Author: The StrokeEd Collaboration

Presented: 12th February 2024

Duration: 1 hour

Dr Laura Jolliffe
PhD, BOccTherapy (Hons), Specialist Certificate in Implementation Science. Occupational therapist and allied health research and knowledge translation lead, Peninsula Health, VIC, lecturer in occupational therapy at Monash University, VIC and Affiliate Research Fellow, National Centre for Healthy Ageing, Australia

Caitlin Casson
Senior occupational therapist, Peninsula Health

Brittni Nielson
Senior occupational therapist, Caulfield HHospital, Alfred health, Melbourne, VIC, Australia

Description: In this presentation, Laura describes the (lack of) effect on outcomes following hand splinting post-stroke, and explains why guidelines internationally recommend that this intervention not be used routinely. She describes alternative interventions that may help elicit muscle activity including mental practice, mirror therapy, electrical stimulation and task-specific training, and how to manage referrals for splinting when someone has a tightly flexed or stiff hand, spasticity and/or contractures.

Therapists are asked to consider what beliefs, attitudes and practice behaviours need to change, who needs to make these changes, and local barriers and enablers to practice change. Two clinical occupational therapists describe how they are implementing the guideline recommendations.

Learning objectives:

  • Describe the UK/Ireland and Australian/NZ guideline recommendations about hand splinting post-stroke
  • Name published studies on which the recommendations are basedMore confidently respond to questions about, and referrals for, hand splinting
  • More confidently respond to questions about, and referrals for, hand splinting