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Custom
Splinting
(Left:
Static-progressive splint allows patient to adjust tension to tolerance level. Increases
range of motion of involved digit.)
Our splints are
fabricated on-site and ready for use the same day of initial visit. |
(Please be sure to scroll
to bottom of page to view additional photos.)
 | Custom splinting is an important part of
rehabilitation for upper extremity conditions. It it used effectively for treating Carpal Tunnel Syndrome, Tennis or Golfer's Elbow,
deQuervain's, Tendon Lacerations, Arthritis, Contractures, and various conditions related
to Spasticity or Flaccidity. |
| The art of Custom Splinting has changed
dramatically over the past several years. With improved qualities of thermoplastic
material and splinting accessories, along with increased knowledge of biomechanics and
theory, wrist and hand splinting has become an effective and important part of therapeutic
treatment for upper extremity disorders. |
| New thermoplastic materials are very versatile
and offer a wide range of properties in the areas of rigidity, drapability and memory.
They can be molded to perfectly fit each individual, regardless of his or her anatomical
structure or disorder. Because of this customized fit, they are relatively comfortable and
lead to higher rates of compliance with regard to wearing schedules. Custom splints offer
a much better fit than prefabricated splints or braces. Prefabricated splints and braces
can fit loose and often lead to skin irritation. |
| Custom splints are made from flat pieces of
thermoplastic material. Depending on the desired splint, specific patterns are cut from
these flat pieces. Once the pattern is cutout, it is then heated in water (~165 degrees F)
for 2-3 minutes. While the material is still soft and pliable, it is formed to the
patient's extremity. After it cools it becomes rigid, maintaining the desired shape. If
needed, small adjustments can be made through the use of a heat gun. Self adhesive Velcro
hooks are then applied to the appropriate areas of the splint with Velcro loop strapping
used to hold the splint on the patient's hand, wrist, or elbow. Below are a few pictures
of various splints that have been fabricated by the Occupational
Therapist here at Columbus Physical Therapy. |
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Left: This
patient suffered an injury to the extensor tendons just distal to his wrist. This splint
allows the patient to have passive extension while at the same time being able to achieve
active flexion. The fact that the patient is allowed to move in these patterns increases
the amount of movement that will return while at the same time reducing the risk of tendon
adhesions. (Not visible in picture are rubber bands that offer the movement of passive
extension. The use of splints such as this are common in the treatment of tendon
lacerations.) |
Right: The hand shown in this picture is the same as in the above
photo. After the extensor tendons are strong enough to withstand mild stress, the splint
is modified to offer continuous passive flexion. This will result in lengthening of the
extensor tendons, thus increasing the patient's range of motion. Mild stretching for
extended periods of time is more effective than intense stretching for shorter periods of
time. |
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Left: Pictured
here is a simple wrist cock-up splint. This splint is designed to immobilize the wrist,
keeping it in the neutral position. It is very effective in the treatment of carpal tunnel syndrome,
wrist tendonitis, and tennis elbow. |
| If you have a
condition in which you feel a custom splint may help you, please contact our office for a
consultation. Our phone number is: 564-5456. Or
e-mail us by clicking here. We will respond promptly. |
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Columbus Physical Therapy 