The Jacksonville Orthopaedic Institute Rehabilitation provides comprehensive preventative and post-surgical Hand Therapy and Occupational Therapy services across 10 locations over the Northeast Florida region. Our Occupational Therapists work to allow patients to get the independence they experienced prior to their injuries. Their services are typically designed to prevent dysfunction and maximize functional recovery for patients who have sustained an injury. Our program is designed to have a close relationship between the physician and the clinician who is treating the patient in therapy. Our therapists follow over 150 diagnosis-specific rehabilitation protocols that clearly outline precautions, goals, and when to gradually progress loads applied to healing tissues. Our occupational therapists are trained in splint fabrication, where they make custom splints out of heat sensitive plastic molded to perfectly fit a patient with the use of hot water to provide a unique splint, specific to each patient.
Hand therapy is the specialization of evaluating and treating injuries and conditions of the upper extremity, which consists of shoulder, elbow, forearm, wrist, and hand. The Jacksonville Orthopaedic Institute has the most Certified Hand Therapists in the North Florida region. Hand Therapy treats various conditions and diagnosis of the entire Upper Extremity including trauma, arthritis, infection, Carpal Tunnel Syndrome (CTS), Trigger finger, fractures, tendon injuries, rotator cuff shoulder injuries (RTC) and many other conditions which affect the quality of life. Hand Therapy helps patients regain functional use of their UE/hand by improving strength, range of motion, managing pain, swelling, wound and scar care which allow them to regain independence in daily activities. Your hand therapist will have a number of therapeutic tools/exercise activities at their disposal to help you achieve highest functional use of your hand/UE. Range of motion (ROM), strengthening exercises, customized orthotic splinting, education, adaptive equipment and modalities are key components of your hand therapy rehabilitation program.
SplintsHand injuries, such as tendon lacerations or other upper extremity injuries, such as broken bones, can occur in a variety of ways. A splint can protect and immobilize these joints, and depending on the injury, there can be a variety of splints. Splints are made out of a heat sensitive plastic which is custom molded with use of hot water. Typically a sock is placed on an individual’s hand while the splint is being molded for comfort. This splint can typically be taken off for certain activities of daily living (ADLs) such as showering or dressing. It also can be cleaned with soap and water. Just be extra careful, as dogs and other small animals like them too!
The most common reason a splint is prescribed is for protection and immobilization. A splint for finger fractures is called a safe position splint. This requires the patient’s metacarpophalangeal (MCP) joints to be bent approximately 70 degrees. This is needed for proper healing. The site of the fracture will determine the length of the splint. If the fracture is closer to the tip of the finger, the splint may only need to be hand-based. If the fracture is lower into the hand the splint may need to be forearm based. Another common splint is a Long Arm Splint. This requires the patient’s elbow to be flexed at 90 degrees and the forearm in a neutral position. This is common splint for most injuries, such as elbow fractures and surgeries needed to relocate nerves in the elbow.
While typically used for immobilization and protection, a splint can be used to increase range of motion (ROM) in joints. With some injuries an individual can develop stiffness in their joints. Static progressive or dynamic splinting can help increase the motion. These types of splints are made through the use of springs or elastic bands that increase movement. These splints are initiated and controlled by the patient and can be adjusted for comfort and to set the appropriate stretch. All splints are prescribed by a physician and it is up to the doctor and your therapist to determine splinting frequency and duration.
Silver Ring Splints
Tired of home made splints for your sore arthritic fingers? Frustrated when every time you try to pick up a pen or coin your fingertip collapses and tilts to the side? The Hand Therapists at JOI Rehab have the skills and materials that can offer comfort and greater function. If you are not interested in surgery to correct a crooked or bent painful digit, a splint can offer support and help to decrease pain. These splints may be made of plastic or metal. Some even are custom made and ordered to look like jewelry or silver rings. Some of these splints are covered by your insurance. In any case, the Certified Hand Therapists at JOI Rehab have the experience and wealth of knowledge to help you with your specific individual needs.