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  • Current practice trends of oedema management in the hands of people with tetraplegia in Australia

    Thumbnail
    Author(s)
    Oh, S
    Gustafsson, L
    Eames, S
    Griffith University Author(s)
    Gustafsson, Louise
    Year published
    2019
    Metadata
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    Abstract
    Study design: Survey research design. Objectives: To describe current practice methods for oedema management in people with tetraplegia. Setting: Australia. Methods: Online survey with open and closed questions regarding clinical practice trends in the assessment and treatment of oedema in the hands in people with tetraplegia. Results: Seventeen occupational therapists working in spinal cord injury (SCI) in Australia completed the survey. Oedema was identified by visual inspection (n = 17, 100%) and recorded using circumferential tape measurement (n = 13, 76%). Elevation was used by all participants in conjunction with ...
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    Study design: Survey research design. Objectives: To describe current practice methods for oedema management in people with tetraplegia. Setting: Australia. Methods: Online survey with open and closed questions regarding clinical practice trends in the assessment and treatment of oedema in the hands in people with tetraplegia. Results: Seventeen occupational therapists working in spinal cord injury (SCI) in Australia completed the survey. Oedema was identified by visual inspection (n = 17, 100%) and recorded using circumferential tape measurement (n = 13, 76%). Elevation was used by all participants in conjunction with compression gloves (n = 13, 76%), retrograde massage (n = 13, 76%), compression bandaging (n = 12, 71%) and the boxing glove splint (n = 9, 53%). Participants stated that oedema presented challenges to patients with difficulty exercising (n = 11, 65%), changes to body image (n = 5, 29%) and pain (n = 4, 24%). Conclusion: Assessment and treatment practices were not consistent. Oedema in the hands in people with tetraplegia was perceived to have various impacts on a person's rehabilitation and hand function. The findings highlight the need for research evidence to guide practice.
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    Journal Title
    Spinal cord series and cases
    Volume
    5
    Issue
    1
    DOI
    https://doi.org/10.1038/s41394-019-0215-7
    Subject
    Clinical sciences
    Oedema
    Quality of life
    Publication URI
    http://hdl.handle.net/10072/388962
    Collection
    • Journal articles

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