WIXLIB

HANDS-ON-CARECustom SplintCatalogSaba Kamal has been teaching splinting to therapists all overUS.She has designed innovative cost effective splints to treat herpatients and has taught those classes to other therapists.For the Shoulder ElbowWrist and HandIf you have a patient with an atypical problem and you need acustom splint, please call our office and discuss it with one ofthe therapists and we will come up with a custom splint for yourpatient.HANDS-ON-CAREMain Location: 499 Blossom Hill Rd, San Jose, Ca 95123Satellite Location: 2505 Samaritan Dr, Ste 202, San Jose, Ca 95124Phone: 408-268-8536E-mail: Info@hocinc.usWww.HandsOnCareTherapy.comFax: 408-268-8727 Custom splints from Mallet to Brachial Plexus injury Walk in welcome for such injuries. Just call us and give a heads up that you are sending apatient. Fax their paperwork so we can get thebenefits verified by the time they come to the clinicWww.HandsOnCareTherapy.com

Page 2Page 15To refer a walk-in call1-408-268-8536Hands-On-CareWhat is a custom splintA custom splint is a brace or support made of a thermoplastic material that is molded specifically to the individualbody part.How are custom splints molded or fabricated?First, a pattern may be made of the extremity from a paper towel and that paper pattern is traced onto the material. A rough cut is then made using special cutters andthe material is placed in warm water (about 158 -160 F).After the material has softened, it is removed and the pattern is cut precisely with scissors. The extremity, be it theelbow, wrist, or digit, is then placed in the correct anatomic position.The material is returned to warm water to resoften. Onceready, it is removed from the water and allowed to cool tobody temperature before the therapist places it on the extremity, making sure it is properly draped and smoothed.Rough edges are smoothed and Velcro straps applied.Can custom splints be cleaned if they get dirty?Yes, custom splints can be cleaned with lukewarm waterand mild soap. When drying, they must be kept awayfrom hot, sunny surfaces and radiators.What if the custom splint does not fit properly?If the custom splint does not fit properly, it can be trimmedor remodeled, but one must bear in mind that because itis used to protect, prevent certain motions, or stretch certain areas, a well-fitting splint that is providing optimalhealing benefits may not always feel as comfortable aswe would like.Cont on page 14Custom Splintscomfortable as possible and allow as much free motionas ordered by the doctor.Do I need a prescription for a custom splint to be fabricated?Yes, in order for a custom splint to be fabricated you willneed a prescription from the doctor.Are there different kinds of custom splints?Yes, there are many kinds of custom splints. However,some are more common than others. Static splintsDynamic splintsStatic progressive splintsProtective splintsDynamic Traction splintsNewer splint designs to allow for ROM in the fracturedfinger, especially in case of articular fracturesSuch splints put traction at the fracture site, thus maintaining theintegrity of the fracture whileallowing for early ROM.

Page 14To refer a walk-in call1-408-268-8536Custom SplintsDoes insurance pay for a custom splint?Payment for a custom splint by the insurance company isdependent on each individual’s specific insurance. Thefront desk does their best to check precertification prior tothe fabrication. The only time this is not done is if thesplint is made after the insurance companies are closedfor the day. In that instance, the precertification check isdone the next morning.Do the over-the-counter braces that may be purchased in a drugstore work the same way?Over-the-counter braces do not necessarily work thesame as they usually come in generalized sizes, i.e.,small, medium, or large, whereas custom splints aremolded to each individual’s body part. Splints can also bemolded around arthritic and/or swollen joints and subsequently adjusted as the swelling subsides.Are custom splints returnable?Custom splints are not returnable, but as previously mentioned, they can be readjusted.Can the custom splint get wet?Yes, the custom splint can get wet as long as the water isnot extremely hot. Once wet, the Velcro straps will thenneed to dry out.How comfortable are custom splints?Custom splints are molded to allow the proper joints andareas to be freely moving, but immobilize the area thatneeds protection. As therapists we strive to make them asPage 3Hands-On-CareCustom Splint Table of ContentsPIP Dorsal Dislocation splint4Swan neck deformitysplint10Basal Joint Arthritis Splint4Intrinsic tightness splint10Thumb Spica splint forearmbased4Amputation Caps10Hand based Thumb Spica forUCL injury4Wrist Sprains10Mallet Splint5Mid Carpal instabilitysplint11Trigger Finger splint6DISI splint11Wide Buddy loop for RCL ofindex6Radial Nerve Injury11Saggital Band splint6Dynamic wrist splint11Dupuytrens Splint6Static / dynamic finger 12splintsUlnar Gutter splint7Pan Splints12Metacarpal Shaft fractures7Tenodesis splint forflexor tendon injury12Metacarpal head/ neck fractures7Extensor Tendon injury12ECU stabilization strap7Brachial Plexus injury13Web Space splint8Elbow flexion or extension contracture13Anti Claw splint8Cubital Tunnel Splint13Protective splint8Carpal Tunnel Splint13Anti Ulnar Drift splint8Dyanamic Traction splint 15Boutonniere splint9

