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Wrist Orthoses

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.

A WHO typically extends from the forearm to the palm, sometimes including the fingers, depending on the level of support needed. They can be static, holding the wrist and hand in a fixed position to prevent contractures or promote healing, or dynamic, allowing controlled movement to aid function and rehabilitation. The main goals of a WHO are to reduce pain, improve joint alignment, support weak muscles, protect healing tissues, and enhance functional use of the hand and wrist in daily activities.

For example, a static WHO is often used for carpal tunnel syndrome or wrist drop, it maintains the wrist in a slightly extended position to relieve the pressure exerted on the median nerve. More complex WHOs may include finger components to support grasp or prevent deformities like ulnar drift in rheumatoid arthritis.

Hand Orthoses
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.
Fingers Orthoses
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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