{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T22:14:08Z","timestamp":1770502448767,"version":"3.49.0"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2006,11,9]],"date-time":"2006-11-09T00:00:00Z","timestamp":1163030400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2007,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Background and Purpose.<\/jats:bold>\u2002The extensibility of the paralysed flexor pollicis longus (FPL) muscle is an important determinant of an effective tenodesis grip in people with C6 and C7 tetraplegia. Therapists believe that splinting can reduce the extensibility of the FPL muscle and thus improve hand function. However, there remains much controversy around the optimal position of splinting and its effectiveness is yet to be verified. The aim of the present study was to determine whether a three\u2010month thumb splinting protocol reduces extensibility of the FPL muscle in people with tetraplegia.\u2002<jats:bold>Method.<\/jats:bold>\u2002An assessor\u2010blinded, within\u2010subject, randomized controlled trial was undertaken. Twenty people with tetraplegia and bilateral paralysis of all thumb muscles were recruited from a sample of convenience. One randomly selected hand of each subject was splinted each night for three months. The splint immobilized the FPL muscle in a relatively shortened position by positioning the carpometacarpal and metacarpophalangeal joint of the thumb in flexion. The other hand remained unsplinted for the duration of the study. Carpometacarpal angle was measured with the application of a standardized torque by a blinded assessor at the beginning and end of the three\u2010month study period. A device specifically designed for this purpose that stabilized the wrist and other joints of the thumb in full extension was used.\u2002<jats:bold>Results.<\/jats:bold>\u2002No subject withdrew from the study. The three\u2010month splinting protocol had a mean treatment effect on carpometacarpal joint angle of 0\u00b0 (95% CI, \u22126\u00b0 to 6\u00b0).\u2002<jats:bold>Conclusion.<\/jats:bold>\u2002Splinting the FPL muscle in a relatively shortened position each night for three months does not reduce its extensibility. Copyright \u00a9 2006 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/pri.346","type":"journal-article","created":{"date-parts":[[2006,11,9]],"date-time":"2006-11-09T12:17:09Z","timestamp":1163074629000},"page":"5-13","source":"Crossref","is-referenced-by-count":18,"title":["Does three months of nightly splinting reduce the extensibility of the flexor pollicis longus muscle in people with tetraplegia?"],"prefix":"10.1002","volume":"12","author":[{"given":"Lisa","family":"Harvey","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rowena","family":"Baillie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bronwyn","family":"Ritchie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Simpson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dallas","family":"Pironello","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne","family":"Glinsky","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,11,9]]},"reference":[{"key":"e_1_2_1_2_1","volume-title":"Standards for Neurological Classification of Spinal Injury Patients (Revised)","author":"American Spinal Injury Association","year":"1992"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/64.4.491"},{"key":"e_1_2_1_4_1","first-page":"455","article-title":"Letter to the editor. 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