Page 4To refer a walk-in call1-408-268-8536Page 13Hands-On-CarePIP Dorsal Dislocation splintCode: L3933The PIP joint in -30 extension. The patientcan exercise within the splint thuspreventing the finger from getting stiff. Pt.wears the splint for 3 weeks. Therapy isinitiated to regain the last 30 degrees ofextension. This reduces stiffness andthereby the treatment time.Brachial Plexus injuryShoulder dislocation/ traction injuriescausing injury to the brachial plexus can betreated with an airplane splint to put aslack on the nerve.Code: L3977Basal Joint Arthritis SplintCode: L3913A custom CMC splint stabilizes the jointand calms it down. Pt. wears the splint23/7 for a month and then is offered achoice of soft splint at the end of themonth to maintain stabilization. Treatmentis done 1x wk to help reduce thesymptoms, educate adaptive devices etc.Elbow flexion or extension contractureCode: L3971Thumb Spica splint forearm basedCubital Tunnel SplintIt can be used to treat acute symptoms ofdequervains, non displaced scaphoidfracture at the waist etc.Night static splint can be used to preventcubital tunnel symptoms at nightCode: L3702Code: L3808Hand based Thumb Spica for UCL injuryCarpal Tunnel SplintUCL injuries can be treated with handbased thumb spicaBased on the surgery we fabricate thissplint after CMC arthroplasty. This preventswrist stiffness.Code: L3913Splint can be fabricated to improve elbowcontracture.Either a static progressive flexion (armorcuff used) or a night static progressiveextension splint used to get the end rangeextensions.Code: L3808Custom static splint to be worn at night.Can be used for ganglions along withtapingtechniques forproproiceptiveinput during theday.

Page 12To refer a walk-in call1-408-268-8536Static / dynamic finger splintsThese splints help with improving ROM ofthe finger.They can be hand or forearm based toimprove the ROM of the finger jointsPage 5Hands-On-CareMalletSplintCode: L3921Pan SplintsFor rheumatoid patients, stroke patients oreven patients with Carpal tunnel withlumbrical involvement.Code: L3808Tenodesis splint for flexor tendon injuryFlexor tendon injury can be treated withtenodesis splint. It combines duran /klinert techniques while allowingprotective wrist motion thus preventscarring.Code: L3806Mallet SplintExtensor Tendon injuryPts can be splinted with a reverse Klinertor a ring splint s/p extensor tendon repair.Code: L3806Code: L3933Over the counter mallet splints do not provide the best fit tohyperextend the finger. Also, it inhibits function. Our mallet splint isdorsally placed and taped in such a way that patients can type andfunction without any impairment. Thus, compliance is great. Weteach the patients how to apply it and explain the precautions. If thepatient has a tendency towards swan neck deformity, then weinclude the PIP joint in it as seen in the second picture. Patients areseen for 2 visits to ensure compliance and understanding of splintwear.

Page 6To refer a walk-in call1-408-268-8536Page 11Hands-On-CareTrigger Finger splintMid Carpal instability splintIf the patient wakes up with the fingerlocked then we fabricate this trigger fingersplint. If the triggering happens during theday then we teach them with tapingtechnique.Code: L3913Code: L3905Wide Buddy loop for RCL of indexCode: L3933This splint prevents ulnar deviation of theindex finger, allows protected motion thusincreasing compliance with splint wear.Depending on the severitya night extension splintmay be used incombination.DISI splintMild S-L injuries can be treated by one ofthese splints where surgery is notwarranted.Designed by Dr.LichtmanCode: L3905Saggital Band splintRadial Nerve InjuryFor grade I and II a hand based splint isfabricated to be worn at all times for 3-4weeks to allow for healing of the saggitalband.Splint on the rightfor RA pts.Code: L3913Code: L3921Code: L3806Dupuytrens SplintCode: L3913Whether its post surgical or aftercollagenase or needle aponeurotomy acustom splint can be fabricated to preventrecurrences.A scar mould is placed inside to increasethe comfort of the splint wear and allowfor slow stretch to be placed on the tissue.ECU can be used to improve stability of themid carpal joint in mild cases. However,the ulnar sag needs tobe eliminated. Thissplint helps withstabilization inorder todo wrist strengthening.Dynamic wrist/ finger extension splintscan be fabricated to maintain fingerextension/ opening of the hand to allowfor function while the nerve regenerates.This also prevents stretching out oftendons. A static splint is used at nighttimeDynamic wrist splintDyanamic / Static progressive splints canbe used to increase ROM of the wrist joints/p wrist fracture or injury limiting wristROMCode: L3806

Page 10To refer a walk-in call1-408-268-8536Page 7Hands-On-CareSwan neck deformity splintUlnar Gutter splintOval 8 splints can be used to prevent swanneck, boutonniere etc.Therapists can alsomeasure patients for silverring splints.Code: L3933This splint can be used for TFCC or ECUmanagementCode: L3808Intrinsic tightness splintMetacarpal Shaft fracturesPts. Present with intrinsic tightness afterdistal radius fracture. This splint helpsminimize it and improve fist.Code: L3913TFCC strap worn during theday during sub-acutesymptoms to wean off ofulnar gutter.Stable shaft fractures do not need a fullcast. A hand based splint suffices for suchpatient.Code: L3919Amputation CapsMetacarpal head/ neck fracturesTo protect the sump splints can befabricated for the patient while thesensitivity improves or the graft takes.Code: L3933Stable metacarpal head / neck fracturescan be splinted with MP flexed IP’simmobilized along with wrist.Code: L3808Wrist SprainsFor mild wrist sprains wrist restore can befitted.It assists with tightening of the ligamentswhile still allowing use of the wrist/ hand.ECU stabilization strapIf there is recurrent ECU subluxation, thisstrap may be able to prevent subluxationduring pronation and supination activities.Worn in conjunction with Ulnar guttersplint. ECU strap is worn during the day,with Ulnar gutter splint at night or duringacute symptoms