None listed
Conditions
Brief summary
Outcomes: The aim of the research study to explore the effectiveness of each of the treatment methods in reducing oedema in the hands following tetraplegia. The quantitative study will identify whether there was a reduction of oedema or not in this sample. The treatment methods will also provide a comparison of the two treatment methods to determine if there is a trend for one to exert a greater effect than the other. The qualitative study will provide findings from the participants’ perception of the oedema and oedema management and their impact on daily function. This aspect of the study will explore participants’ experiences of developing oedema and the management techniques, seeking to explore the potential impact of both on their day to day function.
Interventions
Two treatment methods will be applied to the hands of people with tetraplegia who present with oedema. The treatment methods are compression bandaging and the boxing glove splint for a period of 10-11 days.
The intervention will be applied by the treating Occupational Therapist. The participant and the therapists will all be told prior to commencement of the study that the intervention period is 10-11 days. It follows a ABA case design.
Phase A: The researcher will complete the assessments dail
Two treatment methods will be applied to the hands of people with tetraplegia who present with oedema. The treatment methods are compression bandaging and the boxing glove splint for a period of 10-11 days. The intervention will be applied by the treating Occupational Therapist. The participant and the therapists will all be told prior to commencement of the study that the intervention period is 10-11 days. It follows a ABA case design. Phase A: The researcher will complete the assessments daily for 3 consecutive days , no intervention. Phase B: the hands will receive either of the interventions dependent on pre-determined allocation. This will occur over 10-11 days, with assessment completed every 3-4 days. This will commence immediately following the assessment on the 3rd day. Phase A: This will commence the the day after the final day of assessment in phase B. 3 consecutive days of assessments, with no intervention. This will all be initiated and monitored by the researcher. Assessment and monitoring of adherence will be completed by the treating therapist as they are treating the patient on a daily basis. The boxing glove splint will be applied by the nursing staff and this will be documented in their medical records as per standard practice. The monitoring of adherence for the coban bandaging will also be reported by the occupational therapist and removal of this due to circumstances will be documented in the medical records as per standard practice. There is a pre-determined allocation system. Only one intervention will be applied to one hand during this study. Unilateral oedema allocation 1. The Boxing Glove splint 2. Coban™ 3. The Boxing Glove splint 4. Coban™ 5. The Boxing Glove splint 6. Coban™ 7. The Boxing Glove splint 8. Coban™ Bilateral oedema allocation 1. Left: The Boxing Glove splint Right: Coban™ 2. Left: Coban™ Right: The Boxing Glove splint 3. Left: The Boxing Glove splint Right: Coban™ 4. Left: Coban™ Right: The Boxing Glove splint Semi structured interviews will be conducted with the participants following the intervention
Sponsors
Soo Oh
Study design
Allocation
Non-randomised trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
• a newly cervical spinal cord injury resulting in tetraplegia. • oedema in one or both hands • currently receiving rehabilitation and will remain an inpatient for the duration of the study • adequate English, cognitive and communication skills to participate in the semi-structured interview • aged over 18 years old
Exclusion criteria
• history of lymphoedema, mastectomy and /or any other conditions that may have caused oedema in the upper limbs • peripheral oedema that may indicate compression as an contraindication and is managed with diuretics • history of cerebrovascular disease • recent trauma or orthopaedic complications to the hands and/or wrist • unable to participate in the treatment for temporary reasons i.e. cannula in situ at the site of treatment
Outcome results
None listed