Orthokinetic Cuff

Fig. 18-18C

The orthokinetic cuff may be made by another pattern where the inelastic field consists of four layers of elastic wrap stitched multiple times to make it inelastic.1

(Fig. 18-18C) Fabric appliqu├ęs may be added over the inelastic field for decoration.

Fig. 18-18C

I OTHER

Splints with Grasp Assist ("The Truly Universal, Universal Cuff!")

Thumb CMC, MP

Fig. 18-19D Thumb CMC radial abduction and MP extension mobilization splint, type 0

(2);

with grasp

assist

Fig. 18-19E Thumb CMC radial abduction and MP extension mobilization splint, type 0

(2);

with grasp

assist

Fig. 18-19F Thumb CMC radial abduction and MP extension mobilization splint, type 0

(2);

with grasp

assist

Wrist

Fig. 18-19G Wrist extension mobilization splint, type 0 (1); with grasp assist

Fig. 18-19A Fig. 18-19B

(Fig. 18-19A,B) The neoprene grasp assist is a very effective tool for maintaining grasp of an object in the palm of the hand for individuals who are unable to maintain grasp independently, such as children with fluctuating tone or individuals with limited grasp due to nerve or spinal cord injury. The assist may be attached to the hand with an elastic strap as described in the accompanying figures or an alternate strapping design may be used. It may also be attached easily to a splint with Velcro hook. As the design of the assist has the rubber-backed neo-prene against the object surface, the object does not slide around but remains stable in the palm of the hand. Due to the open-ended design and length of the neoprene, objects of a variety of sizes may be held and orientation may be changed to be in a radial or ulnar direction (Armstrong, patent pending).

Materials needed include neoprene that is rubber-backed and Velcro-sensitive, Velcro hook, Velcro loop, and

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