Prevention and treatment of hand oedema after stroke.

Abstract:

PURPOSE:As there is no evidence for a specific treatment for post-stroke-induced hand oedema, rehabilitation centre Blixembosch formalized a best practice protocol. We investigated whether the Blixembosch hand oedema protocol is usable in daily practice and leads to lower incidence (prevention) and shorter duration (treatment) compared with care as usual. METHODS:In a non-randomised comparative trial, we investigated 206 post-stroke patients admitted to two Dutch rehabilitation centres. Hand volumes were measured at least bi-weekly using a volumeter. Treatment was started according the protocol (Blixembosch) or following care as usual (Leijpark). Usability was assessed with a survey among professionals. RESULTS:In the Blixembosch group, 16% developed oedema after admission, compared with 21% in the control group (p = 0.019). Average duration of oedema (both developed before and after admission) was 6.5 weeks in the Blixembosch group compared with 3.1 weeks in the control group (p = 0.000). Professionals were positive about the protocol. CONCLUSION:The study showed that the protocol is usable in daily practice and has a small beneficial effect on hand oedema incidence rates compared with care as usual. The negative effect on duration of hand oedema could also be caused by the difference in prognosis between the two groups.

journal_name

Disabil Rehabil

authors

Kuppens SP,Pijlman HC,Hitters MW,van Heugten CM

doi

10.3109/09638288.2013.824031

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

900-6

issue

11

eissn

0963-8288

issn

1464-5165

journal_volume

36

pub_type

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