Introduction & Rationale for use of Comfy Deviation Hand splints:
Basic to the use of any orthosis are factors such as prevention of deformity by proper positioning, support of weakened segments, control or stabilization of joints proximally to those activated or prevention of substitution. Orthosis may be also used to correct present deformities. They are therapeutic & functional.
Splints are used for the following functions:
1. Stabilize (immobilize) joints in a desired position to rest the joint, tendons, ligaments and muscles or maintain a certain bone alignment
2. Prevent contracture or deformity
3. Prevent unwanted motion
4. Gradually stretch contracture to increase range of joint motion
5. Provide support for flaccid hand and wrist
6. Relieves pain
7. Facilitate palmar hygiene
8. Prevent pressure sores or facilitate healing of existing pressure areas
Assessment of the Patient for Deviation Hand splinting:
A visual assessment of the patient is performed while patient is in bed and/or while in the wheelchair. Patient to be observed for:
1. Active movement noted in involved arm, wrist and fingers
2. Expression of pain
3. Skin condition of the arm, wrist, hand and fingers
4. Position of the arm, wrist and fingers
5. Any muscle spasms
Physical assessment of the patient is performed by physically assessing the amount of flexion and extension a patient has at the wrist joint, MP, DIP, PIP and MCP joints. Passive Range of Motion (ROM) is performed to see the amount of joint movement that is possible when a trained medical personnel moves joint. Active Range of Motion (AROM) movement is how much range the patient has independently without assistance. Active Assistive ROM (AAROM) movement indicates how much ROM the patient has with some assistance from a trained medical professional.
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