Enhancing function after radial nerve injury with a high-profile orthosis and a bio-occupational orthotic framework
| Autor: | Pat McKee, Marisa de Cássia Registro Fonseca, Ana Carolina Grillo Semedo, Ana Carolina Zampar, Flávia Pessoni Faleiros Macêdo Ricci, Paulo Roberto Pereira Santiago |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Humeral Fractures Orthotic Devices 030506 rehabilitation medicine.medical_specialty Functional impairment Wrist orthosis Computer science Physical Therapy Sports Therapy and Rehabilitation Wrist Thumb 03 medical and health sciences Grip strength 0302 clinical medicine Radial nerve injury Physical medicine and rehabilitation Occupational Therapy Forearm Peripheral Nerve Injuries ORTOPEDIA medicine Humans Hand Strength Rehabilitation Equipment Design Recovery of Function body regions medicine.anatomical_structure Humeral shaft Radial Nerve 0305 other medical science 030217 neurology & neurosurgery |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP |
| ISSN: | 0894-1130 |
| Popis: | Study Design Case report. Introduction Radial nerve injury can cause severe functional impairment due to paralysis of wrist and digit extensors. Various orthotic designs have been described, including static, dynamic, and tenodesis. All provide wrist stabilization or extension assistance. Some, but not all, also provide extension assistance to the wrist, thumb, and fingers. Purpose and Methods This article tells the story of Max, a 27-year-old male university student, who sustained a radial nerve injury after a left humeral shaft fracture. He was treated at a Brazilian tertiary hospital, where the choice of thermoplastics and dynamic components resulted in limited options for orthotic fabrication. Max was provided with custom-molded static wrist orthosis and a bulky, older style, high-profile dynamic forearm-based wrist-finger-thumb assistive-extension orthosis. Results and Discussion Grip strength and functional status improved, and Max was completely satisfied because with the dynamic orthosis, he could play the guitar again, which was his favorite activity. Conclusion Max's story illustrates that a convenient functionally oriented orthotic intervention can be performed even in resource-limited environments by following the client-centered bio-occupational orthotic framework proposed by McKee and Rivard. This framework addresses the client's biological needs (addressing paralyzed muscles and maintaining length of soft tissues) and occupational/functional needs. |
| Databáze: | OpenAIRE |
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