is a fiberglass splint static or dynamic

Make sure you respect the patients pain level.ĭ.) If the gain is 5 degrees or less, the joint is considered very stiff and requires the most aggressive splinting. This requires a dynamic splint with over pressure. A static progressive splint which by definition provides no over-pressureĬ.) if the gain is 10 degrees, this indicates a stiff joint.

Consider using the least stressful end-range splint. Based on this comparison the following recommendations are made.Ī.) if a MWT results in a gain of 20 degrees, a splint is not indicated and to rely on an exercise program insteadī.) If the gain is 15 degrees, this indicates a slightly stiff joint. This is called the “preconditioned reading” After holding this for 10 minutes the second range of motion measurement is taken. After twenty minutes the patient is asked to manually position the involved joint at the end range with tolerable overpressure. The patient is instructed to actively exercising in the heat modality for 20 minutes. The patient places the involved joint in a thermal modality preferably one where range of motion is facilitated such as fluidotherapy or whirlpool.Measure the passive range of motion of the joint cold before any modality or treatment.Patient response is monitored to assess the safety and effectiveness of splint program.Dosage of force application is determined with splinting decision hierarchy.Tissue compliance or stiffness if predicted with modified Weeks test.Gentle prolonged stress promotes tissue healing.Trauma and immobilization result in adaptive shortening and stiffness.Elastic recovery of ligamentous length follow stretch.The following are the key concepts for force application. The modified Weeks test is usually performed after joint stiffness has been determined to be a significant problem. The decision hierarchy uses a modified Weeks test (MWT). The Skinny- The article proposes a decision hierarchy to determine when you should apply a static progressive or dynamic orthosis. A proposed decision hierarchy for splinting the stiff joint, with an emphasis on force application parameters.

Is a fiberglass splint static or dynamic