upper exrtremity orthoses
TRANSCRIPT
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Upper Extremity Orthoses
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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
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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
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Rolyan figure-of-8 sling
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Hemi shoulder sling
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Support a painful joint
Arm troughs, lapboards Support the painful shoulder when
the patient is seated in a wheelchair
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Rolyan slide-on adjustable lap tray
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Otto bock arm trough
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Clear flipaway armrest in upright possition
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Support a painful joint
Gunslinger orthoses Supporting a painful shoulder such
as from a brachial plexus injury
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commercial gunslinger orthosis
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Custom-fabricated gunslinger orthosis
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commercial neoprene sleeves Relieve pain from arthritis, tendinitis, sprain and strain
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Counterforce braces
Lateral and medial epicondylitis Relive pain and prevent furthers
stress to affected tissues
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variPad tennis elbow support
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Supporting a painful wrist and hand
Resting hand splint RA Reduce stress on joint
capsules,synovial lining and periarticular structures,thereby decreasing pain
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LMB economical resting splint
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Progress functional resting splint
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Custom thermoplastic resting hand splint
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Rolyan D-Ring wrist brace with MCP support
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Wrist extension or cock-up
Sprain, strain, tendonitis, arthritis, CTS, wrist fracture following cast removal, and other condition that cause pain
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Custom thermoplastic volar wrist extension splint
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Carpal lock splint
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Comfort cool D-ring splint
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Norco wrist brace
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Long opponens splint
Relive pain from wrist and thumb arthritis or from DeQuervain’s tendonitis of the abductor policis longus and extensor pollicis brevis.
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Custom thermoplastic long thumb spica splint
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Liberty wrist and thumb splint
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Short thumb splint
RA or osteoarthritis of thumb CMC or MP joint or trauma to soft tissues
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Custom thermoplastic short thumb splint
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Custom-molded thumb splint
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commercial soft thumb splint
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Custom thermoplastic volar gutter splint
Trauma or arthritis Pain relief
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Silicone-lined digital sleeve and pad
Protect painful joint nodules from external trauma
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Rigid static splint(LMB soft-core wire-foam ulnar deviation splint)
Achieve passive correction of deformity can create focal pressure points on the digits
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Norco soft MP ulnar deviation support
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Immobilize for healing or to protect tissues
Immobilize or protect the shoulder, upper arm or elbow
Immobilize or protect the wrist or hand
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Immobilize or protect the shoulder,upper arm or elbow
Rolyan universal shoulder immobilizer shoulder surgical reconstructions, arthroplasty
and rotator cuff repair
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commercial humeral fracture brace
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Custom thermoplastic anterior elbow extension splint
Immobilize and position the elbow following skin grafting.
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Immobilize or protect the wrist or hand
Prevent complication caused by injury, edema, and tissue healing
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Custom thermoplastic “safe position” wrist hand splint
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Custom thermoplastic dorsal blocking splint
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Plaster digit cast
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Dynamic MCP extension assist
Support the wrist, control MCP motion, correct the deformity and assist with extensor power
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Custom thermoplastic low-pofile dynamic MCP extension splint using rolyan adjustable outrigger kit
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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
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Rolyan buddy straps
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Provide stability or restrict unwanted motion
Acute injury Chronic disease such as arthritis
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Shorter wrist support liberty short and long elastic wrist braces
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LMB MP flexion spring
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Custom thermoplastic lumbrical bar splint
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Custom thermoplastic PIP hyperextension block
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Siris silver swan neck splint
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Oval-8 commercial ring splint
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Siris silver boutonniere splint
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Restore mobility
Restore mobility of the shoulder,elbow, or forearm
Restore mobility of the wrist or hand
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Restore mobility of the shoulder, elbow, or forearm
Dropout casts Use the Force of gravity to assist in
reducing an elbow flexion contracture
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Plaster elbow dropout cast
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Bivalved cast (fiberglass anteropostreior
elbow splint with wrist and digits included)
Maintain ROM
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JAS static progressive elbow orthosis
Treatment of elbow burn flexion contracture
Treatment of neurological and orthopedic flexion contracture
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Rolyan preformed dynamic pronation/supination splint
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Restore mobility of the wrist or hand
Treatment of flexion or extension contractures related to increased muscle tone.
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Custom thermoplastic dynamic wrist extension splint using phoenix wrist hinge
Limitation in wrist extension or flexion
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Custom thermoplastic dynamic MCP flexion splint
Lack of MCP flexion
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Finger flexion glove
Gain composite flexion of all joints, must effect on MCP
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LMB spring finger extension assist
Gain flex or ext ROM
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Rolyan sof-strech coil extension splint
Gain flex or ext ROM
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Rolyan dynamic digit extensor tube splint
Provide circumfrencial pressure and a dynamic force into extension via an angled seam on its volar surface
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Custom trhermoplastic thumb abduction splint
Adduction contracture (burns and nerve injuries)
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Substitute for weak or absent muscle
Substitute for weak or absent shoulder or elbow muscle
Substitute for weak or absent wrist or hand muscle
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Substitute for weak or absent wrist or hand muscle
Bunnell thomas suspention splint: Radial nerve palsy Dynamicaly extend the wrist MCP and thumb
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Custom thermoplastic radial nerve splint using low-profile phoenix extended outrigger
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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
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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
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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
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Prevent contracture or modify tone
Commercial inflatable pressure splint: emergency immobilizer for the limbs in
patient with abnormal tone
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Rolyan anti-spasticity ball splint with slot and loop strapping
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Progress dorsal anti spasticity splint
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Rolyan thumb loop
Decrease tone and position the thumb out of the palm for function
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Custom thermoplastic hand based weight-bearing splint
Treatment of the children with increased flexor tone can also be used with adult patient having hypertonisity
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April 11, 2023 Mohsen Eslampanah USWR 82
Reference
Occupational Therapy for Physical Dysfunction, trombly, 6th Edition, chapter 16