Long Arm Air Splint - 70 Cm And 80 Cm - PANat Urias Johnstone User Manual

Theoretical framework, clinical management and application of the urias johnstone air splints
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Long Arm air splint - 70 cm and 80 cm

Aims of Use:
 For active and passive mobilisation of the extended arm without pain in all ranges of movement.
 For the prevention and treatment of soft tissue contractures in the shoulder, elbow, wrist and fingers.
 To enable early weight bearing of the upper limb in a physiological position.
Preparation
Starting position: Supine (lying on the back) with both arms supported on pillows to ensure symmetrical
postural alignment. The choice of air splint (70 cm or 80 cm) will depend on the length of the hemiplegic
arm. Passive movements of the shoulder girdle and arm are carried out, at the same time muscle pliability
and joint range are assessed.
1
Passively mobilise, realign and support the
scapula to permit accurate positioning of the
shoulder and arm.
3
Support the upper arm / hand and mobilise the
elbow.
Shoulder joint is in 60° flexion and rotation is
neutral.
5
Ensure the arm is adequately supported on
pillows. Put the cotton sleeve on your own arm
(the right arm if it is the client's right arm). A
hand shake hold is used to correctly support the
hemiplegic hand.
© Rights reserved PANat 2009, revised 02/2015, version 2017
2
Carefully bring the extended arm into outward
rotation, flexion and abduction. Encourage the
client to turn his head to the affected side to
watch and follow the movements of the arm and
hand.
4
Mobilise the wrist into dorsal extension. The
metacarpals are individually mobilised and the
palm is rounded and flattened. The thumb and
each finger are passively lengthened. Form the
hand into a fist, then stretch it out.
6
Apply the cotton sleeve; this is to prevent skin
irritation. Cover the entire arm but leave the
hand free.
17

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