Splinting the Pediatric Patient

Splint Wearing Schedule Form

IDEAS TO AID IN SPLINT CONSTRUCTION MATERIALS SELECTION HOW TO IMPROVE THE LIKELIHOOD THAT A SPLINT WILL BE WORN IDEAS TO AID IN SPLINT DESIGN IDEAS TO PREVENT UNWANTED SPLINT REMOVAL ARTICULAR SPLINTS Thumb Splints Wrist Splints Forearm Splints Elbow Splints OTHER Splinting in the pediatric population can occur as early as the neonatal intensive care unit and may persist into adulthood for those who continue to be challenged by abnormal tone. Review of the literature finds very little...

Indications for Splinting

Degree Wrist Extension Splint

The patient with rheumatoid arthritis presents numerous treatment challenges to the rehabilitation team.3,23 Whether or not to splint is a major decision. A rheumatoid arthritic hand may be splinted for the following reasons (1) to help decrease inflammation, (2) to rest and support weakened joint structures, (3) to properly position joints, (4) to help minimize joint contractures, or (5) to help improve function through better positioning of the joints. Controversy, however, still surrounds...

Short Opponens Hand Splint

Wrist Extension Mobilization Splint

Capsulectomy involves the surgical division (capsulotomy) or excision (capsulectomy) of a portion of the collateral ligaments of a digital joint with normal articular surfaces but limited passive motion due to contracted periarticular ligamentous structures. Although a substantial improvement of motion may be reliably anticipated at the MP level, the results of a capsulectomy procedure at the PIP joint are less predictable.14,44,85,100,109 Mobilization efforts are usually initiated within 1 to...

Lateral Epicondylitis

Frequently referred to as tennis elbow, rug beater's elbow, or jailer's elbow, lateral epicondylitis is a common condition found in athletes, workers, and musicians. Arising from the humeral lateral epicondyle, the extensor-supinator muscles may be strained or contused through repetitive shear activities that cause microscopic tearing and inflammation at the origin of the common extensor tendon. Gripping an instrument, a piece of sporting equipment, or a tool further aggravates the injury. The...

Review Purpose Immobilization Mobilization Restriction Torque Transmission

Torque Transmission Splint Hand

Once key joints are determined, direction of forces and splint purpose are defined almost simultaneously. Purpose identifies the functional objective(s) of a given splint. Are joints to be immobilized to allow healing Is it desirable to increase or to maintain the passive range of motion or to substitute for absent active motion Should articular motion be allowed within predefined limitations Is the splint applied to transfer moment or torque to joints outside the boundaries of the splint It is...

Classification and Nomenclature of Splints and Splint Components

Mechanical Characteristics Source of Power Materials Anatomic Part Descriptive Phrase ASHT SPLINT CLASSIFICATION SYSTEM (SCS) Total Number of Joints Design Options Connector Bar Crossbar Cuff or Strap Deviation Bar Mobilization Assist or Traction Device Finger Cuff Fingernail Attachment Forearm Humerus Bar or Trough Hypothenar Bar Joint Metacarpal Bar Opponens Bar Outrigger Splint Component Integration SUMMARY Good communication, an essential to efficacious patient intervention, is dependent...

Forearm Wrist Thumb Splints

Types Splints

A type 0 forearm, wrist, thumb splint will include as primary joints the forearm, wrist, and thumb. Patients note improved function with the thumb positioned in palmar abduction, wrist in extension, and forearm in supination. The splint is typically fabricated for children with mild hypertonia (Fig. 13-31). Fig. 13-26 A, Forearm pronation mobilization splint, type 2 (3) B, Forearm supination mobilization splint, type 2 (3) Dual outriggers that run parallel to the forearm provide...

Hand Wrist and Forearm

Distal Transverse Arch

I ANATOMY AND KINESIOLOGY OF THE HAND, WRIST, AND FOREARM One cannot expect to adequately participate in the treatment of disorders of the hand and arm without a solid working knowledge of the intricate anatomic and kinesiologic relationships of the upper extremity. The preparation of externally applied splinting devices to the forearm, wrist, and hand necessitates a thorough understanding of and respect for the underlying anatomic structures. Only through comprehension of the normal anatomy of...

Splints Acting on the Wrist and Forearm

Torque Transmission Immobilization Splints This chapter follows the expanded ASHT ESCS format by first dividing splints into articular or nonarticular categories. In the articular category, splints are next grouped according to the primary joint or joints they influence. Splints in the nonarticular category are defined by the anatomical segments upon which they are based. Once articular splints are grouped according to their primary joints, they are further defined by direction of force...