Immobilization of the extremity through splinting may serve to decrease pain and bleeding, and prevent further soft tissue, vascular, or neurologic compromise. Overview of treatment for upper extremity injuries related to sport. This can be performed on the upper extremity as well as the lower extremity. The best splinting guide for occupational therapists. Orthoglass splinting manual, charlotte, nc, parker medical associates, 1994. 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. 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, wrist, and elbow therapy network. One option is to begin as if creating a cast and, with the extremity in its position of function, apply stockinette.
Splinting immobilizes injured extremities, prevents further injury, decr. Closed reduction, traction, and casting techniques orthopaedic. Other distal humerus and olecarnon fractures should be placed in a posterior splint for referral. The splinter series is back with its fourth installment. Both bone torus fractures should be treated initially in a longarm splint or cast for 2 weeks then short arm for. Overview of common sport related upper extremity injuries seen by occupational therapy. This article has been saved into your user account, in the favorites area, under the new folder. Em in 5 blog is a series of 5 minute emergency medicine lectures on high yield topics.
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. Learn proper splinting techniques increase knowledge, convenience, and expertise using the so. Indications and accurate application techniques vary for each type of splint. Thumb spica splint cpt 29105 long arm cpt 29125 short arm 34 splinting material, 23 wrap indications. Shell splints upper extremity and lower extremity splinting appliances learn basic terminology and anatomy increase your level of comfort applying a so. Apply 23 layers of padding over the area to be splinted and between digits being splinted. Splinting is the preferred method of immobilization.
Place it and fold the ends of stockinette over the splinting material. Burn scar contracture is defined as a loss of motion of a joint or anatomic structure as a result. Understanding proper splinting technique is a critical skill for all emergency pphysicians. Orthotic intervention for the hand and upper extremity. Apply the general principles of upper extremity splinting to case studies. 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. Orthopaedic immobilization techniques sagamore venture. Presents concepts of anatomy, biomechanics, and kinesiology of the hand and upper extremity as it applies to splinting about the author j. 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. Hand and upper extremity splinting third edition orthotic intervention for the hand and upper extremity. This week, lets talk about types of splints and which kind of splint is appropriate for various types of fractures. Learn vocabulary, terms, and more with flashcards, games, and other study tools.
An evidence based occupational therapy toolkit for. Splinting treatment for fractures, sprains, and strains will be addressed in this lesson. Improvised splints and slings for upper extremities iv. 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. 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. The best splinting guide for occupational therapists ive heard from many different therapists how hard it is to find a good, reputable splinting guide. Overview of splinting for upper extremity injuries related to sport. Demonstration of the proper techniques for splinting various arm injuries and to apply a sling and swathe. Slowly straighten the affected muscle to obtain full extension of the joint. Baseline materials l stockinette l splinting material l plaster upper extremity.
Splinting principles and process fundamentals of hand therapy. Measure out the dry splint on the contralateral extremity. Most splinting techniques are handed down from house staff or experienced clinicians, but. 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. Robin janson is lecturer, parttime, indiana university school of health, and rehabilitation sciences, department of occupational therapy, indianapolis, indiana. Upper extremety splinting summary powered by regonline. Guard, cast or brace must meet the following guidelines. Splinting basics part 2 upper and lower extremity splints. View and download powerpoint presentations on splinting techniques ppt. Splinting an adjunct in the management of hypertonicity occupational therapy department the royal childrens hospital.
Longarm splint or cast with repeat radiographs every 7 10 days. Splinting may also provide definitive treatment for some injuries. Be sure to verify your new user account in the next 24 hours, by checking your email and clicking the verify link. Hundreds of clinical photographs throughout the book make it easy for you to confidently put all these techniques. An ecoconscious alternative material for splinting in. 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. 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.
An ecoconscious alternative material for splinting in hand surgery wormald, justin c. Further reduction and softening of fibrotic tissue in the affected area is the main focus. Ppt upper extremity amputation powerpoint presentation. We wish you a lot of splinting fun, and a rapid recovery to all. An extremity splint will not work unless you completely encapsulate the injury within the splint. Positioning, splinting, and contracture management william s. Hand splinting is often combined with other treatment techniques such as stretching and strengthening for maximum effectiveness. Techniques for highquality splinting and patient instructions for care are discussed. 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. Fundamental techniques to splint extremity fractures. 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. A splint is a noncircumferential external device made from different materials and it is designed to apply. 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. Many distalextremity injuries can initially be managed in an outpatient setting with the use of basic splinting techniques.
An initial screen of upper extremity function is crucial at all points of the rehabilitation continuum of care. Indications and accurate application techniques vary for each type of splint and cast commonly. The effects of casting on upper extremity motor disorders. Place the foot or hand, palm down, on a flat surface. A guard, cast or brace made of a hard and unyielding. You have just completed the application of a hare brand traction splint and mechanical traction has now been pulled. Failure to properly splint an extremity can lead to injury thats worse than if you didnt splint it at all. Invariably we find our best efforts in a pile of very expensive and awkward to handle mass of materials leaving both. Identify the different splinting material properties and how they affect fabrication of the orthosis.
If, for example, an arm is broken in the middle of the forearm, more than just the forearm will need to be splinted. Splinting may be continued during vigorous activity for 1 2 weeks. Extremity injuries and splinting extremity injuries and splinting dr. Basic splinting techniques indications patients frequently present to primary care offices, urgent care, and emergency departments with musculoskeletal injuries, such as fractures, sprains, and. Wound coverage techniques for the injured extremity wound coverage techniques for the injured extremity gil ortega, md, mph original author. While splinting is a pretty simple skill, its important that as a nurse practitioner or physician assistant you are proficient in. 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. Hand therapy, orthopedic, upper extremity courses the art of custom splinting is an often frustrating and challenging skill to master. 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. That means you must immobilize joints above and below the fracture.
Clinical reasoning and treatment guidelines for common diagnoses of the upper extremity, 2e hand and upper extremity rehabilitation. We provide specialty upper extremity splinting in our outpatient ortho and neuro occupational therapy departments for patients with a variety of diagnoses. Our occupational therapists make a variety of specialty orthoplast splints, including static splints for positioning, postoperative supportive bracing after orthopedic surgery, static. Splinting the hand and upper extremity performance health.
Distinguish appropriate anatomical landmarks of fingers, palm, wrist and elbow, for increased success in fit and function of upper extremity splints. Parry, ms, ptb the development of burn scar contracture is a pathologic condition. Splinting techniques department of emergency medicine. Find powerpoint presentations and slides using the power of, find free presentations research about splinting techniques ppt.
Splinting a suspected fracture or dislocation can help prevent further injury and assist with pain relief. Recommendations for casting and splinting technique. Complete documentation including type of orthosis, wear schedule, care for the splint and tolerance to the splint wear. 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. 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. 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. Effectively prescribe the correct splinting material to match specific patient diagnosis, including the fractured, tonal, neurologically impaired, arthritic, or strained upper extremity. 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.
981 59 376 1359 1355 1462 1391 1003 1361 387 856 384 1176 1563 261 1428 1153 544 101 498 41 908 1184 452 1022 237 433 407 17 164 1027 254 1152 164 1039