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Single-case design evaluation of compression therapy for edema of the stroke-affected hand

OBJECTIVE. To explore the efficacy of low- and high-stretch compression bandaging
for edema management in the stroke-affected upper limb. METHOD. A single-case,
ABA-design study was conducted with 8 participants alternately allocated to
receive low- or high-stretch bandaging. Edema was measured with circumferential
tape at four specified points from the hand to the mid-forearm. All measurements
were represented graphically for visual analysis, and celeration lines were
calculated to indicate the degree of slope in each phase.
RESULTS. Visual
analysis indicated fluctuating edema volume in the first baseline phase,
decreasing edema volume in the intervention phase, and increasing edema volume in
the second baseline phase. The results did not clearly distinguish between the
two bandaging groups. CONCLUSION. Compression bandaging may have benefits in the
management of edema after stroke. Further research is required to identify
factors contributing to the long-term maintenance of reductions gained after
compression bandaging.
CI - Copyright (c) 2014 by the American Occupational Therapy Association, Inc.

Langue : ANGLAIS

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