 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

 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