Transcript Upper Exrtremity Orthoses







Support a painful joint
Immobilize for healing or to protect tissues
Provide stability or restrict unwanted motion
Restore mobility
Subsitute for weak or absent
Prevent contructure of modify tone


Arm sling
Prevent or correct shulder subluxation
Reduce pain in patients who have subluxation
caused by brachial plexus injury,hemiplegia
and central cord syndrom injury

Arm troughs,lapboards
Support the painful shulder when the patient
is seated in a wheelchair

Gunslinger orthoses
Supporting a painful shulder such as from a
brachial plexus injury



Relieve pain from arthritis,
tendinitis,sprain
and strain


Lateral and medial epicondylitis
Relive pain and prevent furthers stress to
affected tissues
Resting hand splint


RA
Reduce stress on joint capsules,synovial
lining and periarticular structures,thereby
decreasing pain

Sprain,strain,tendonitis,arthritis,CTS,wrist
fracture following cast removal,and other
condition that cause pain

Relive pain from wrist and thumb arthritis or
from DeQuervain’s tendonitis of the abductor
policis longus and extensor pollicis brevis.

RA or osteoarthritis of thumb CMC or MP
joint or trauma to soft tissues


Trauma or arthritis
Pain relief

Protect painful joint nodules from external
trauma

Achieve passive correction of deformity can
create focal pressure points on the digits


Immobilize or protect thje shulder,upper arm
or elbow
Immobilize or protect the wrist or hand

Rolyan universal Shulder immobilizer
Shulder surgical reconstructions,arthroplasty and rotator
cuff repair

Immobilize and position the elbow following
skin grafting.

Prevent complication caused by injury,
edema, and tissue healing

Support the wrist,control MCP
motion,correct the deformity and assist with
extensor power





Connected and injured finger to adjacent
finger
Stable fracture
PIP joint dislocation
Collateral ligament injuries
And staged flexor tendon reconstractions


Acute injury
Chronic disease such as arthritis


Restore mobility of the shoulder,elbow, or
forearm
Restore mobility of the wrist or hand


Dropout casts
Use the Force of gravity to assist in reducing
an elbow flexion contracture

Maintain ROM


Treatment of elbow burn flexion contracture
Treatment of norological and orthopedic flexion
contracture

Tratment of flexion or extension contractures
related to increased muscle tone.

Limitation in wrist extension or flexion

Lack of MCP flexion

Gain composite flexion of all joints,must effect on MCP

Gain flex or ext ROM

Gain flex or ext ROM

Provide circumfrencial pressure and a dynamic force
into extension via an angled seam on its volar
surface

Adduction contracture (burns and nerve injuries)


Substitute for wek or absent shulder or elbow
muscle
Substitute for weak or absent wrist or hand
muscle


Bunnell thomas suspention splint:
Radial nerve palsy
Dynamicaly extend the wrist MCP and thumb

Treatment of combined median and ulnar nerve
injuries which result in the clawing of all for fingers

This splint can provide minimal hand grasp while harnessing
the power of the wrist extensor to bring the thumb,index
finger and long finger into the functional pinch

Allow passive holding of functional implement such as utensile or pen
may also used in the presence of wrist or hand weakness
Commercial inflatable pressure splint:
 emergency immobilizer for the limbs in patient with
abnormal tone

Decrease tone and position the thumb out of the
palm for function

Treatment of the children with increased flexor tone can also
be used with adult patient having hypertonisity
‫این اولش لپ بوده‪،‬بعد دست و پا در آورده!!!‬

Occupational Therapy for Physical
Dysfunction,trombly,chapter 16
Mohsen eslampanah
Occupational therapy student,
University of social welfare and
rehabilitation science