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Upper Extremity Orthotic

Upper extremity orthotics are externally applied devices used to support, align, prevent or correct deformities, or to improve the function of the upper limb (shoulder, arm, elbow, forearm, wrist, hand, and fingers). They’re often used in rehabilitation, injury recovery, or neurological conditions to assist with movement or stability.

Upper extremity orthotics can be dynamic or static. Both types can be custom-fabricated or prefabricated and are selected based on the individual’s condition, functional goals, and stage of recovery.

Static Orthotics

Static orthotics: are designed to immobilize joints or maintain them in a fixed position, often used to prevent deformities, support healing structures, or provide rest in conditions like arthritis, fractures, or post-stroke spasticity. They are commonly used at night or during non-functional activities.

Dynamic Orthotics

Dynamic orthotics: incorporate movable components such as springs, elastic bands, or outriggers to allow or assist controlled motion while still providing support. These are typically used to improve joint range of motion, facilitate functional movement, or assist weak muscles in neurological conditions. Dynamic orthoses are particularly beneficial during daytime use and therapy, as they help retrain motor function while preventing contractures.

Shoulder

A shoulder orthosis is a device designed to support, stabilize, or restrict movement of the shoulder joint, the glenohumeral joint, to aid with healing, improve function, or prevent injury. These orthoses are commonly used following trauma, surgery, or in neurological conditions like stroke, where muscular control and joint integrity may be compromised.

Elbow

Elbow braces are orthopedic devices used to support, stabilize, limit the motion, or manage contracture of the elbow joint. They are commonly prescribed for conditions involving injury, inflammation, nerve compression, or following surgery. The design and function of the brace depend on the underlying condition and therapeutic goals, ranging from rigid immobilization to controlled or assisted motion.

Wrist

Wrist-hand orthoses (WHO) are devices designed to support, align, protect, or improve the function of the wrist and hand. They are commonly used in the management of neuromuscular or orthopedic conditions such as stroke, cerebral palsy, arthritis, carpal tunnel syndrome, and tendon injuries.

Hand

CMC OA braces are the most common hand orthoses. These orthotic devices are designed to support the thumb’s carpometacarpal (CMC) joint, commonly affected by osteoarthritis. These braces help reduce pain, stabilize the joint, and maintain function during activities like gripping or pinching. They range from soft, flexible supports for mild cases to rigid, molded braces for more severe symptoms. Such braces provide firm stabilization while allowing full hand movement. Worn daily or during flare-ups, CMC OA braces are a key part of conservative treatment.

Finger

A finger orthosis is a device used to support, align, or correct finger deformities and improve hand function. Common types include ring splints, which stabilize joints without restricting overall finger use and are often used for conditions like arthritis or joint hypermobility. Specific deformities such as swan neck and boutonnière deformity. These orthoses aim to reduce pain, prevent or correct deformities, and restore function, often in conjunction with hand therapy.

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