This involves a tolerable over-stretch and heat application for another 10 minutes.
First, the therapist performs a “cold reading” of the stiff joint’s passive range of motion.It helps to clarify what type of mobilization orthosis may be most appropriate for your patient. The Modified Weeks Test is an assessment that you can do before orthotic fabrication. It might respond best to serial static or static progressive orthoses. The hard end feel can be described as a joint with mature scar tissue. You need firm pressure to mobilize the joint further than the limitation. You can choose any type of mobilization orthosis to address the limitations in motion. The soft end feel can be described as a joint with immature scar tissue in the joint structures. The soft tissues give way with a small amount of pressure You can evaluate the type of end feel by applying pressure to the joint at the end of the available passive range: When assessing a patient with a stiff joint and/or limited joint range of motion, you can subjectively determine whether the specific joint has a soft end feel or a hard end feel.Įnd feel is the type of resistance felt when passively moving a joint through the end range of motion. The following information can help you decide on an appropriate orthosis for your patient. It should be based on sound clinical reasoning and supporting evidence. Selecting the most appropriate mobilization orthosis for your client is an important decision. radial nerve palsy) and/or weakened muscles, because these types of orthoses can allow for functional motion. All three of them help to regain tissue length and improve joint range of motion.įor example, a dynamic orthosis might be the solution for patients with nerve palsy (e.g. First web space tightness following trauma/fracturesĭepending on the patient and the specific injured joint, the therapist can decide on one of these orthoses.Extrinsic wrist tightness following fractures/trauma.Serial static orthoses are very useful in the treatment of stiff joints: Our device is easy to fabricate and to use and comfortable for patients.Static progressive mobilization orthosis in Orficast 3 cm. This new splint design demonstrated to be effective in early recovery of complete PIP joint extension and subjects resumed soon their sports activity. During the resting periods patients performed a few sets of active ROM exercises at their PIP joint. Patients wore the splint for 1 hour followed by 1 hour of rest (6 times per day), for 2 to 3 weeks.
What is a serial static splint professional#
The orthosis has been tested on four professional volleyball players (3 females and 1 male), aged 18-24 years, suffering from PIP joint flexion contractures after traumatic hand injuries occurred 2 to 3 months before. A low-temperature thermoplastic material, two loop fastener straps, three small pieces of self-adhesive hook fastener and cooling spray are required. The serial-static splint consists of a short metacarpal gauntlet base, with a hole for the thumb and a dorsal finger gutter that extends to the distal extremity. Aim of this technical note is to describe the fabrication procedure of a new thermoplastic static-progressive hand-based splint for PIP joint flexion contractures, and report its effects in the treatment of a small group of sportsmen.
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