Problems experienced with low-profile dynamic splints.
Date
1994
Authors
Van Velze, Cornelia Anna
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Many patients have been supplied with dorsal dynamic finger extension splints for
improvement of the range of motion of stiff finger joints, The design of the splint has
been developed and improved over time, but the amount of force which was applied
to a finger was determined intuitively. This research was undertaken to quantify the
force exerted on a finger and to desigm a splint which would ensure that the amount
of force exerted on a finger was constant and reliable. Since six studies were
undertaken as part of the research, different protocols were developed for each.
The findings of the studies can be summarised as follows:
* similar tensions in a variety of rubber bands can not consistently be identified;
rubber bands which are more or less equal in length, thickness and width do
not undergo the same amount of elongation when identical weights are
attached to them;
friction between the outrigger and the traction unit plays a major role in
determining how much force is exerted on a finger;
a layer of Teflon paint over the outrigger coupled with a nylon fishing line
traction unit causes the least amount of friction;
stainless steel tension springs provide a more reliable and consistent force
than rubber bands.
Finally a splint was designed, taking into account the results of the six studies. The
splint consists of a thermoplastic base with Velcro attachment straps, a pre-notched
copper coated welding rod dipped in Teflon paint at least 14 days before use, a
traction unit made from a stainless steel tension spring with a tension of 3g/rnm, a
piece of nylon fishing line and a finger sling.
Although the splint was designed to ensure that the force exerted on a finger is
consistent and quantifiable, it should still be tested clinically to ascertain whether the
design is really practical.
Description
A thesis submitted to the Faculty of Medicine, University of the Witwatersrand,
Johannesburg for the degree of Master of Science, Occupational Therapy
Keywords
Splints., Finger Injuries therapy.