tag:blogger.com,1999:blog-8174880937451768707.post1224975056597658273..comments2023-10-18T05:54:19.015-07:00Comments on Stronger After Stroke Blog (THE STROKE RECOVERY BLOG): Splinting after stroke? Why?Peter G Levinehttp://www.blogger.com/profile/12585356059363005619noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-8174880937451768707.post-40873280186521735352016-01-25T16:05:52.955-08:002016-01-25T16:05:52.955-08:00Marlena, thanks for taking time to comment. I'...Marlena, thanks for taking time to comment. I'd suggest you email me at strongerafterstroke (at) yahoo.com.<br /><br />To your questions:<br /><br />Does splinting preventing skin breakdown (ie fingernails digging into the palm)? <br />~Maybe, but if they have that much spasticity its time to call in physiatry/neurology, consider dorsal root ryzotomy, neurolytics and if there is contracture has set in, serial casting or tendon lengthening. In other words, you'd not be able to safely put on a splint in a hand that is so profoundly spastic that the palm is ruptured. Imagine the pressure on the small joints of the fingers as the survivor has an associated reaction and is forced to fist!<br /><br />Any benefit for positioning for the carpal tunnel? <br />~Not sure, not my area of interest, not the domain of this blog. <br /><br />Is there no risk of contracture if the flexed position is the norm? <br />~What we know is that splinting provides no reduction of contracture in spastic stroke survivors.<br /><br />As a therapist, I refer to and trust what you put out there, I'm just wondering how then to prevent the above mentioned issues? <br />~You really should email me!<br /><br />Thanks again for your comments!Peter G Levinehttps://www.blogger.com/profile/12585356059363005619noreply@blogger.comtag:blogger.com,1999:blog-8174880937451768707.post-77771637387803751082016-01-25T07:33:38.469-08:002016-01-25T07:33:38.469-08:00What about for preventing skin breakdown (ie finge...What about for preventing skin breakdown (ie fingernails digging into the palm)? Any benefit for positioning for the carpal tunnel? Is there no risk of contracture if the flexed position is the norm? As a therapist, I refer to and trust what you put out there, I'm just wondering how then to prevent the above mentioned issues?<br />Thank youAnonymoushttps://www.blogger.com/profile/08310552371886697673noreply@blogger.comtag:blogger.com,1999:blog-8174880937451768707.post-31352625653674987692016-01-25T07:33:07.378-08:002016-01-25T07:33:07.378-08:00What about for preventing skin breakdown (ie finge...What about for preventing skin breakdown (ie fingernails digging into the palm)? Any benefit for positioning for the carpal tunnel? Is there no risk of contracture if the flexed position is the norm? As a therapist, I refer to and trust what you put out there, I'm just wondering how then to prevent the above mentioned issues?<br />Thank youAnonymoushttps://www.blogger.com/profile/08310552371886697673noreply@blogger.comtag:blogger.com,1999:blog-8174880937451768707.post-70187658220526660572015-12-14T23:15:50.969-08:002015-12-14T23:15:50.969-08:00After I had my stroke in summer 2014 I had to argu...After I had my stroke in summer 2014 I had to argue with my therapist until I was blue in the mouth against wearing a splint.Dogon Siriushttps://www.blogger.com/profile/05037656580944844493noreply@blogger.com