Static Versus Dynamic Splints for Wrist Spasticity in Stroke Patients

Static Versus Dynamic Wrist-Hand Splints to Reduce Wrist Spasticity in Subacute Hemiplegic Stroke Patients: A Randomized Control Trial

The goal of this clinical trial is to evaluate whether different types of wrist-hand splints can reduce wrist flexor spasticity in subacute hemiplegic stroke patients. The main questions it aims to answer are:

• Does a dynamic wrist-hand splint reduce wrist spasticity more effectively than a static splint?
• Does one type of splint lead to better functional outcome during use? Researchers will compare participants who receive a static splint with those who receive a dynamic splint to see which splint provides greater improvement in wrist spasticity.

Participants will:

• Wear either a static or dynamic wrist-hand splint according to the assigned study group.
• Undergo wrist spasticity assessments before and after the intervention using a standardized clinical scale.

Inclusion Criteria:

• Age 30-65 years
• Diagnosis of subacute stroke (e.g., 1-6 months post-stroke)
• Presence of wrist flexor spasticity
• Ability to follow simple instructions

Exclusion Criteria:

• Fixed wrist contracture
• Severe pain limiting splint use
• Other neurological or musculoskeletal disorders affecting the upper limb