Colditz J C
Am J Occup Ther. 1983 Mar;37(3):182-8. doi: 10.5014/ajot.37.3.182.
Dynamic splinting is a well-accepted modality in gaining joint motion in the injured hand. Presented is a splinting design system referred to as "low profile" dynamic splinting whereby high outriggers are avoided. A review of the literature reveals that this technique is based on the original design approach used by Dr. Sterling Bunnell. Described are the basic principles of the low profile design system, with illustrations of the system in specific splints and specific construction details. This splinting system is indicated for a stiff hand that has sustained direct trauma. Hands with a muscle imbalance secondary to a central nervous system or peripheral nerve lesion require a different splinting approach, which is not within the scope of this paper.
动态夹板是一种在促进受伤手部关节活动方面被广泛接受的方法。本文介绍了一种被称为“低轮廓”动态夹板的夹板设计系统,该系统避免使用高支臂。文献综述表明,这项技术基于斯特林·邦内尔博士最初使用的设计方法。文中描述了低轮廓设计系统的基本原理,并配有该系统在特定夹板中的示例以及具体的构造细节。这种夹板系统适用于遭受直接创伤而变得僵硬的手部。继发于中枢神经系统或周围神经病变导致肌肉失衡的手部需要采用不同的夹板治疗方法,这不在本文讨论范围内。