Lecture on Making a Wrist Splint

Hand Preparation for Wrist Splint

• Identify Wrist Crease: Mark the wrist crease on both sides.
• Free All Five Digits: Locate the CMC joint and mark it.
• Check Transverse Arch: Ensure proper positioning on both sides.

Splint Designing Steps

• Immobilize Wrist: Extend the design an inch beyond the wrist for adjustments.
• Thumb Positioning: Draw a bar to free the thumb without crossing the wrist.
• Pattern Cutting: Consider extending material to ensure fit.
• Material Selection: Use a crayon for markings, avoid Sharpie.

Cutting and Heating Process

• Material Heating: Use a frying pan with water; add dish detergent to prevent sticking.
• Test Flexibility: Ensure material becomes transparent and flexible when heated.
• Cut When Soft: Cut the material when it's partially soft.

Applying and Molding the Splint

• Position Hand: Use towels to position and support the wrist comfortably.
• Material Application: Ensure material is not too hot before molding it to the hand.
• Free the Thumb: Roll out material around the thumb for added strength.
• Avoid Pressure Points: Ensure no sharp edges or points to avoid skin irritation.

Final Adjustments

• Trimming and Smoothing: Trim any excess material to avoid discomfort.
• Velcro Straps: Attach velcro straps diagonally for secure fit.
• Check Fit and Balance: Ensure the splint balances correctly on the hand.
• Client Education: Teach clients how to properly wear and secure the splint.

Important Tips

• Material Memory: Heated material can be reshaped up to three times.
• Water Temperature: Keep water at appropriate temperature to avoid overheating material.
• Safety Precautions: Use lubricant in water to protect both material and cooking pan.