Most splinting techniques are handed down from house staff or experienced clinicians, but. Splinting the hand, wrist, and elbow therapy network. Positioning, splinting, and contracture management william s. Splinting the hand and upper extremity performance health. View and download powerpoint presentations on splinting techniques ppt.
Be sure to verify your new user account in the next 24 hours, by checking your email and clicking the verify link. Upper extremity splinting and bracing um rehabilitation. Proper techniques for splinting upper extremities and lower extremities is an important tool in case of an accident. An initial screen of upper extremity function is crucial at all points of the rehabilitation continuum of care. Splints may be prescribed for wear during the day, at night or worn to assist hand function for a particular task during the day e. Understanding proper splinting technique is a critical skill for all emergency pphysicians. If, for example, an arm is broken in the middle of the forearm, more than just the forearm will need to be splinted. This seminar will provide and introduce the history of splinting, splinting theories, principles and techniques for several types of splints commonly fabricated in the rehabilitation setting.
Ppt upper extremity amputation powerpoint presentation. Demonstration of the proper techniques for splinting various arm injuries and to apply a sling and swathe. The best splinting guide for occupational therapists ive heard from many different therapists how hard it is to find a good, reputable splinting guide. An ecoconscious alternative material for splinting in hand surgery wormald, justin c. Identify the different splinting material properties and how they affect fabrication of the orthosis. The effects of casting on upper extremity motor disorders. Find powerpoint presentations and slides using the power of, find free presentations research about splinting techniques ppt. The splinter series is back with its fourth installment. The best splinting guide for occupational therapists. Presents concepts of anatomy, biomechanics, and kinesiology of the hand and upper extremity as it applies to splinting about the author j.
Our occupational therapists make a variety of specialty orthoplast splints, including static splints for positioning, postoperative supportive bracing after orthopedic surgery, static. Effectively prescribe the correct splinting material to match specific patient diagnosis, including the fractured, tonal, neurologically impaired, arthritic, or strained upper extremity. Apply 23 layers of padding over the area to be splinted and between digits being splinted. Longarm splint or cast with repeat radiographs every 7 10 days.
Splinting principles rehabilitation of the hand and upper extremity 5th edition pdf hand therapy catalog splinting the control of external power in upper extremity rehabilitation anatomy of lower extremity foot and lower extremity biomechanics charles m schulz love is walking hand in. Techniques for highquality splinting and patient instructions for care are discussed. Orthopaedic immobilization techniques orthopaedic immobilization techniques n a t i o n a l a s o c i a t i o n o f o r t h o p a e. Place the foot or hand, palm down, on a flat surface. The basic skill of splinting takes talent and experience to be performed correctly. Wound coverage techniques for the injured extremity wound coverage techniques for the injured extremity gil ortega, md, mph original author. Basic splinting techniques indications patients frequently present to primary care offices, urgent care, and emergency departments with musculoskeletal injuries, such as fractures, sprains, and. A guard, cast or brace made of a hard and unyielding. An ecoconscious alternative material for splinting in. Invariably we find our best efforts in a pile of very expensive and awkward to handle mass of materials leaving both. Failure to properly splint an extremity can lead to injury thats worse than if you didnt splint it at all. Slowly straighten the affected muscle to obtain full extension of the joint.
Splinting techniques department of emergency medicine. Chudnofsky splints are used frequently in the emergency department ed for temporary immobilization of fractures and dislocations and for definitive treatment of soft tissue injuries. Overview of common sport related upper extremity injuries seen by occupational therapy. Splinting principles and process fundamentals of hand therapy. Many distalextremity injuries can initially be managed in an outpatient setting with the use of basic splinting techniques.
Thumb spica splint cpt 29105 long arm cpt 29125 short arm 34 splinting material, 23 wrap indications. The brachial plexus supplies innervation for all muscles of the upper extremity and receives contributions from the c5, c6, c7, c8, and t1 nerve roots fig. Orthopaedic immobilization techniques sagamore venture. Other distal humerus and olecarnon fractures should be placed in a posterior splint for referral. Orthoglass splinting manual, charlotte, nc, parker medical associates, 1994. Excel in your career as an occupation therapist with the expert information and easytounderstand presentation in orthotic intervention for the hand and upper extremity. That means you must immobilize joints above and below the fracture. Measure out the dry splint on the contralateral extremity. Distinguish appropriate anatomical landmarks of fingers, palm, wrist and elbow, for increased success in fit and function of upper extremity splints. Hundreds of clinical photographs throughout the book make it easy for you to confidently put all these techniques. Parry, ms, ptb the development of burn scar contracture is a pathologic condition.
Orthotic intervention for the hand and upper extremity. Splinting the hand and upper extremity instructs students and clinicians in splint fabrication techniques and related interventions for upper extremity, and highlights anatomical and biomechanical principles specifically related to splints. Guard, cast or brace must meet the following guidelines. Robin janson is lecturer, parttime, indiana university school of health, and rehabilitation sciences, department of occupational therapy, indianapolis, indiana. Shell splints upper extremity and lower extremity splinting appliances learn basic terminology and anatomy increase your level of comfort applying a so. This article has been saved into your user account, in the favorites area, under the new folder. Fundamental techniques to splint extremity fractures.
