Full Contact Proximal Forearm Brace

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Full Contact Proximal Forearm Brace

• Eileen Maday COTA, AP

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Non Surgical Treatment
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Theory

• Nirschl theorized that the counterforce brace
  acts as a diffusing force, altering overloads to
  less sensitive tissue.

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Prefabricated Braces

• Patients frequently over tighten prefabricated
  bands creating compression over already
  traumatized tissues.

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Custom Bracing

• The two part designed brace offers a wider span
  and distributes the force over a larger area.

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Materials Needed

• 1/8 therma-plastic Kay II or III by Sammons
  Preston
  
• Closed Cell Padding Kushionflex
• 1 2 x 18 self adhesive D-ring strap
• 3 self adhesive velcro hook and loop pieces

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Fabrication

• Measure the patients forearm
• Circumferentially approximately 2 distal the
  elbow crease.
  
• Subtract 1 from the measurement so that the
  brace will not overlap when tightened.
  
• The recommended width is 3

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• Cut a piece of therma-plastic material to length,
  circumferential minus 1.
  
• Cut closed cell padding to size and place on
  therma-plastic.
  
• Place in the splint bath.(padded side up)

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• Remove the softened material, cut the long piece
  in 2 equal pieces then round all edges.
  
• Secure one set of velcro hook and loop onto the
  end of the posterior piece of molded
  therma-plastic piece.
  

10

• Place second piece in bath until soft.
• Secure 2 sets of hook and loop at each end of the
  piece.
  
• Mold to the anterior surface of the forearm.

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• Once the splint has cooled, secure the D-ring to
  the posterior piece.
  
• Secure D-ring to the anterior piece.