1、 Smooth edges and proper application of straps are imperative to prevent pressure points and to ensure a properly-fitting splint. One way to produce a smooth edge is to dip the edge of the splint into the hot water and cut it while it is still warm.Also,heating the material briefly with a heat gun a

2、nd smoothing it lightly with fingertip pressure will create a smooth edge.Strap location must be carefully planned to provide 3-point pressure.Velcro is applied directly to the splint.It is most effective when the splint material and the sticky side of the velcro are spot-heated by the heat gun. Dep

3、ending on the material being used,the surface of the splint may also need to be prepared by scoring the plastic with a sharp scissors.Soft-pressure velcro or other forms strapping is then used to hold the splint securely on the patient.You may need to pad the splint to enhance where intolerance and

4、patient”s discomfort.Be sure to allow extra space over the bony prominences during the modeling phase to prevent additional pressure once the padding is applied.When making a dynamic or static progress of a splint after the splint base is formed,the next step is to apply the outrigger or any attachm

5、ents.Outriggers can be cast and made by shaping thermal plastic into a tube using pre-fabricated splint tubing or by bending wire into the desired position.Here is the therapist rolling out a piece of thermal plastic to create a tube shape that can be formed into an outrigger. An outrigger provides

6、a base for positioning a 90 degree angle of pull to the joint that is being immobilized.It is important to line up the outrigger over the joint to be immobilized as it is forming.After the casted outrigger is cooled,it can be attached to the splint base.It is best to prepare the surface of the splin

7、t and the outrigger by scoring or applying cement and heating the surfaces with the heat gun.Once heated, press the surfaces together and the position desired,and hold them briefly to ensure adequate bonding.The tension of a dynamic splint is provided by rubber bands,coil springs or elastic thread.T

8、hese can be attached to the splint base with velcro tabs,hooks or knobs that will be placed proximal to the outrigger.Nylon filament or fishing line is attached to the rubber band to create a smooth excursion as the pulls over the outrigger.This can be done using a filament and attaching the rubber

9、band securely around it. There are also commercially-available finger slings that come with filament loops attached. The top surface of the outrigger is heated and the groove is made in the splint material that lines up with each finger to be immobilized.This will guide the filament as it moves over

10、 the outrigger.,ensuring the correct direction of the pull.The nylon filament attaches to a finger sling to provide the appropriate tension to the joint being immobilized.It is critical to ensure a 90 degree angle of pull,this perpendicular force will prevent shearing strength and unwanted traction

11、of the joint.It is important to remember that as mobility improves,the therapist must reevaluate and make changes to the outrigger to maintain the 90 degree angle of pull.There are also several types of commercially-available outrigger kits.These are usually applied by drilling or punching holes in

12、the splint base and attaching the outrigger specially designed find screws. After the splint is finished,it is important to evaluate it for proper fit and patient comfort.Have the patient wear the splint for 20mins, then remove the splint and check for any areas of redness or blenching on the skin,t

13、his may indicate that there is too much pressure on the area. If the splint has a dynamic component,check to be sure that the angle of pull is correct and the splint base is not being pulled incorrectly by the traction force.Making any change is necessary to ensure the splint is fitting properly, it

14、 is also important to educate the patient on proper application and care of the splint to ensure compliance.Use the following questions as a guideline as you completed the final assessment of your splint. Dose the splint achieve its purpose? Does the splint maintain the proper position of the joints

15、? Does the splint fit the contours of the hand,the arches and the bony prominences? Does the splint restrict or immobilize only the joints it is intended to immobilize? Are all the edges smooth and all possible pressure point relieved? Can the patient apply and remove the splint? Is the splint cosme

16、tically acceptable to the patient? If you can answer “yes” to these questions,you can be confident that you have fabricated a splint that will help the patient reach his or her goal.为了避免皮肤上出现压力点并且确保夹板合适，我们需要打磨夹板边缘使其光滑并且正确地使用弹力带。有一种方法可以让夹板边缘光滑：将夹板边缘浸入热水中，在它仍然保有余温的时候切除多余部分。另一种方法是用热风枪简单地加热夹板，之后轻柔地用指尖压力

17、塑形使其光滑。必须仔细确认弹力带的位置以提供三点压力。还要直接在夹板上安装魔术贴。最有效的安装方法是用热风枪把夹板和魔术贴有黏性的一面接合在一起。根据所用材质的不同，我们需要用锐利的剪刀在夹板上刻痕。接下来就需要轻轻贴上魔术贴或者用其它形式的弹力带，这是为了让夹板牢牢地贴合在患者身上。如果某处令患者难以忍受或者不适，那么就需要在此处加衬垫以提高舒适度。在夹板塑形期，加入衬垫后一定要在骨突处留下额外的空间，以防出现不必要的压力。在做完夹板的动态或静态底座后，下一步就是加上悬臂梁或其他附属物。制作悬臂梁的方法有两种。一种是用预制的夹板悬梁吊臂管将热塑性塑料滚成管状。另一种是将线材弯曲成形。这是一个

18、治疗师正在把一个热塑性塑料滚成管状，如此便可以制成悬梁吊臂了。有了悬梁吊臂就可以在此之上对制动的关节提供90度的拉力。在悬梁吊臂冷却定型的过程中，注意悬梁吊臂在制动关节的相对位置是否正确是很重要的。当悬梁吊臂冷却后，就可以把它安装在夹板基座上了。最好在夹板和悬梁吊臂的表面刻痕或者用胶黏剂粘黏，并且用热风枪加热二者的表面。加温结束之后，压紧夹板和悬梁吊臂的表面，并且让其保持预期的位置，轻轻握住以保证有足够的粘合度。动态夹板的拉力是由橡皮筋、弹簧、弹力线提供的。这些可以借由安装在悬梁吊臂附近的环、钩子或球形柄而装在夹板基底上。橡皮筋上会连有细线或钓鱼线，这些线可以使悬梁吊臂处的拉力缓慢升高而非急剧升高。市场上有售附带钓鱼线圈的手指吊索。悬梁吊臂的上层表面是被加热过的，夹板上也有凹