Upper Limb Orthoses
Hand And Wrist Hand Orthoses
Forearm And Elbow Orthoses
Shoulder Orthoses, Fabrication Option
Upper limb Orthoses Evaluation (Hand, Wrist, Fingers, Shoulder and
Elbow)
Guideline For Prescription.
Hand and Wrist Orthoses
• Assistive Orthoses
• Substitutive orthoses
• Protective Orthoses
• Corrective Orthoses
Assistive Orthoses
Basic Opponens Orthoses
• Keeps the thumb pad beneath the palmar surface
index and middle finger
• Palmar prehension
• Dorsal and palmar bars support transverse arch of the hand
• Indicated for patient with medial nerve neuropathy who is
susceptible for developing thenar contracture
• A forearm bar may included to control the drop of wrist in palmar
flexion
Assistive Orthoses
Metacarpophalangeal Extension
• Resist metacarpophalangeal hyperextension
• Indicated for patient with ulnar nerve or combined ulnar and median
neuropathy
• Protection from claw hand
Assistive Orthoses
• Wrist hand Orthoses WHO or Cockup Splint
• Prevent from wrist Flexion (wrist drop)
• Indicated for Radial nerve injury
• Keeps the wrist in normal position
• Protection form repetitive strain as in keyboard operators
Substitutive orthoses
Wrist-driven Prehension Orthoses
• Indicated for C6 tetraplegia
• When wrist is extended the finger approach the thumb
to grasp.
• A locking mechanism relieve stress on wrist extensor
• Can we wear only on the hand is pronated
• Can be adjustable according to size of grasp
• For a patient with weak extensor (c4, c5) prescribed Electrical driven
prehension orthoses WHO
Substitutive orthoses
Utensil Orthoses
• Consisting of spring or elastic webbing around palm.
• The pocket is also called universal cuff.
• May have forearm bar to achieve more functional position of wrist.
•
Protective Orthoses
• Customer design made of plaster of Paris or plastic sheet also know as
resting splint
• Indicated for patient with rheumatoid arthritis, burns flexion
contracture and boutonniere deformity (flexion of the proximal
phalangeal joint )
Corrective Orthoses
• Factory made or custom made
• Indicated for extension contracture of metacarpophalangeal joint
also known as knuckle bender
• The finger extensor orthoses also called revers knuckle bender
correct extension and flexion deformities of the interphalangeal
joints.
Forearm and Elbow Orthoses
Protective and corrective orthoses
• Reduce stress on forearm extensor (Lateral epicondylitis or tennis
elbow hand)
• Elbow flexion Contracture Indicated also for patient with elbow
contracture.
Shoulder Orthoses
Protective orthoses
cuff sling
• Support the weight of the forearm, wrist and hand
• Resist shoulder subluxation
Multi strap
Humeral cuff sling
• Resist shoulder subluxation
Shoulder Orthoses
Corrective orthoses
• the shoulder abductor orthosis is indicated to correct axillary
contracture also called aero plane splint
• If vertically upward the orthoses is also called “statue of liberty “
Fabrication Option
• PP technology
• Low thermoplastic material
