3. UPPER LIMB static & dynamic ORTHOSIS
Made by: Armghan Anjum
Orthotist & Prosthetist
King Edward Medical University
Lahore

4. Static orthosis

5. Shoulder & arm Orthosis
Slings–figure of 8 orthosis:
It is used to support shoulder, elbow and forearm. This helps in preventing subluxation of shoulder in hemiplegia, tetraplegia

6. Contd… Air-plane splint:
It keeps the arm in 90° abduction and allows no movement in the glenohumeral joint.
It is made of plastic or metal and it is held to the chest wall by straps or elastic bandage
Indicated in:
Erb’s palsy
Burns in the axilla

7. Elbow Orthosis Static positioning elbow orthosis:
To hold a damaged or unstable joint in alignment
Static elbow wrist orthosis:
It immobilizes elbow, forearm and wrist in functional position
Commonly used in post burns rehabilitation

8. Wrist Orthosis Volar orthosis: Cock up splint
Volar Wrist Hand Orthoses

9. Contd…
Dorsal wrist orthosis:
Long opponens splint
Dorsal WHO

10. Hand Orthosis Short opponens orthosis
Short opponens splint maintains wrist in radial extension (corrects ulnar deviation), a opponens bar (thumb in abduction and internal rotation) and a palmar arch

11. Contd…
Bennet type of metal hand orthosis

12. Finger Orthosis Boutonniere orthosis
A static splint corrects hyperflexion at PIP joint by 3-point pressure principle

13. Contd… Swan neck orthosis
A static splint corrects hyperextension at PIP joint by 3-point pressure principle

14. Contd… Mallet finger orthosis
A static splint corrects flexion at DIP joint by hyperextending it

15. Dynamic orthosis

16. Shoulder orthosis
Balanced forearm orthosis: It is the most useful device to assist both elbow and shoulder function.
It can be mounted on a wheelchair or on a table or occasionally on a belt at the level of iliac crest. It consists of a trough in which the proximal forearm rests.
A pivot and linkage system under the trough is adjusted and preset so that the patient learn to produce movement at elbow and shoulder, with the movements of trunk and shoulder girdle

17. Elbow Orthosis Functional dynamic elbow flexion orthosis
Functional dynamic elbow extension orthosis

18. Wrist Orthosis
Dynamic wrist orthosis with dorsiflexion (extension) assist: It is a modified long opponens splint designed to assist wrist extension and allowing normal flexion of wrist.

19. Dynamic Hand Orthosis To substitute for absent or weak extension
Wrist extension finger flexion reciprocal orthosis (Flexor Hinge Splint)

20. Hand and Finger Orthosis
Metacarpophalangeal flexion orthosis to prevent the metacarpophalangeal extension (hyper-extension)

21. Contd….
Metacarpophalangeal extension orthosis for finger drop

22. contd…
PIP extension stop
PIP flexion stop

23. Contd…
Thumb IP extension assist: Indicated in finger and thumb drop in radial nerve or posterior interosseus nerve injury

24. Contd…
First dorsal interosseus assist: Keeps the index finger abducted and in opposition

26. Thanks For Listening & Have A Nice Day