Splinting 101

October 23, 2012
by Paula

Classes What are OS/OT?

This week, the focus for our Adult Rehabilitation lecture and laboratory experiences is on the human hand. Honestly, the hand has always been an intimidating part of the body to me. It is vital to so many occupations and one small change to function can cause such a global influence in the daily routines of the individual. I realize that it sounds obvious but if you stop and think about what you do not use your hands for throughout each day, I am sure that you cannot think of many. After some wonderful presentations from our peers covering various medical conditions which have a large impact on hand function (some of which included Carpal Tunnel Syndrome, Dupuytren’s Disease, Skier’s Thumb, and Peripheral Nerve Injury), we were able to dabble in fabrication of orthoses (more commonly referred to as thermoplastic splints). This was a great experience as a student, not having to worry about making a splint perfectly for a patient who may be in pain or may have a limited range of motion or motor control. It was also not without frustration. This process takes the right TLC in order to form the plastic material properly to the skin’s surface without being too snug, without having pressure points or indentations, and without causing discomfort. We had the opportunity to make three different splints: a volar wrist cock-up splint which may be useful to an individual with Carpel Tunnel Syndrome, a thumb Spica splint which may be useful for an individual who has sustained a scaphoid fracture, and a resting hand splint which can be useful to an individual who experiences symptoms of arthritis. Although we are nowhere near the ability or practice level of one who would be suitable to use these skills in practice, it was a great experience to be able to try out this process.

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