- Some of the purposes for LG 1-2-3 PRO-RESTing Hand Splint Orthosis are listed here: professional orthosis used by Therapist worldwide. Usually this splint is used to control the Wrist-Hand-Finger assembly, counteracting contracture, wrist drop, Function Hand Position, Intrinsic Plus Position, Immobilization and preventing deformity, Rheumatoid Arthritis, Nighttime wear, Trauma crush injuries, etc. CLICK HERE to find a typical resting hand splint wearing schedule
- NEW LEEDer 1-2-3 PRO-REST with Easy Apply Strap numbers. Palmar adjustable Flex-E-Core adapts to contractures, strong enough to resist strong tone and spasticity; neuro-training lessens duration and intensity of spasticity over time. Recover Range of Motion by adjusting Flex-E-Core frame to counteract contracture. Includes finger separator and extra cover no charge. (Rest available No-Fleece) Latex Free. 1-2-3 PRO-GRIP and 1-2-3 PRO-DORSAL Easy 123 Strap numbers.
Watch the Video by clicking the Arrow for Fitting and Application LEEDer Hand Splint Orthoses
- Immobilizes wrist, fingers, and thumb. Immobilizes in “functional hand position” or “intrinsic plus position”. SEE More Info on Intrinsic Plus Prevents deformity.
- Functional Hand Position: Wrist in 20° -30° of extension (neutral if inflammation due to exacerbation of rheumatoid arthritis). Thumb abducted (palmar abduction) .Metacarpophalangeal joints in 15° -20° of flexion. Interphalangeal joints in slight flexion.
- Intrinsic Plus Position Wrist position varies: Palmar burn – 30° -40° extension; Dorsal burn – neutral; Crushing injury – 0° -30° extension; Metacarpophalangeal joints Burn – 70° -90° flexion; Crushing injury – 60° -80° flexion; Interphalangeal joints of fingers and thumb extended. Thumb abducted.
- Diagnoses that may require a LG 1-2-3 PRO-RESTing Hand Splint: Rheumatoid Arthritis during periods of acute exacerbation; Nighttime wear: Trauma Crush injuries; Rest and support to injured tissues; Reduce pain and edema; Dorsal or Volar hand burns; Prevent contractures; Aid in tissue healing. Day and Night wear: Remove for dressing changes and cleaning; Spasticity due to upper motor neuron lesions; Other splint designs or serial casting may work better; Prevent contractures; Lengthen shortened finger flexors; However, monitor thumb position and potential for increased spasticity; carefully Remove splint to encourage functional use of hand.
- For Proper Fit: Widen trough for forearm proximally to accommodate “fleshier” part of forearm. Choose a material that has strength, rigidity and memory. Avoid wrist ulnar or radial deviation .Take care that the cut for the thumb trough does not go more proximal than the first CMC joint (wrist would loose stability). Make sure thumb trough is long enough. Maintain arches of the hand. Maintain wide 1st web space. Splint should not limit elbow range of motion. Straps Proximal to PIP joints. Proximal to thumb IP joint. Distal forearm Proximal forearm. Sometimes crossing forearm straps provides more comfort
- Click here for 1-2-3 PRO-REST Fitting Instructions
- Precautions: Monitor areas of pressure (redness should disappear after 20 minutes). Avoid pressure over bony prominences. Make frequent adjustments. “Bubble out” rather than cut or pad pressure areas. Keep splint -making supplies clean and hygienic. Especially in cases of wounds, keep splint clean. A person with rheumatoid arthritis may benefit from a lighter weight or thinner splinting materials.
- ADL Considerations: Rheumatoid Arthritis; Light weight tools; Large handles; Velcro Fasteners; Burns; Perform ADLs as soon as possible making use of full range of motion.
- Go to our Store to Purchase the Professional 1-2-3 PRO-RESTing Hand Splint
- References
Coppared, B.M., & Lohman, H. (2001). Introduction to splinting: A critical-reasoning and problem solving approach (2nd ed.). St. Louis, MO: Mosby.
Pedretti, L. M.. & Early, M.B. (Eds.). (2001). Occupational therapy practice skills for physical dysfunction (5th ed.). St. Louis, MO: Mosby.
Trombly, C. A. & Radomski, M.V. (2002). Occupational therapy for physical dysfunction ( 5th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.