Wrist Splint for Upper Motor Neuron Paralysis

To the Editor:There are a number of concerns with the study published by Stroke written by Lannin et al.1The concerns are: (1) the randomization; (2) the title; (3) the sample of stroke participants; (4) the volar splint; and (5) the splinting groups with the wrist and fingers in a “neutral” and in an “extended position.”Randomization was based on the diagnosis and time from onset, not the degree of spasticity. Therefore, it is obvious that change in flexor tendon extensibility and possible effectiveness of splinting were not significant. The randomization should be based on the degree of spasticity because it is independent of the time from onset. It was vital that the intervention groups in the study, that is “neutral” and “45° extended,” were first classified based on the degree of spasticity as …