498–504.
12.
HorgerM. M. (1990). The reliability of goniometric measurements of active and passive wrist motions. American Journal of Occupational Therapy, 44(4), 342–348.
13.
KaplanN. (1962). Effect of splinting on reflex inhibition and sensorimotor stimulation in treatment of spasticity. Archives of Physical Medicine and Rehabilitation, 43, 565–569.
14.
KingT. I. (1982). Plaster splinting as a means of reducing elbow flexor spasticity: A case study. American Journal of Occupational Therapy, 36(10), 671–673.
15.
KottkeF. J.PauleyD. L., & PtakR. A. (1966). The rationale for prolonged stretching for correction of shortening of connective tissue. Archives of Physical Medicine and Rehabilitation, 47, 345–352.
16.
LawM., & CadmanD. (1988). Measurement of spasticity: A clinician's guide. Physical and Occupational Therapy in Pediatrics, 8(2/3), 77–95.
17.
LehmkuhlL. D.ThoiL. L.BaizeC.KelleyC. J.KrawczykL., & BontkeC. F. (1990). Multimodality treatment of joint contractures in patients with severe brain injury: Cost, effectiveness, and integration of therapies in the application of serial/inhibitive casts. Journal of Head Trauma Rehabilitation, 5(4), 23–42.
18.
LowJ. L. (1976). The reliability of joint measurement. Physiotherapy, 63, 227–229.
19.
MackayS., & WallenM. (1991, September). The effectiveness of the soft splint in the acute management of hypertonicity of the elbow. Paper presented at the 16th Federal Conference of the Australian Association of Occupational Therapists, Adelaide, Australia.
20.
Mackay-LyonsM. (1989). Low-load, prolonged stretch in treatment of elbow flexion contractures secondary to head trauma: A case report. Physical Therapy, 69(4), 292–296.
21.
McPhersonJ. J. (1981). Objective evaluation of a splint designed to reduce hypertonicity. American Journal of Occupational Therapy, 35(3), 189–194.
22.
McPhersonJ. J.ArendsT. G.MichaelsM. J., & TrettinK. (1984). The range of motion of long term knee contractures of four spastic cerebral palsied children: A pilot study. Physical and Occupational Therapy in Pediatrics, 4(1), 17–34.
23.
McPhersonJ. J.BeckerA. H., & FranszczakN. (1985). Dynamic splint to reduce the passive component of hypertonicity. Archives of Physical Medicine and Rehabilitation, 66, 249–252.
24.
McPhersonJ. J.KreimeyerD.AalderksM., & GallagherT. (1982). A comparison of dorsal and volar resting hand splints in the reduction of hypertonus. American Journal of Occupational Therapy, 36(10), 664–670.
25.
MillsV. M. (1984). Electromyographic results of inhibitory splinting. Physical Therapy, 64(2), 190–193.
26.
OttenbacherK. J. (1986). Evaluating clinical change: Strategies for occupational and physical therapists. Baltimore: Williams and Wilkins.
27.
OttenbacherK. J. (1990). Clinically relevant designs for rehabilitation research: The idiographic model. American Journal of Physical Medicine and Rehabilitation, 69(6), 286–292.
28.
RoseV., & ShahS. (1987). A comparative study on the immediate effects of hand orthoses on reduction of hypertonus. Australian Occupational Therapy Journal, 34(2), 59–64.
29.
RothsteinJ. M.MillerP. J., & RoettgerR. F. (1983). Goniometric reliability in a clinical setting. Physical Therapy, 63(10), 1611–1615.
30.
SmithL. H., & HarrisS. R. (1985). Upper extremity inhibitive casting for a child with cerebral palsy. Physical and Occupational Therapy in Pediatrics, 5(1), 71–79.
31.
StolovW. C. (1966). The concept of normal muscle tone, hypotonia and hypertonia. Archives of Physical Medicine and Rehabilitation, 47, 156–168.
32.
TardieuC.de la TourHuet E.BretM. D., & TardieuG. (1982). Muscle hypoextensibility in children with cerebral palsy: I. Clinical and experimental observations. Archives of Physical Medicine and Rehabilitation, 63, 97–102.
33.
TardieuG.TardieuC.Colbeau-JustinP., & LespargotA. (1982). Muscle hypoextensibility in children with cerebral palsy: II. Therapeutic implications. Archives of Physical Medicine and Rehabilitation, 63, 103–107.
34.
WallenM., & O'FlahertyS. J. (1991). The use of the Soft Splint in the management of spasticity of the upper limb. Australian Occupational Therapy Journal, 38(1), 227–231.
