Upper exrtremity orthoses

Upper Extremity Orthoses

April 11, 2023 Mohsen Eslampanah USWR 2

Purposes Of 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


Support a painful joint

Arm sling Prevent or correct shoulder

subluxation Reduce pain in patients who have

subluxation caused by brachial plexus injury, hemiplegia and central cord syndrom injury


Rolyan figure-of-8 sling


Hemi shoulder sling



Arm troughs, lapboards Support the painful shoulder when

the patient is seated in a wheelchair


Rolyan slide-on adjustable lap tray


Otto bock arm trough


Clear flipaway armrest in upright possition



Gunslinger orthoses Supporting a painful shoulder such

as from a brachial plexus injury


commercial gunslinger orthosis


Custom-fabricated gunslinger orthosis


commercial neoprene sleeves Relieve pain from arthritis, tendinitis, sprain and strain


Counterforce braces

Lateral and medial epicondylitis Relive pain and prevent furthers

stress to affected tissues


variPad tennis elbow support


Supporting a painful wrist and hand

Resting hand splint RA Reduce stress on joint

capsules,synovial lining and periarticular structures,thereby decreasing pain


LMB economical resting splint


Progress functional resting splint


Custom thermoplastic resting hand splint


Rolyan D-Ring wrist brace with MCP support


Wrist extension or cock-up

Sprain, strain, tendonitis, arthritis, CTS, wrist fracture following cast removal, and other condition that cause pain


Custom thermoplastic volar wrist extension splint


Carpal lock splint


Comfort cool D-ring splint


Norco wrist brace


Long opponens splint

Relive pain from wrist and thumb arthritis or from DeQuervain’s tendonitis of the abductor policis longus and extensor pollicis brevis.


Custom thermoplastic long thumb spica splint


Liberty wrist and thumb splint


Short thumb splint

RA or osteoarthritis of thumb CMC or MP joint or trauma to soft tissues


Custom thermoplastic short thumb splint


Custom-molded thumb splint


commercial soft thumb splint


Custom thermoplastic volar gutter splint

Trauma or arthritis Pain relief


Silicone-lined digital sleeve and pad

Protect painful joint nodules from external trauma


Rigid static splint(LMB soft-core wire-foam ulnar deviation splint)

Achieve passive correction of deformity can create focal pressure points on the digits


Norco soft MP ulnar deviation support


Immobilize for healing or to protect tissues

Immobilize or protect the shoulder, upper arm or elbow

Immobilize or protect the wrist or hand


Immobilize or protect the shoulder,upper arm or elbow

Rolyan universal shoulder immobilizer shoulder surgical reconstructions, arthroplasty

and rotator cuff repair


commercial humeral fracture brace


Custom thermoplastic anterior elbow extension splint

Immobilize and position the elbow following skin grafting.


Immobilize or protect the wrist or hand

Prevent complication caused by injury, edema, and tissue healing


Custom thermoplastic “safe position” wrist hand splint


Custom thermoplastic dorsal blocking splint


Plaster digit cast


Dynamic MCP extension assist

Support the wrist, control MCP motion, correct the deformity and assist with extensor power


Custom thermoplastic low-pofile dynamic MCP extension splint using rolyan adjustable outrigger kit


Buddy straps, Buddy sleeves, or buddy splint

Connected and injured finger to adjacent finger

Stable fracture PIP joint dislocation Collateral ligament injuries And staged flexor tendon

reconstractions


Rolyan buddy straps


Provide stability or restrict unwanted motion

Acute injury Chronic disease such as arthritis


Shorter wrist support liberty short and long elastic wrist braces


LMB MP flexion spring


Custom thermoplastic lumbrical bar splint


Custom thermoplastic PIP hyperextension block


Siris silver swan neck splint


Oval-8 commercial ring splint


Siris silver boutonniere splint


Restore mobility

Restore mobility of the shoulder,elbow, or forearm

Restore mobility of the wrist or hand


Restore mobility of the shoulder, elbow, or forearm

Dropout casts Use the Force of gravity to assist in

reducing an elbow flexion contracture


Plaster elbow dropout cast


Bivalved cast (fiberglass anteropostreior

elbow splint with wrist and digits included)

Maintain ROM


JAS static progressive elbow orthosis

Treatment of elbow burn flexion contracture

Treatment of neurological and orthopedic flexion contracture


Rolyan preformed dynamic pronation/supination splint


Restore mobility of the wrist or hand

Treatment of flexion or extension contractures related to increased muscle tone.


Custom thermoplastic dynamic wrist extension splint using phoenix wrist hinge

Limitation in wrist extension or flexion


Custom thermoplastic dynamic MCP flexion splint

Lack of MCP flexion


Finger flexion glove

Gain composite flexion of all joints, must effect on MCP


LMB spring finger extension assist

Gain flex or ext ROM


Rolyan sof-strech coil extension splint

Gain flex or ext ROM


Rolyan dynamic digit extensor tube splint

Provide circumfrencial pressure and a dynamic force into extension via an angled seam on its volar surface


Custom trhermoplastic thumb abduction splint

Adduction contracture (burns and nerve injuries)


Substitute for weak or absent muscle

Substitute for weak or absent shoulder or elbow muscle

Substitute for weak or absent wrist or hand muscle


Substitute for weak or absent wrist or hand muscle

Bunnell thomas suspention splint: Radial nerve palsy Dynamicaly extend the wrist MCP and thumb


Custom thermoplastic radial nerve splint using low-profile phoenix extended outrigger


Custom thermoplastic lumbrical bar splint for ring and small finger

Treatment of combined median and ulnar nerve injuries which result in the clawing of all for fingers


Custom thermoplastic RIC tenodesis splint

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


Economic wrist support with universal cuffwanchik writing splint

Allow passive holding of functional implement such as utensile or pen may also used in the presence of wrist or hand weakness


Prevent contracture or modify tone

Commercial inflatable pressure splint: emergency immobilizer for the limbs in

patient with abnormal tone


Rolyan anti-spasticity ball splint with slot and loop strapping


Progress dorsal anti spasticity splint


Rolyan thumb loop

Decrease tone and position the thumb out of the palm for function


Custom thermoplastic hand based weight-bearing splint

Treatment of the children with increased flexor tone can also be used with adult patient having hypertonisity


Reference

Occupational Therapy for Physical Dysfunction, trombly, 6th Edition, chapter 16

Health & Medicine

Upper exrtremity orthoses