Orthoses for Management of Hand Dysfunction

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Introduction[edit | edit source]

Orthosis can be defined as a custom-fabricated brace/splint that supports a weak or deformed body part or restricts motion in injured/diseased part of the body. [1]

There are various types of hand orthoses[2]:

  • Static
  • Static progressive
  • Dynamic (for increasing motion)
  • Dynamic (for function)

Static orthosis[edit | edit source]

Static orthosis is stiff and holds the specific part in a safe position. It helps to stabilize and support the injured part by immobilizing and restricting motion at a joint. It doesn't create any over-pressure or stretch to part it supports.[2]

Static progressive orthosis[edit | edit source]

Static progressive orthosis is different than static in a feature that it provides consistent pressure or stretch at the maximum range the joint can reach. It is used primarily to increase the range of motion hence, when the stretch is no longer felt in the tissue appropriate modification is done to reach desired position of stretch and is continued until the expected range is achieved.[2]

Dynamic orthosis[edit | edit source]

Dynamic orthosis can be used to increase motion and for function.[2]

Dynamic orthosis that is used for increasing m0tion works by providing continuous stretch to one direction and allows movement in opposite direction.[2]

Dynamic orthosis that is used for function woks by allowing movement at specific part of the hand. It supports the part of hand through allowing motion that may be lost due to injury, surgery or various other conditions.[2]

Assessment[edit | edit source]

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Measurement [edit | edit source]

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Fitting[edit | edit source]

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Troubleshooting [edit | edit source]

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References [edit | edit source]

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  1. American Society of Hand Therapists.Practice.Coding. Orthoses Versus Splint.Accessed on:2021/06/07. Available from:https://www.asht.org/practice/durable-medical-equipment-dme/orthotics/coding#%22Orthosis%22%20Versus%20%22Splint%22
  2. 2.0 2.1 2.2 2.3 2.4 2.5 Middleton C. Advice From a Certified Hand Therapist: Types Of Custom Orthoses. Handcare-The Upper Extremity Expert. Available from: https://www.assh.org/handcare/blog/advice-from-a-certified-hand-therapist-types-of-custom-orthoses. Accessed on:2021/06/12