[AOP220] Splints Acting on the Shoulder & Elbow

Shoulder arm sling is the most basic provision for shoulder orthosis. It is also known as Northern Ring Sling.

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Answer explanation

• Regional Name: Shoulder Orthosis

• Common Names:

  • Figure of Eight Sling/s, Universal Sling, Northern Ring Sling, Cuff Sling, Hemi Sling, Orthopedic Sling, Flail Arm Sling, Homemade Bandana Type Sling, Glenohumeral Support, Hook Hemi Harness, Rolyan Hemi Arm Sling

• It is the most basic provision of shoulder orthosis.

Conditions that Require an Elbow Immobilization Splint:

• Elbow Fracture

• Elbow Arthroplasty

• Elbow Instability 

• Biceps/Triceps Repair

• Cubital Tunnel Syndrome

It is used for short-term/temporary cases, to prevent overstretching of the glenohumeral musculature or ligaments.

• Shoulder Arm Sling

• Humeral Fracture Brace

• Arm Abduction Orthosis

• NOTA

Functions to decrease shoulder pain related to arm distraction and shoulder-hand syndrome or (CRPS) complex regional pain syndrome.

• Shoulder Arm Sling

• Humeral Fracture Brace

• Arm Abduction Orthosis

• NOTA

Shoulder arm sling functions to help keep the hand and forearm elevated to reduce edema. Elevation of the hand permits gravity to assist with the drainage of edema from the proximal limb to the distal.

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Answer explanation

• Shoulder arm sling functions to help keep the hand and forearm elevated to reduce edema.

  • Elevated hand = the lymphatic drainage would go distally to proximal brought about by gravity

The provision of a shoulder arm sling will immobilize the shoulder. However, it will not improve subluxation (it will not reduce shoulder subluxation), this facilitates protection ONLY in acute stroke patients with subluxation.

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Answer explanation

• No clinically significant difference in the efficacy of reducing shoulder subluxation in acute stroke patients. It will immobilize the shoulder but not improve the subluxation.

• It will just prevent the client or the area from exacerbating the subluxation or the sulcus sign located at the joint.

This is more of protection but not a reduction purpose of the shoulder subluxation

A humeral fracture brace is used to protect healing fractures as in the case of a humeral fracture. This non-articular fracture orthosis is mostly for colossal fractures that require reduction and fixation procedures because the healing process takes longer compared to hairline fractures or minuscule fractures that do not need any of the aforementioned procedures.

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Answer explanation

• NON-ARTICULAR FRACTURE ORTHOSIS

• HUMERAL FRACTURE BRACE

  Often used to protect healing fractures as in the case of humeral fracture.

• For the humeral fracture brace, is more for hairline fractures or minuscule fractures that would not require reduction and fixation procedures.

These are indicated for clients who have stiffness at the shoulder and adhesive capsulitis or frozen shoulder.

• Torque Transmission Splints

• Immobilization Splints

• Non-articular Fracture Orthosis

• NOTA

Answer explanation

MOBILIZATION SPLINTS

These are indicated for clients who have stiffness at the shoulder and adhesive capsulitis or frozen shoulder.

Elbow fracture and arthroplasty has the same wearing schedule. The only difference is that for elbow fracture, the immobilization splint is removed for exercises and hygiene if permitted meanwhile for arthroplasty, it is removed for protected range of motion exercises until the joint is stable.

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• Mobilization of a passively supple shoulder requires a ___________ sufficient to abduct, extend, flex, or rotate the proximal upper extremity joint that is both complex in structure and large in size.