For an upperextremity splint, cut a small hole in the stockinette where it lies across the base of the thumb and then pull it over the digit. Upper extremety splinting summary powered by regonline. Hand splinting is often combined with other treatment techniques such as stretching and strengthening for maximum effectiveness. An extremity splint will not work unless you completely encapsulate the injury within the splint. I started doing some digging and found a few available online for purchase, but to be absolutely sure this one is the best, i consulted with multiple hand therapists to get their expert opinion. Splinting is the preferred method of immobilization. This proven book provides orthosis patterns for most upper extremity diagnoses and provides the information you need to make an informed decision about whether the. Further reduction and softening of fibrotic tissue in the affected area is the main focus. Splinting a suspected fracture or dislocation can help prevent further injury and assist with pain relief.
We wish you a lot of splinting fun, and a rapid recovery to all. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Selfbandaging techniques for the upper extremity the goal in selfbandaging in the selfmanagement phase, or phase two of cdt is to maintain and improve the success achieved in the first phase of treatment. Improvised splints and slings for upper extremities iv. Apply the general principles of upper extremity splinting to case studies. This proven book provides orthosis patterns for most upper extremity diagnoses and provides the information you need to make an informed decision about whether the best solution. Baseline materials l stockinette l splinting material l plaster upper extremity. Splinting may be continued during vigorous activity for 1 2 weeks. Clinical reasoning and treatment guidelines for common diagnoses of the upper extremity, 2e hand and upper extremity rehabilitation. Though many facilities have nurses and patient care technicians who may assist with splint application, the ultimate responsibility for proper splint application lies with the physician. Splinting treatment for fractures, sprains, and strains will be addressed in this lesson. Place it and fold the ends of stockinette over the splinting material. Splinting an adjunct in the management of hypertonicity.
Both bone torus fractures should be treated initially in a longarm splint or cast for 2 weeks then short arm for. You have just completed the application of a hare brand traction splint and mechanical traction has now been pulled. Hand therapy, orthopedic, upper extremity courses the art of custom splinting is an often frustrating and challenging skill to master. Complete documentation including type of orthosis, wear schedule, care for the splint and tolerance to the splint wear.
This can be performed on the upper extremity as well as the lower extremity. Rehabilitation of the hand and upper extremity rehabilitation of the hand and upper extremity 5th edition pdf the control of external power in upper extremity rehabilitation hand and upper extremity splinting third edition orthotic intervention for the hand and upper extremity. Understand the rules for athletics regarding the use of playing castssplints. The screen will determine further assessments required, assist with goal setting, and assist with the choice of specific upper extremity treatments to best promote recovery and prevent complications e. Extremity injuries and splinting extremity injuries and splinting dr. Splinting basics part 2 upper and lower extremity splints. Hand and upper extremity splinting third edition orthotic intervention for the hand and upper extremity. Recommendations for casting and splinting technique. Emphasis will be placed on choosing the proper material, position and static splint to fabricate based on diagnosis and anatomical structures. Splinting immobilizes injured extremities, prevents further injury, decr. Learn proper splinting techniques increase knowledge, convenience, and expertise using the so. An evidence based occupational therapy toolkit for. Overview of splinting for upper extremity injuries related to sport. We provide specialty upper extremity splinting in our outpatient ortho and neuro occupational therapy departments for patients with a variety of diagnoses.
Indications and accurate application techniques vary for each type of splint. While splinting is a pretty simple skill, its important that as a nurse practitioner or physician assistant you are proficient in. Splinting may also provide definitive treatment for some injuries. In an adult, this generally means 2 inch for the fingers, 34 inches for the upper extremity and 56 inches for the lower extremity layers in an average sized adult, upper extremities should be splinted with 810 layers of plaster. One option is to begin as if creating a cast and, with the extremity in its position of function, apply stockinette. Overview of treatment for upper extremity injuries related to sport.
Immobilization of the extremity through splinting may serve to decrease pain and bleeding, and prevent further soft tissue, vascular, or neurologic compromise. Evidence based practice, hand therapy, manual therapy courses, orthopedic, pain, upper extremity courses, upper quadrant courses this two day course will enable the participant to understand the role of manual therapy in rehabilitation of the upper extremity and apply manual and exercise techniques appropriately. Closed reduction, traction, and casting techniques orthopaedic. Splinting may be accomplished in a variety of ways. The patient expresses that the pain is much less than it was and you notice that the injured leg is about the same length as the uninjured leg and also. Burn scar contracture is defined as a loss of motion of a joint or anatomic structure as a result. The c5 and c6 roots form the upper trunk, the c7 root the middle trunk, and the c8.