Hi everyone!

I am a second year OT student, and as per a requirement for our course this semester we have to develop a case story/intervention plan (using 2 specialized intervention strategies that we've learned) and based on interviews with clinicians!

I am thinking of basing my case on an a 11 year old RHD boy with tactile defensiveness who dislocated the PIP joint of his R index finger! I was thinking that a dorsal block splint that limits full extension of the finger could probably be used in this situation...but I thought his diagnosis of sensory/tactile defensiveness might provide further challenges!!

I was wondering if, based on your experiences, you might be able to help me develop the intervention plan for this child?

Some questions I have include:

Would a splint even be a realistic/appropriate option considering his sensory defensiveness, and/or are there any other alternatives?

Also, I know we should use lighter more colorful material with kids...so for this type of splint would it be okay to use a light weight resin based material?? Also I know light touch is usually more aversive for kids with tactile defensiveness...and that deep pressure is usually tolerable...would this impact your choice of material/choice of splint??

Finally I was just wondering about the amount of time the splint would be on etc?? Would you modify the treatment plan at all/ decrease the amount of time he would be required to wear it during the day because of his sensory defensiveness??

I know I've asked a lot of questions, but any information you would be willing to provide (if/when you get a chance) would be really helpful and really appreciated!!!! Thanks SO much!!

Take Care!
Megan
Occupational Therapy Student


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