presented by Deborah A. Schwartz
Orthoses for immobilization can also be applied to specific populations for a variety of goals beyond support and protection. Therapists may be required to apply orthoses to the upper extremity presenting with abnormal or increased muscle tone as seen in pediatric patients with Cerebral Palsy. Increased muscle tone can lead to soft tissue contractures, muscle and tendon shortening and joint deformities. In this course, orthoses designed to maintain muscle and soft tissue length and prevent joint contractures are described. Additional orthoses specifically for the pediatric population, including alternative wrist orthoses and thumb orthoses, are described and demonstrated and special concerns about creating orthoses for pediatric patients are addressed.
Deborah A Schwartz is a hand therapist with over 34 years of experience as a practicing clinician. She has worked at Orfit Industries America for the past ten and a half years promoting product awareness and offering a variety of educational programming on orthotic fabrication. Debby is an active member of the American Society of Hand Therapy (ASHT) and has participated in the International Federation of Societies of Hand Therapy (IFSHT) meetings as well. She has presented on a variety of hand therapy topics at both national and international conferences and has written a number of articles for hand therapy publications, including the Journal of Hand Therapy, the British Journal of Hand Therapy, HAND, www.exploringhandtherapy.com, and OT Practice. Debby completed her Doctorate of Occupational Therapy at Rocky Mountain University of Health Professions. She presently teaches orthotic fabrication workshops for Orfit Industries America for both student Occupational Therapists and advanced clinicians. She is also an adjunct professor at the Occupational Therapy department of Touro College in New York City, where she teaches orthotic fabrication and an elective on Hand Therapy. Debby is currently writing several book chapters for hand therapy references and collaborating on a textbook of orthotic fabrication.
This chapter will address some common challenges for treating pediatric clients. Children grow rapidly so the orthosis must be checked frequently for size and fit. Many children require functional orthoses but may not understand the wearing schedule. This course will offer suggestions for helping children and their parents accept the orthosis and accommodate its use into daily routines.
Chapter two will cover pediatric conditions of the upper extremity that may benefit from a dorsal wrist orthosis. The dorsal wrist orthosis will be described in detail including the benefits of appropriate thermoplastic material selection, pattern making, and fabrication techniques. Additional tips and tricks will also be offered.
In the final chapter, circumferential wrist orthosis will be described in detail regarding the appropriate thermoplastic material selection, pattern making, and fabrication techniques. Additional tips and tricks will be offered in an easy to follow format.