Journal of Hand Therapy
Volume 20, Issue 1 , Pages 73-88 , January 2007

Customized Dynamic Splinting: Orthoses that Promote Optimal Function and Recovery after Radial Nerve Injury: A Case Report

  • Pat McKee, MSc, OT Reg (Ont.)

      Affiliations

    • Corresponding Author InformationCorrespondence and reprint requests to Pat McKee, MSc, OT Reg (Ont.), Department of Occupational Science and Occupational Therapy, University of Toronto, 160–500 University Ave., Toronto, Ontario, M5G 1V7, Canada.

References 

  1. Moore KL, Agur AMR. Essential Clinical Anatomy. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2002.
  2. Haymaker W, Woodhall B. Peripheral Nerve Injuries, Principles of Diagnosis. Philadelphia, PA: Saunders; 1958;
  3. Lowe JB, Sen SK, Mackinnon SE. Current approach to radial nerve paralysis. Plast Reconstr Surg. 2002;110:1099–1113
  4. Keefe DT, Lintner DM. Nerve injuries in the throwing elbow. Clin Sports Med. 2004;23:723–742
  5. Shao YC, Harwood P, Grotz MR, Limb D, Giannoudis PV. Radial nerve palsy associated with fractures of the shaft of the humerus: a systematic review. J Bone Joint Surg Br. 2005;87:1647–1652
  6. Kleinert JM, Mehta S. Radial nerve entrapment. Orthop Clin North Am. 1996;27:305–315
  7. Tuncali BE, Tuncali B, Kuvaki B, Cinar O, Dogan A, Elar Z. Radial nerve injury after general anaesthesia in the lateral decubitus position. Anaesthesia. 2005;60:602–604
  8. Colditz JC. Splinting for radial nerve injury. J Hand Ther. 1987;1:18–23
  9. Brand PW. Mechanical factors in joint stiffness and tissue growth. J Hand Ther. 1995;8:91–96
  10. Levangie PK, Norkin CC. Joint Structure and Function: A Comprehensive Analysis. 2nd ed.. Philadelphia, PA: FA Davis; 2001;
  11. Salter RB. History of rest and motion and the scientific basis for early continuous passive motion. Hand Clin. 1996;12:1–11
  12. Mackinnon SE, Dellon AL. Surgery of the Peripheral Nerve. New York, NY: Thieme Medical Publishers; 1988;
  13. Thomas SJ, Yakin DE, Parry BR, Lubahn JD. The anatomical relationship between the posterior interosseous nerve and the supinator muscle. J Hand Surg [Am]. 2000;25:936–941
  14. Dellon AL. Somatosensory Testing and Rehabilitation. Baltimore, MD: Institute for Peripheral Nerve Surgery; 2000;
  15. Sharon I, Fishfeld C. Acute nerve injury—emedicine. 2006. Available at: http://www.emedicine.com/med/topic2908.htm. Accessed Aug 24, 2006.
  16. Wilton JC, Dival TA. Hand Splinting: Principles of Design and Fabrication. London: W.B. Saunders; 1997;
  17. Jacobs M, Austin N. Splinting the Hand and Upper Extremity: Principles and Process. Baltimore, MD: Lippincott Williams & Wilkins; 2003;
  18. McKee P, Morgan L. Orthotics in Rehabilitation: Splinting the Hand and Body. Philadelphia, PA: F.A. Davis; 1998;
  19. Chan RK. Splinting for peripheral nerve injury in upper limb. Hand Surg. 2002;7:251–259
  20. Penner DA. Dorsal splint for radial palsy. Am J Occup Ther. 1972;26:46–47
  21. Sellers J. A low-profile dorsal dynamic splint. Am J Occup Ther. 1980;34:213
  22. Moberg E, Hagert CG, Nordenskiold U, Traneus M, Svens B. Splinting in Hand Therapy. New York, NY: Thieme-Stratton Inc.; 1984;
  23. Barr NR, Swan D. The Hand: Principles and Techniques of Splintmaking. 2nd ed.. London: Butterworth; 1988;
  24. Alsancak S. Splint satisfaction in the treatment of traumatic radial nerve injuries. Prosthet Orthot Int. 2003;27:139–145
  25. van Veldhoven G, Van Lede P. Therapeutic Hand Splints: A Rational Approach—Practical Applications. 2nd ed.. Belgium: Provan bvba; 2004;
  26. Thomas FB. An improved splint for radial (musculospiral) nerve paralysis. J Bone Joint Surg Br. 1951;33B:272–273
  27. Boyes JH. Bunnell's Surgery of the Hand. Philadelphia, PA: J.B. Lippincott Company; 1964;
  28. Cheshire L. Splinting the hand. In:  Salter M,  Cheshire L editor. Hand Therapy: Principles and Practice. Oxford: Butterworth Heinemnn; 2000;p. 255–259
  29. North Coast Medical . Hand therapy catalog. 2005;2005–2006
  30. Sammons Preston Rolyan. Handrehab: Products for Hand Rehabilitation. 2006.
  31. Crochetiere W, Goldstein S, Granger CV, Ireland J. The granger orthosis for radial nerve palsy. Orthot Prosthet. 1975;29:27–31
  32. Hollis I. Innovative splinting ideas. In:  Hunter JM,  Schneider LH,  Mackin EJ,  Bell JA editor. Rehabilitation of the Hand. Saint Louis, MO: Mosby; 1978;p. 641
  33. Medical and Ergonomic Products for Healthcare, Business and Home. AliMed; 2006;Available at: www.alimed.comAccessed Aug 24, 2006. [homepage on the Internet]
  34. Van Lede P. The Splinting Guide. Antwerp: Orfit Industries NV; 2003;
  35. Hannah S, Hudak P. Splinting and radial nerve palsy: a single-subject experiment. J Hand Ther. 2001;14:195–201
  36. Van Lede P. Discussion regarding tension adjusters for dynamic splints, personal communication. 2003.
  37. Wright TW, Glowczewskie F, Cowin D, Wheeler DL. Radial nerve excursion and strain at the elbow and wrist associated with upper-extremity motion. J Hand Surg [Am]. 2005;30:990–996
  38. Callinan N. Clinical interpretation of “an electromyography study of wrist extension orthoses and upper-extremity function. Am J Occup Ther. 1999;53:441–444
  39. Yuen Yee Chan W, Chapparo C. Effect of wrist immobilization on upper limb function of elderly males. Technol Disabil. 1999;11:39–49
  40. Ludwig mies van der rohe [homepage on the Internet]. Wikipedia, The Free Encyclopedia. Available at:http://en.wikipedia.org/wiki/Ludwig_Mies_van_der_Rohe Accessed Aug 16, 2006.
  41. McKee P, Rivard A. Orthoses as enablers of occupation: client-centred splinting for better outcomes. Can J Occup Ther. 2004;71:306–314
  42. Basford JR, Johnson SJ. Form may be as important as function in orthotic acceptance: a case report. Arch Phys Med Rehabil. 2002;83:433–435

PII: S0894-1130(06)00240-7

doi: 10.1197/j.jht.2006.11.013

Journal of Hand Therapy
Volume 20, Issue 1 , Pages 73-88 , January 2007

Article Tools

* Image Usage & Resolution