{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T20:01:59Z","timestamp":1787860919981,"version":"build-2784847793"},"reference-count":36,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,11,5]],"date-time":"2019-11-05T00:00:00Z","timestamp":1572912000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The aim of this study was to compare the effects of two kinds of wrist-hand orthosis on wrist flexor spasticity in chronic stroke patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>This is a randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>The study was conducted in a rehabilitation center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>A total of 40 chronic hemiparetic stroke patients with wrist flexor spasticity were involved in the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>Patients were randomly assigned to either an experimental group (conventional rehabilitation therapy\u2009+\u20093D-printed orthosis, 20 patients) or a control group (conventional rehabilitation therapy\u2009+\u2009low-temperature thermoplastic plate orthosis, 20 patients). The time of wearing orthosis was about 4\u20138 hours per day for six weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measures:<\/jats:title>\n                    <jats:p>Primary outcome measure: Modified Ashworth Scale was assessed three times (at baseline, three weeks, and six weeks). Secondary outcome measures: passive range of motion, Fugl-Meyer Assessment score, visual analogue scale score, and the swelling score were assessed twice (at baseline and six weeks). The subjective feeling score was assessed at six weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>No significant difference was found between the two groups in the change of Modified Ashworth Scale scores at three weeks (15% versus 25%, P\u2009=\u20090.496). At six weeks, the Modified Ashworth Scale scores (65% versus 30%, P\u2009=\u20090.02), passive range of wrist extension ( P\u2009&lt;\u20090.001), ulnar deviation ( P\u2009=\u20090.028), Fugl-Meyer Assessment scores ( P\u2009&lt;\u20090.001), and swelling scores ( P\u2009&lt;\u20090.001) showed significant changes between the experimental group and the control group. No significant difference was found between the two groups in the change of visual analogue scale scores ( P\u2009=\u20090.637) and the subjective feeling scores ( P\u2009=\u20090.243).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>3D-printed orthosis showed greater changes than low-temperature thermoplastic plate orthosis in reducing spasticity and swelling, improving motor function of the wrist and passive range of wrist extension for stroke patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215519885174","type":"journal-article","created":{"date-parts":[[2019,11,5]],"date-time":"2019-11-05T05:46:35Z","timestamp":1572932795000},"page":"194-204","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":38,"title":["Effects of a 3D-printed orthosis compared to a low-temperature thermoplastic plate orthosis on wrist flexor spasticity in chronic hemiparetic stroke patients: a randomized controlled trial"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9958-9844","authenticated-orcid":false,"given":"Yanan","family":"Zheng","sequence":"first","affiliation":[{"name":"Department of Rehabilitation, Shanghai Xuhui Central Hospital, Shanghai, China"},{"name":"School of Kinesiology, Shanghai University of Sport, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gongliang","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Shanghai Xuhui Central Hospital, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Long","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Shanghai Xuhui Central Hospital, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanmin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Shanghai Xuhui Central Hospital, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Fang","sequence":"additional","affiliation":[{"name":"School of Mechatronic Engineering and Automation, Shanghai University, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yikang","family":"Shen","sequence":"additional","affiliation":[{"name":"School of Mechatronic Engineering and Automation, Shanghai University, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiuling","family":"Huang","sequence":"additional","affiliation":[{"name":"School of Mechatronic Engineering and Automation, Shanghai University, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Qiao","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Shanghai Xuhui Central Hospital, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianzhong","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Shanghai Xuhui Central Hospital, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9859-6698","authenticated-orcid":false,"given":"Ying","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Shanghai Xuhui Central Hospital, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zikai","family":"Hua","sequence":"additional","affiliation":[{"name":"School of Mechatronic Engineering and Automation, Shanghai University, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,11,5]]},"reference":[{"key":"bibr1-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1111\/ene.13902"},{"key":"bibr2-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2011.06.027"},{"key":"bibr3-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000000157"},{"key":"bibr4-0269215519885174","first-page":"306325","volume":"2014","author":"Pundik S","year":"2014","journal-title":"Stroke Res Treat"},{"key":"bibr5-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1177\/0269215510381620"},{"key":"bibr6-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1002\/mus.20285"},{"key":"bibr7-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1163\/156856208786140355"},{"key":"bibr8-0269215519885174","first-page":"546093","volume":"2013","author":"Andringa A","year":"2013","journal-title":"Stroke Res Treat"},{"key":"bibr9-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1080\/10749357.2019.1599172"},{"key":"bibr10-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/60.7.877"},{"key":"bibr11-0269215519885174","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-2011-0629"},{"key":"bibr12-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1186\/s12938-018-0522-4"},{"key":"bibr13-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2014.07.002"},{"key":"bibr14-0269215519885174","first-page":"3789","volume":"2017","author":"Abreu de","year":"2017","journal-title":"Conf Proc IEEE Eng Med Biol Soc"},{"key":"bibr15-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1089\/ten.tec.2013.0445"},{"key":"bibr16-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2009.12.0195"},{"key":"bibr17-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1080\/17483107.2016.1253117"},{"key":"bibr18-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1097\/00004356-199206000-00009"},{"key":"bibr19-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1080\/09638280601056145"},{"key":"bibr20-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/73.7.447"},{"key":"bibr21-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2012.06.017"},{"key":"bibr22-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(83)90088-X"},{"key":"bibr23-0269215519885174","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-0299"},{"key":"bibr24-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1080\/10400435.1996.10132268"},{"key":"bibr25-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1080\/10400435.2000.10132015"},{"key":"bibr26-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1111\/jopr.12630"},{"key":"bibr27-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1080\/09638280400014576"},{"key":"bibr28-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1191\/026921599677595404"},{"issue":"4","key":"bibr29-0269215519885174","doi-asserted-by":"crossref","first-page":"576","DOI":"10.23736\/S1973-9087.17.04796-7","volume":"54","author":"Meseguer-Henarejos AB","year":"2018","journal-title":"Eur J Phys Rehabil Med"},{"key":"bibr30-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/67.2.206"},{"key":"bibr31-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(99)90053-9"},{"key":"bibr32-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1002\/mus.20284"},{"key":"bibr33-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1515\/revneuro-2017-0058"},{"key":"bibr34-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-5406(03)00502-X"},{"key":"bibr35-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1177\/0309364618785725"},{"key":"bibr36-0269215519885174","doi-asserted-by":"publisher","DOI":"10.1016\/j.biotechadv.2017.05.007"}],"container-title":["Clinical Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269215519885174","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0269215519885174","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269215519885174","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:54:37Z","timestamp":1777395277000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/0269215519885174"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,5]]},"references-count":36,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,2]]}},"alternative-id":["10.1177\/0269215519885174"],"URL":"https:\/\/doi.org\/10.1177\/0269215519885174","relation":{},"ISSN":["0269-2155","1477-0873"],"issn-type":[{"value":"0269-2155","type":"print"},{"value":"1477-0873","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11,5]]}}}