Static Versus Dynamic Splints for Wrist Spasticity in Stroke Patients

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.

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Key information

Conditions

Stroke Brain Diseases Cardiovascular Diseases Central Nervous System Diseases Cerebrovascular Disorders Hemiplegia Muscle Hypertonia Muscle Spasticity Muscular Diseases Musculoskeletal Diseases Nervous System Diseases Neurologic Manifestations Neuromuscular Manifestations Paralysis Pathological Conditions, Signs and Symptoms Post Stroke Recovery Signs and Symptoms Spasticity Vascular Diseases

Age range

30 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Markaz Bahali-e- Mazooran

Faisalabad, Punjab Province, Pakistan

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Static Wrist-Hand Splint

Device

Intervention 1: The static wrist-hand splint is a rigid device that holds the wrist and fingers in a fixed position. It is custom-fitted to each participant and worn according to a defined rehabilitation protocol, typically for several hours per day. The static splint provides continuous support to prevent wrist flexor contractures and reduce spasticity. The primary focus is on maintaining proper joint alignment and minimizing muscle hypertonicity.

Dynamic Wrist-Hand Splint

Device

Intervention 2: The dynamic wrist-hand splint is a device designed to allow controlled, graded wrist and finger extension while limiting excessive flexion. It is custom-fitted to each participant and worn according to a rehabilitation protocol, typically for several hours per day. It permits movement within a safe range while applying gentle extension forces to reduce wrist flexor spasticity. This intervention aims to actively modulate muscle tone while maintaining functional mobility.

Primary outcomes

Wrist Flexor Spasticity

Time frame: Baseline to post-intervention (4 weeks)

Wrist flexor spasticity will be assessed using the Modified Ashworth Scale (MAS). Assessments will be performed at baseline before the intervention and after completion of the intervention period. The primary outcome is the change in MAS score, comparing participants using static versus dynamic wrist-hand splints.

Sponsors and collaborators

Lead sponsor

University of Lahore

Other

Registry information

Official study title

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

Important dates

Study start: 2025
Primary completion: 2025
Study completion: 2025
First posted: Dec 24, 2025
Registry last updated: Dec 24, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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