Splints/Orthotics

Stages of Healing

1. Inflammation

2. Proliferation

3. Maturation

Inflammation phase

Lasts a few days; body is avoiding infection

Intervention focus = stabilize

Proliferation Phase

Lasts 2-6 wks; scar tissue forms

Focus = stabilize and cautiously grade movement/activity

Maturation Phase

Lasts a few months to years; wound remodels

Focus = getting back to normal

Static Splint

Applies pressure

Purpose = immobilization, protection, positioning

Serial Static Splint

Adjust over time

Purpose = mobilization, improve PROM

Static Progressive Splint

Adjustable; non-elastic; splint at 90 dgrs

Focus = Mobilization, follow wear w/ active use

Dynamic Splint

Dynamic, elastic, 90 dgrs

Focus = Mobilization, assist w/ movement

Resting Hand Splint

For… general comfort

Antideformity Splint

AKA Intrinsic Plus

For… positioning after trauma/edema

Short Thumb Spica

AKA short opponens

For Arthritis of CMC and MP of thumb

Long Thumb Spica

AKA Long Opponens AND Wrist Support w/ Universal Cuff

For de Quervain syndrome and C5 SCI

Dorsal Block Splint

Limits tension on flexor tendons of digits to minimize risk of rupture after flexor tendon repair

Wrist Cock-up Splint

For:

Radial n. injury

Radial and Carpal Tunnel

Posterior Elbow Splint

For = MCL/LCL injury; elbow injury

Anterior Elbow Splint

Alternative to posterior elbow splint if area is compromised

Mallet Splint

For… injury of extensor tendon to DIP

Boutonniere Splint

AKA Oval 8

For… arthritis

Swan Neck Splint

AKA Oval 8 reversed