PANat Urias Johnstone User Manual page 19

Theoretical framework, clinical management and application of the urias johnstone air splints
Table of Contents

Advertisement

Sample exercises
Use these to develop your own exercise programmes.
Pushing against the therapist's hand,
a ball or the wall. Support the arm
on pillows to maintain the neutral
position of the shoulder.
Removal of the air splint
1
2
Passively mobilise all joints (see preparation for application).
Ask the client if he is aware of changes in feeling or in movement of the limb.
3
Precautions
Do not apply the long arm air splint with the shoulder inwardly rotated.
Do not apply the air splint into the axilla as this may cause pressure on the brachial plexus.
Never pull the air splint off – deflate, open the zip; support the arm and hand and carefully draw
off the air splint thus avoiding any potential trauma to the shoulder.
Do not leave the air splint on for more than 30-45 minutes. Within the course of a treatment
session it may be removed and reapplied if it is being used dynamically rather than as a tool to
stretch soft tissues.
To mobilise tight muscle groups apply the air splint 2-3 times daily for 20 minutes.
Never use the air splints for positioning overnight.
© Rights reserved PANat 2009, revised 02/2015, version 2017
The client moves the hemiplegic arm
actively assisted by the non affected
arm
to
an
external
focus
markers on the wall).
• Open the valve to release the air. Encourage the client to
help squeeze the air out of the air splint.
• Undo the zip. Ask the client to close his eyes and feel the
changing pressure in the air splint on the arm.
• Take off the air splint.
• If active movement is present encourage the client to move
his limb.
Following the removal of the air splint use a variety of objects
to stimulate sensation and selective movement.
Different activities (e.g. balancing a
rubber ball on the air splint for x
(the
seconds) can be encouraged using
the long arm air splint to stabilise the
elbow, wrist and hand.
19

Hide quick links:

Advertisement

Table of Contents
loading

Table of Contents