Hi everyone,
I am looking for some suggestions for a splint for a
client who is post Botox. This client is an older lady with CP who has
significant finger flexor tone combine with wrist extension. The hand
was getting very tight and painful. This has been reduced with Botox and
now I can range the fingers out to 30 - 40 % of composite extension.
There was previous joint damage to two DIPs (3 & 4) due to the
increased tone so they have hyperextension deformities. I would like to
try and maintain some of the gains made with Botox and also allow the
hand to air out some. I dont think serial casting would be helpful here
due to the distal joint deformities.
We do have some voluntary
grasp and release which we are working on finger foods and some object
manipulation.
Thanks for the suggestions.
Sue D
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