Splinting

Question 1

Why are hand and wrist splints required?

Answer 1

To rest or immobilise structures of the hand

Question 2

Describe the POSI Position of Safe Immobilisation

Answer 2

• For structures to heal (eg bone fractures)
• For swollen tissues to be held to avoid further irritation
• All structures to remain in position of function
• 25 degree wrist extension

Question 3

What does the position of safe immobilisation mean?

Answer 3

Collateral ligaments of MCP and IP joints are in their most lengthened position and they cannot shorten (which will limit ROM)

Question 4

When making a splint for a client with Rheumatoid Arthritis, should the hand be in resting or position of safe immobilisation? Describe why?

Answer 4

Resting position

• For muscles to rest and any swollen structures to reduce friction through motion
• MCP and IP flexion
• Take splint on and off comfortably

Question 5

What position should the wrist, thumb and fingers be in the splint

Answer 5

Wrist extension: 10-20 deg
MCP flexion: 20-45 deg
IP flexion: 10-30 deg
Thumb flexion