Ms. MB’s occupational therapist wants to splint Ms. MB’s paralyzed hands in a neutral position to prevent the development of contractures and facilitate improved functional recovery. Ms. MB is not interested in the splints because she has been told she will likely never have functional use of her hands, and so does not see the point of preserving range of motion. Ms MB’s daughter Irene feels the splints are a nuisance, since a caregiver will be required for their donning, doffing, and cleaning daily.
What evidence is there that splinting the hand in a tetraplegic is helpful?
1. There is clinical and intuitive support for the use of splinting for the prevention of joint problems and promotion of function for the tetraplegic hand; however, there is very little research evidence to validate its overall effectiveness.
For more information please see: Splinting