TY - JOUR
KW - Adult
KW - Female
KW - Humans
KW - Follow-Up Studies
KW - Male
KW - Treatment Outcome
KW - Contracture
KW - Patient Compliance
KW - Posture
KW - Brain Injuries
KW - Range of Motion, Articular
KW - Casts, Surgical
KW - Elbow Joint
KW - Motion Therapy, Continuous Passive
AU - Herbert Robert
AU - Harvey Lisa
AU - Moseley Anne
AU - Leung Joan
AU - Hassett Leanne
AU - Clare Jennifer
AB - <p>
<b>OBJECTIVE: </b>To compare the effects of serial casting with positioning for 1 hour per day for the treatment of elbow flexion contracture in adults with traumatic brain injury.
</p>

<p>
<b>DESIGN: </b>Pragmatic randomized controlled trial with concealed allocation and assessor blinding.
</p>

<p>
<b>SETTING: </b>Four brain injury rehabilitation units.
</p>

<p>
<b>SUBJECTS: </b>Twenty-six adults with elbow flexion contracture after traumatic brain injury participating in multidisciplinary inpatient rehabilitation.
</p>

<p>
<b>INTERVENTIONS: </b>Subjects were randomized to receive either serial casting or positioning for two weeks. In the subsequent four weeks subjects could be positioned for up to 1 hour/day.
</p>

<p>
<b>MAIN MEASURES: </b>Torque-controlled passive elbow extension was measured at baseline, post-intervention (two weeks), post-intervention plus one day, and at follow-up (four weeks post-intervention).
</p>

<p>
<b>RESULTS: </b>All 26 subjects completed the study. Post-intervention, serial casting reduced contracture by an average of 22 degrees (95% confidence interval (CI) 13 to 31; P &lt;0.001) compared with the positioning group. One day later this effect had decreased to 11 degrees (95% CI 0 to 21 degrees; P= 0.052). The effect had almost completely disappeared at the four-week follow-up (mean 2 degrees, 95% CI -13 to 17; P= 0.782).
</p>

<p>
<b>CONCLUSIONS: </b>Serial casting induces transient increases in range of motion. These effects are not maintained.
</p>

BT - Clin Rehabil
DA - 5865613797
DO - 10.1177/0269215507083795
IS - 5
J2 - Clin Rehabil
LA - eng
N2 - <p>
<b>OBJECTIVE: </b>To compare the effects of serial casting with positioning for 1 hour per day for the treatment of elbow flexion contracture in adults with traumatic brain injury.
</p>

<p>
<b>DESIGN: </b>Pragmatic randomized controlled trial with concealed allocation and assessor blinding.
</p>

<p>
<b>SETTING: </b>Four brain injury rehabilitation units.
</p>

<p>
<b>SUBJECTS: </b>Twenty-six adults with elbow flexion contracture after traumatic brain injury participating in multidisciplinary inpatient rehabilitation.
</p>

<p>
<b>INTERVENTIONS: </b>Subjects were randomized to receive either serial casting or positioning for two weeks. In the subsequent four weeks subjects could be positioned for up to 1 hour/day.
</p>

<p>
<b>MAIN MEASURES: </b>Torque-controlled passive elbow extension was measured at baseline, post-intervention (two weeks), post-intervention plus one day, and at follow-up (four weeks post-intervention).
</p>

<p>
<b>RESULTS: </b>All 26 subjects completed the study. Post-intervention, serial casting reduced contracture by an average of 22 degrees (95% confidence interval (CI) 13 to 31; P &lt;0.001) compared with the positioning group. One day later this effect had decreased to 11 degrees (95% CI 0 to 21 degrees; P= 0.052). The effect had almost completely disappeared at the four-week follow-up (mean 2 degrees, 95% CI -13 to 17; P= 0.782).
</p>

<p>
<b>CONCLUSIONS: </b>Serial casting induces transient increases in range of motion. These effects are not maintained.
</p>

PY - 2008
SP - 406
EP - 17
T2 - Clin Rehabil
TI - Serial casting versus positioning for the treatment of elbow contractures in adults with traumatic brain injury: a randomized controlled trial.
VL - 22
SN - 0269-2155
ER -