Overview of splinting for upper extremity injuries related to sport. Find powerpoint presentations and slides using the power of, find free presentations research about splinting techniques ppt. 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. Indications and accurate application techniques vary for each type of splint. Complete documentation including type of orthosis, wear schedule, care for the splint and tolerance to the splint wear. Learn proper splinting techniques increase knowledge, convenience, and expertise using the so. 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. Place it and fold the ends of stockinette over the splinting material. Fundamental techniques to splint extremity fractures.
Excel in your career as an occupation therapist with the expert information and easytounderstand presentation in orthotic intervention for the hand and upper extremity. Splinting the hand and upper extremity performance health. Overview of common sport related upper extremity injuries seen by occupational therapy. An extremity splint will not work unless you completely encapsulate the injury within the splint. One option is to begin as if creating a cast and, with the extremity in its position of function, apply stockinette.
Splinting is the preferred method of immobilization. An initial screen of upper extremity function is crucial at all points of the rehabilitation continuum of care. Upper extremety splinting summary powered by regonline. Understanding proper splinting technique is a critical skill for all emergency pphysicians. 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. Burn scar contracture is defined as a loss of motion of a joint or anatomic structure as a result. 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.
Guard, cast or brace must meet the following guidelines. An ecoconscious alternative material for splinting in hand surgery wormald, justin c. 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. Improvised splints and slings for upper extremities iv. 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. Measure out the dry splint on the contralateral extremity. 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. Baseline materials l stockinette l splinting material l plaster upper extremity. Place the foot or hand, palm down, on a flat surface.
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. Longarm splint or cast with repeat radiographs every 7 10 days. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Be sure to verify your new user account in the next 24 hours, by checking your email and clicking the verify link. Identify the different splinting material properties and how they affect fabrication of the orthosis. Closed reduction, traction, and casting techniques orthopaedic. Distinguish appropriate anatomical landmarks of fingers, palm, wrist and elbow, for increased success in fit and function of upper extremity splints. 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. Splinting an adjunct in the management of hypertonicity occupational therapy department the royal childrens hospital.
Failure to properly splint an extremity can lead to injury thats worse than if you didnt splint it at all. Splinting principles and process fundamentals of hand therapy. 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. The effects of casting on upper extremity motor disorders. 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. Further reduction and softening of fibrotic tissue in the affected area is the main focus. Clinical reasoning and treatment guidelines for common diagnoses of the upper extremity, 2e hand and upper extremity rehabilitation. The splinter series is back with its fourth installment. That means you must immobilize joints above and below the fracture. 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. Robin janson is lecturer, parttime, indiana university school of health, and rehabilitation sciences, department of occupational therapy, indianapolis, indiana. Hundreds of clinical photographs throughout the book make it easy for you to confidently put all these techniques. The best splinting guide for occupational therapists ive heard from many different therapists how hard it is to find a good, reputable splinting guide. Extremity injuries and splinting extremity injuries and splinting dr.
Upper extremity splinting and bracing um rehabilitation. An evidence based occupational therapy toolkit for. You have just completed the application of a hare brand traction splint and mechanical traction has now been pulled. Our occupational therapists make a variety of specialty orthoplast splints, including static splints for positioning, postoperative supportive bracing after orthopedic surgery, static. The basic skill of splinting takes talent and experience to be performed correctly. Overview of treatment for upper extremity injuries related to sport. If, for example, an arm is broken in the middle of the forearm, more than just the forearm will need to be splinted. An ecoconscious alternative material for splinting in. Hand and upper extremity splinting third edition orthotic intervention for the hand and upper extremity. 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. Ppt upper extremity amputation powerpoint presentation. Orthotic intervention for the hand and upper extremity. Positioning, splinting, and contracture management william s. View and download powerpoint presentations on splinting techniques ppt.
Demonstration of the proper techniques for splinting various arm injuries and to apply a sling and swathe. The best splinting guide for occupational therapists. A splint is a noncircumferential external device made from different materials and it is designed to apply. Slowly straighten the affected muscle to obtain full extension of the joint. Orthopaedic immobilization techniques sagamore venture. Splinting may be continued during vigorous activity for 1 2 weeks. Basic splinting techniques indications patients frequently present to primary care offices, urgent care, and emergency departments with musculoskeletal injuries, such as fractures, sprains, and.
Splinting basics part 2 upper and lower extremity splints. Thumb spica splint cpt 29105 long arm cpt 29125 short arm 34 splinting material, 23 wrap indications. Apply 23 layers of padding over the area to be splinted and between digits being splinted. 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.
Effectively prescribe the correct splinting material to match specific patient diagnosis, including the fractured, tonal, neurologically impaired, arthritic, or strained upper extremity. Both bone torus fractures should be treated initially in a longarm splint or cast for 2 weeks then short arm for. Proper techniques for splinting upper extremities and lower extremities is an important tool in case of an accident. Splinting may be accomplished in a variety of ways. 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. Recommendations for casting and splinting technique. Immobilization of the extremity through splinting may serve to decrease pain and bleeding, and prevent further soft tissue, vascular, or neurologic compromise. Apply the general principles of upper extremity splinting to case studies.
Invariably we find our best efforts in a pile of very expensive and awkward to handle mass of materials leaving both. Orthoglass splinting manual, charlotte, nc, parker medical associates, 1994. While splinting is a pretty simple skill, its important that as a nurse practitioner or physician assistant you are proficient in. Many distalextremity injuries can initially be managed in an outpatient setting with the use of basic splinting techniques.
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. 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. Request pdf hand and upper extremity splinting this updated version includes the basic concepts and principles of splint design, splints acting on the elbow and shoulder. This article has been saved into your user account, in the favorites area, under the new folder. Presents concepts of anatomy, biomechanics, and kinesiology of the hand and upper extremity as it applies to splinting about the author j. 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. A guard, cast or brace made of a hard and unyielding. Most splinting techniques are handed down from house staff or experienced clinicians, but. This week, lets talk about types of splints and which kind of splint is appropriate for various types of fractures.
Understand the rules for athletics regarding the use of playing castssplints. This can be performed on the upper extremity as well as the lower extremity. 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. Splinting the hand, wrist, and elbow therapy network. Techniques for highquality splinting and patient instructions for care are discussed. We provide specialty upper extremity splinting in our outpatient ortho and neuro occupational therapy departments for patients with a variety of diagnoses. Shell splints upper extremity and lower extremity splinting appliances learn basic terminology and anatomy increase your level of comfort applying a so. 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. The c5 and c6 roots form the upper trunk, the c7 root the middle trunk, and the c8. Wound coverage techniques for the injured extremity wound coverage techniques for the injured extremity gil ortega, md, mph original author.
Parry, ms, ptb the development of burn scar contracture is a pathologic condition. Other distal humerus and olecarnon fractures should be placed in a posterior splint for referral. Shoulder anatomy extremity splinting mitch medical. Em in 5 blog is a series of 5 minute emergency medicine lectures on high yield topics. Indications and accurate application techniques vary for each type of splint and cast commonly. This study compares casting to traditional techniques, such as passive range of motion, static stretch, and splinting, in the treatment of the hypertonic upper extremity in. Splinting techniques department of emergency medicine. Hand splinting is often combined with other treatment techniques such as stretching and strengthening for maximum effectiveness. Splinting treatment for fractures, sprains, and strains will be addressed in this lesson. Splinting an adjunct in the management of hypertonicity.
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