Basic upper extremity orthotics.

Abstract

Improved hand function after injury or disease is achieved by increasing joint mobility, muscle strength and coordination, while reducing edema and pain. Static and dynamic orthoses assist in correcting deformities, provide strengthening activities and maintain a functional hand position. Many orthotic appliances are commercially available or may be fabricated for specific hand problems. The process of gradually increasing wearing tolerance helps to reduce the risk of skin breakdown or excessive pressure. A program of daily range-of-motion exercises may aid in preventing joint immobilization.