A comparative study of splint effectiveness in limiting forearm rotation.
METHODS
Case Study Series.


BACKGROUND
Restriction of forearm rotation may be required for effective management and rehabilitation of the upper limb after trauma.


OBJECTIVE
To compare the effectiveness of four splints in restricting forearm rotation.


METHODS
Muenster, Sugartong, antipronation distal radioulnar joint (DRUJ), and standard wrist splints were fabricated for five healthy participants. Active range of motion (AROM) in forearm pronation and supination was measured with a goniometer for each splint, at the initial point of sensory feedback and during exertion of maximal force.


RESULTS
Repeated-measures analysis of variance indicated significant differences between splints for all four AROM measures. Post hoc paired t-tests showed that the Sugartong splint was significantly more restrictive in pronation than the Muenster splint. The antipronation DRUJ splint provided significantly greater restriction in pronation than the standard wrist splint. No splints immobilized the forearm completely.


CONCLUSIONS
The Sugartong splint is recommended for maximal restriction in pronation, but individual patient characteristics require consideration in splint choice.


METHODS
IV.
Slaughter
Adrienne
A
Occupational Therapy Department, Princess Alexandra Hospital, School of Health and Rehabilitation Sciences, The University of Queensland, Woolloongabba, Queensland, Australia. adrienne_slaughter@health.qld.gov.au
Miles
Lyn
L
Fleming
Jennifer
J
McPhail
Steven
S
D000328:Adult; D053587:Arthrometry, Articular; D004551:Elbow Joint; D004867:Equipment Design; D005260:Female; D005542:Forearm; D006801:Humans; D008297:Male; D011403:Pronation; D016059:Range of Motion, Articular; D012399:Rotation; D013165:Splints; D013484:Supination; D014955:Wrist Joint