Introduction to Upper Limb Orthoses: Difference between revisions
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<div class="noeditbox">Welcome to [[Assistive Technology Content Development Project|Assistive Technology in Rehabilitation]]. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!! If you would like to get involved in this project and earn accreditation for your contributions, please get in touch!</div> <div class="editorbox"> | <div class="noeditbox">Welcome to [[Assistive Technology Content Development Project|Assistive Technology in Rehabilitation Content Development Project]]. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!! If you would like to get involved in this project and earn accreditation for your contributions, please get in touch!</div> <div class="editorbox"> | ||
'''Original Editors ''' - [[User:User Name|User Name]] | '''Original Editors ''' - [[User:User Name|User Name]] | ||
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'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
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== Introduction == | == Introduction == | ||
Upper limb orthotics can be used after an injury to prevent further injury, or reduced pain by supporting an injured limb. | |||
* Prevent or correct deformity reducing pain and maximising function in reach and grasp tasks. | |||
* In prove efficiency of reach and grasp tasks | |||
* Off load an inju [[Category:Assistive Technology Content Development Project]] red limb to allow healing | |||
* Reduce need for compensation of ipsilateral and contralateral limbs and secondary pain | |||
* Improve role of upper limb in maintaining balance | |||
Types of orthotic: | |||
==== Healing ==== | |||
* Hinge-elbow brace: May be used to restrict elbow movement post fracture or surgery. Allows early mobilisation without damage to the healing tissue <ref>Fusaro I, Orsini S, Sforza T, Rotini R, Benedetti MG. The use of braces in the rehabilitation treatment of the post-traumatic elbow. ''Joints''. 2014;2(2):81-86. Published 2014 Jul 8. doi:10.11138/jts/2014.2.2.081</ref>. | |||
[[File:Hinge elbow brace.jpg|center|frame|Hinge elbow brace: To restrict movement beyond a set degrees into flexion or extension to protect a healing injury / surgical site.]] | |||
* Slings: Can be used after upper limb injury or surgery to protect the injury site. They can be used to restrict movements in particular directions to prevent further disruption to the injury (for example displacement of a fracture/ fixated bone). | |||
{{#ev:youtube|h3A_AhqkucY|width}} | |||
* Splints: Hand or wrist splints are often customised for individuals based on their specific impairment. This often achieved using thermoplastics. These can be both resting and functional. | |||
[[File:Resting hand split.jpg|center|frame|Resting hand splint: Often customised to fit a patient to maintain range of movement in the hand for skin care and function. ]] | |||
==== Functional ==== | |||
* Wrist splint (e.g. fuctural splint) | |||
{{#ev:youtube|GfQMyo7cGe0|width}} | |||
* Elbow clasp: May be used, alongside exercises, especially if function is affected <ref>NICE ''Management of Tennis Elbow'' NICE Guidelines (2017) <Available online: https://cks.nice.org.uk/topics/tennis-elbow/management/management/> [Accessed: 3/10/20]</ref> | |||
{{#ev:youtube|txnYr4dwjvM|width}} | |||
* Neuromuscular [[Electrical Stimulation - Its role in upper limb recovery post-stroke|Electrical stimulation]] (NMES): | |||
{{#ev:youtube|qvbMUja6P8Q|width}} | |||
== Assessment == | == Assessment == | ||
Outcome Measures: | |||
Use of outcome measures will determine the effectiveness of orthotics. This will be based on the patient's initial impairments, but may include: | |||
*Neutral-0 | |||
*[[Range of Motion|Passive range]] | |||
*[[Range of Motion|Active range]] | |||
*ARM A, B | |||
*[[Action Research Arm Test (ARAT)|Action Reach Arm Test (ARAT)]] | |||
*Reach and grasp | |||
*Modified Ashworth Scale | |||
*Patient perceived outcome measures | |||
== Measurement == | == Measurement == | ||
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<references /> | <references /> | ||
Latest revision as of 09:10, 29 July 2021
Original Editors - User Name
Top Contributors - Rhiannon Clement, Naomi O'Reilly and Kim Jackson
Introduction[edit | edit source]
Upper limb orthotics can be used after an injury to prevent further injury, or reduced pain by supporting an injured limb.
- Prevent or correct deformity reducing pain and maximising function in reach and grasp tasks.
- In prove efficiency of reach and grasp tasks
- Off load an inju red limb to allow healing
- Reduce need for compensation of ipsilateral and contralateral limbs and secondary pain
- Improve role of upper limb in maintaining balance
Types of orthotic:
Healing[edit | edit source]
- Hinge-elbow brace: May be used to restrict elbow movement post fracture or surgery. Allows early mobilisation without damage to the healing tissue [1].
- Slings: Can be used after upper limb injury or surgery to protect the injury site. They can be used to restrict movements in particular directions to prevent further disruption to the injury (for example displacement of a fracture/ fixated bone).
- Splints: Hand or wrist splints are often customised for individuals based on their specific impairment. This often achieved using thermoplastics. These can be both resting and functional.
Functional[edit | edit source]
- Wrist splint (e.g. fuctural splint)
- Elbow clasp: May be used, alongside exercises, especially if function is affected [2]
- Neuromuscular Electrical stimulation (NMES):
Assessment[edit | edit source]
Outcome Measures:
Use of outcome measures will determine the effectiveness of orthotics. This will be based on the patient's initial impairments, but may include:
- Neutral-0
- Passive range
- Active range
- ARM A, B
- Action Reach Arm Test (ARAT)
- Reach and grasp
- Modified Ashworth Scale
- Patient perceived outcome measures
Measurement [edit | edit source]
Add your content to this page here!
Fitting[edit | edit source]
Add your content to this page here!
Troubleshooting [edit | edit source]
Add your content to this page here!
References [edit | edit source]
see adding references tutorial.
- ↑ Fusaro I, Orsini S, Sforza T, Rotini R, Benedetti MG. The use of braces in the rehabilitation treatment of the post-traumatic elbow. Joints. 2014;2(2):81-86. Published 2014 Jul 8. doi:10.11138/jts/2014.2.2.081
- ↑ NICE Management of Tennis Elbow NICE Guidelines (2017) <Available online: https://cks.nice.org.uk/topics/tennis-elbow/management/management/> [Accessed: 3/10/20]