Have you ever experienced wrist pain or weakness that has hindered your daily activities? Custom splints in hand therapy, such as wrist extension splinting, may be the solution you need to alleviate discomfort and improve function.
Hand therapists make custom splints to support and protect the wrist joint, allowing optimal healing and rehabilitation. Wrist extension splints are specifically designed to promote proper alignment and reduce stress on the wrist, making them a valuable tool in hand therapy treatment plans.
Whether you are recovering from an injury, managing a chronic condition, or seeking to improve hand function, wrist extension splinting may be a key component of your treatment plan.
What is a custom splint in hand therapy?
A custom splint in hand therapy is a supportive device fabricated by a certified hand therapist specifically for a patient’s hand or wrist. These splints are typically made from a low-temperature thermoplastic material that can be molded to the unique contours of the patient’s hand or wrist when heated.
Custom splints are used for a variety of reasons in hand therapy, including:
- To immobilise a joint after an injury or surgery to promote healing.
- To protect a joint from further injury.
- To reduce pain and inflammation.
- To improve range of motion.
- To prevent or correct deformity.
- To support weakened muscles.
3 Types of custom splints in hand therapy
There are three main types of custom splints used in hand therapy:
1. Static splints
These splints are designed to immobilise a joint, after a fracture or surgery. They are typically made of a rigid material such as plastic or metal and are molded to fit the patient’s hand.
2. Dynamic splints
These splints are designed to improve range of motion or to stretch scar tissue. They often have hinges or other mechanisms that allow for controlled movement.
3. Static progressive splints
These splints are a combination of static and dynamic splints. They immobilise a joint in a certain position but can be adjusted as the patient’s range of motion improves.
The type of splint that is right for you will depend on the specific condition that is being treated. Your hand therapist will be able to assess your needs and recommend the most appropriate type of splint.
Advantages of customs splints over off-the-shelf splints in hand therapy
Custom splints offer several advantages over off-the-shelf splints. They are more comfortable to wear because they are custom-made to fit the patient’s hand or wrist.
They are also more effective because they can be targeted to address the patient’s specific condition.
Additionally, custom splints can be adjusted as needed throughout treatment.
What is a wrist extension splint in hand therapy?
A wrist extension splint is a medical device used to immobilise the wrist in a neutral or extended position. It is typically made of metal, plastic or a combination of both and is lined with soft material for comfort.
Wrist extension splints are used to treat a variety of conditions, including:
- Carpal tunnel syndrome
- Tendinitis
- Sprains and strains
- Arthritis
- Fractures
By preventing the wrist from moving, a wrist extension splint can help reduce pain, inflammation, and swelling. It can also help to protect the wrist from further injury.
Types of wrist extension splints in hand therapy
There are two main types of wrist extension splints, categorised based on their function:
1. Static splints
These splints are designed to immobilise the wrist joint in a neutral or extended position. They are commonly used for post-surgical support, to prevent contractures, or to manage pain. Static splints can be fabricated from various materials, including plastic, metal, and neoprene.
2. Dynamic splints
These splints allow for some degree of wrist movement while still providing support. They are often used to improve range of motion, strengthen muscles, and prevent stiffness. Dynamic splints may incorporate springs, straps, or other mechanisms to assist with wrist extension.
The specific type of custom wrist extension splint that is right for you will depend on your individual needs and condition. A qualified hand therapist can help you determine the best option for you.
Wrist extension splints are typically worn for several weeks or months, depending on the severity of your condition. They can be worn day and night or just at night.
It is important to follow your hand therapist’s instructions on how to wear your splint.
Final thoughts
Custom splints in hand therapy, like the wrist extension splint, can make a significant difference in the rehabilitation process.
By providing support, stability, and promoting proper alignment, these splints can help patients regain function and improve their quality of life.
If you or a loved one needs hand therapy, don’t hesitate to explore the benefits of custom splints – the results speak for themselves!
Book an appointment with one of our experienced upper limb therapists today for a comprehensive assessment and customised treatment plan.
Fig 1.1: A custom-made static progressive hinged splint, used to improve a patient’s wrist extension range following a fractured distal radius.
References:
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Sato-Sueoka,S, & DeTemple,K. Static-progressive Splinting in under 25 Minutes and 25 Dollars. Journal of hand therapy practice forum. 2011,280-286.
Mullen TM. Static progressive splint to increase wrist extension or flexion. J Hand Ther. 2000;13:313–4.
Brand PW: Mechanical factors in joint stiffness and tissue growth, J Hand Ther 8(2):91-6, 1995.
Glasgow C, Tooth L, Fleming J: Which splint? Dynamic versus static progressive splinting to mobilise stiff joints in the hand. British J Hand Therapy 13: 104-110, 2008.
Flowers K, LaStayo P: Effect of total end range time on improving passive range of motion, J Hand Ther 7(3):150-7, 1994. Reprinted JHT Jan 2012
Shultz-Johnson, K. Static Progressive splinting. J HAND THER. 2002;15:163–178
