Practice Forum| Volume 30, ISSUE 1, P113-115, January 2017

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A simple orthosis solves a problem in a patient with a dystonic finger after stroke

Published:November 25, 2016DOI:
      These authors use a custom-fabricated orthotic device to improve hand motion and function for a client with hand dystonia after stroke. Clinical observation and reasoning resulted in an effective solution to control the dystonia that was acceptable to the client. – Kristin Valdes, OTD, OT, CHT, Practice Forum Editor
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        • Adamson J.
        • Beswick A.
        • Ebrahim S.
        Is stroke the most common cause of disability?.
        J Stroke Cerebrovasc Dis. 2004; 13: 171-177
        • Siniscalchi A.
        • Gallelli L.
        • Labate A.
        • Malferrari G.
        • Palleria C.
        • Sarro G.D.
        Post-stroke movement disorders: clinical manifestations and pharmacological management.
        Curr Neuropharmacol. 2012; 10: 254-262
        • Torres-Russotto D.
        • Perlmutter J.S.
        Focal dystonias of the hand and upper extremity.
        J Hand Surg Am. 2008; 33: 1657-1658
        • Byl N.A.
        Nonpharmacologic therapies.
        in: Brin M.F. Comella C. Jankovic J. Dystonia: Etiology, Clinical Features, and Treatment. Lippincott Williams & Wilkins, Philadelphia, PA2004
        • Karp B.I.
        Limb dystonia.
        in: Stacy M.A. Handbook of Dystonia. Informa Healthcare, New York, NY2007
        • Bravini E.
        • Franchignoni F.
        • Ferriero G.
        • et al.
        Validation of the Italian version of the Client Satisfaction with Device module of the Orthotics and Prosthetics Users' Survey.
        Disabil Health J. 2014; 7: 442-447

      JHT Read for Credit

      Quiz: #455

      Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to There is only one best answer for each question.
      • #1.
        The primary feature of dystonia is
        • a.
        • b.
          involuntary muscle contraction
        • c.
          painful muscle contraction
        • d.
          altered sensibility
      • #2.
        A key feature of the splint is a
        • a.
          palmar block of the proximal phalanx
        • b.
          dorsal block over the proximal phalanx of the index, middle, ring, and little fingers
        • c.
          dorsal block over the index middle phalanx
        • d.
          dorsal block over the index proximal phalanx
      • #3.
        The article is
        • a.
          an RCT
        • b.
          a case series
        • c.
          a case report
        • d.
          an n = 1 investigation
      • #4.
        The flexion of the tubing was accomplished
        • a.
          by heating the tubing then bending it over a metal peg
        • b.
          with a specialized bending apparatus
        • c.
          by a series of rubber bands
        • d.
          by a specialized freeze dried method
      • #5.
        The background music accompanying the video is Beethoven's Moonlight Sonata
        • a.
        • b.
      When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.