N.

SPLINTING

A persons upper extremity strength and function may be impaired if the spinal cord relating to the spinal nerves of T1 or above is damaged. Upper extremity splinting can be used to: increase function prevent deformity substitute for reduced muscle power and/or joint alignment. Splints can be static or dynamic (allow movement). Individual splints will be prescribed and fabricated by your Occupational Therapist (SIU or SPOT, or community OT). Hand splinting is often combined with other treatment techniques such as stretching and strengthening for maximum effectiveness. Splints may be prescribed for wear during the day at night or worn to assist hand function for a particular activity during the day e.g. self-catheterisation. You and your family will be taught the correct way to wear, use and care for the splints. If you have any queries or problems with a splint please contact your Occupational Therapist. Precautions Any device applied to your body has potential to cause problems. Some possible problems and recommendations are listed in the next table. PROBLEM Skin irritation, red areas, blisters POSSIBLE CAUSES Pressure due to splint fitting incorrectly Splint applied incorrectly Poor sensation Pain Straps fastened too tightly Improper positioning of arm/hand Splint/straps applied incorrectly WHAT TO DO Remove splint Contact your Occupational Therapist Review how to apply the splint Review wearing regime Loosen straps Review how to apply the splint Keep arms supported Review wearing regime Consult your Occupational Therapist Keep arms supported

Increase in swelling

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Maintenance of the Splints 1. Clean your thermoplastic splint with soap and room temperature water (NOT HOT WATER). Just sponge the splints; do not submerge them in water. Elastic and/or velcro strapping may be scrubbed with mild soap, water and a small brush If your splint still has an odour after cleaning, try wiping it with a little toothpaste. If relining of the padding is necessary consult your Occupational Therapist. All thermoplastic materials can be damaged by heat. Do not allow splints to lie in sunlight, hot cars or on or near heaters. Instruct people on how to store your splints in a safe place. Be sure not to allow heavy objects to rest on top of them.

2. 3.

4. 5.

Types of Splints Some of the more common types of splints that the occupational therapists in the Spinal Injuries Unit make and their purpose are listed in the table below. Occupational Therapists also make many other types of splints depending upon a persons needs. TYPE OF SPLINT Boxing Glove Resting Pan Short Opponens PURPOSE To reduce swelling in the hand in the initial period after admission. To support the hand and wrist in the normal resting position, i.e. the functional position. To support the hand in the functional position and to facilitate positioning of the thumb and fingers for tenodesis grasp. To utilise the tenodesis grasp to achieve a stronger pinch. Generally used for specific functional activities, such as self-catheterisation. To support the wrist while performing functional activities (e.g. propelling wheelchair, feeding, brushing teeth, etc. To assist in positioning of a pen. To assist with keyboard access.

Engen Splint

Wrist Support Splint

Writing Splint Typing Splint

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