SaeboStretch Dynamic Hand Splint

SaeboStretch Hand Splint Features

• Patented stretch technology with three interchangeable energy-storing hand plates Proprietary strapping system that utilizes key anatomical points of control to maximize control and insure an intimate fit
• Malleable wrist and thumb mount allows the therapist to further customize the fit
• Straps sewn to cover to maximize proper positioning and ease of donning
• Comfortable non-slip cover and straps to keep fingers in the desired position
• Adjustable thumb system to allow for radial and palmar adduction/abduction
• Special padding to help maintain the integrity of the palmer arch
• Cover features a zipper closure which can easily be removed for cleaning
• Overcomes clinical concerns that can result from traditional hard static splints including joint damage, hypermobility, and contractures
• Revolutionary stretch technology allows the fingers to move through flexion caused by associated reactions and increased tone
• Appropriate for patients with minimum to moderate tone and soft tissue shortening

How to determine the correct starting wrist position?

1. Passively position the involved wrist in flexion, keeping the MCP, PIP, and DIP joints in composite extension.
2. Slowly bring the wrist into extension until you feel the first indication of resistance. Make note of this wrist angle. This is called R-1 (Resistance 1) and represents the initial wrist position for the SaeboStretch.
3. Position the splint over the edge of the table and bend the wrist into the desired position (R-1)

Note: The wrist angle should not be positioned below -35 degrees of wrist flexion or above 35 degrees of wrist extension. This splint is designed so that at rest, the client’s fingers are in composite extension.

SaeboStretch Dynamic Hand Splint User Manual
 

What to buy with Saebo Stretch Hand Splint

• CanDo Digi Squeeze Medium Hand Exercisers
• CanDo Theraputty Scented Exercise Putty
• CanDo Low Powder Hand Therapy Exercise Large Web

What are the three types of SaeboStretch Hand Plates?

There are three different color-coded hand plates that offer various grades of resistance:

• Yellow = minimal resistance
• Red = moderate resistance
• Blue = maximum resistance

How to change Hand Plates?

1. Unzip the cover and remove.
2. Loosen the screws (do not remove) using the screwdriver provided.
3. Remove the current hand plate and replace it with the desired hand plate.
4. Re-tighten the screws.

When to change SaeboStretch Hand Plates?

• The SaeboStretch will be shipped with the red hand plate. After fitting the splint, have your client move, transfer, or ambulate while wearing the SaeboStretch to facilitate increased tone or an associated reaction.
• Reassess the position of the fingers. If there is no evidence of finger deviation or flexion of the fingers (fingers pulling up) following the exertive activity, continue to use the red hand plate.
• However, if any of the following occur, change to a yellow hand plate:
  • PIP joints pull out of the strap (i.e., flexion) and DIP joints hyperextend.
  • PIP joints volarly sublux/hyperextend and DIP joints flex.
  • Fingers deviate.
• If at any time the above occurs, change to the hand plate that offers less resistance. It is important that the fingers are allowed to move through flexion to protect the IP joints.
• As the client’s tone in the long finger flexors improves, consider switching to a more resistive hand plate.

When to use SaeboStretch Dynamic Hand Splint?

• To position the hemiparetic hand following a neurological injury (i.e., stroke, traumatic brain injury, cerebral palsy, spinal cord injury).
• For use with patients that have minimum to moderate tone and soft tissue shortening.
• Moderate stiffness in the hand or wrist

Contraindications:

• Not for use with severe spasticity.
• Not recommended for use with severe contractures of the wrist and finger joints.
• Should not use if open wounds, sores, or infected areas are present.
• Not for use with moderate or severe edema.

Precautions:

• While not required, the SaeboStretch should be fitted by a licensed occupational/physical therapist or assistant, a licensed orthotist or certified fitter who can educate the client and/or care provider on the appropriate wearing schedule, skin assessment, correct donning and doffing procedures, as well as the care and cleaning of the splint.
• When securing the straps, be very careful not to over-tighten as this may interfere with circulation. The innovative strapping system used on the SaeboStretch requires less tension than standard cloth or padded straps in order to maintain proper finger placement.
• After removing the splint, if strap marks are present on the skin and they do not dissipate within thirty minutes, discontinue wearing the splint until you consult with a health care professional.
• Stop using the splint if you notice pressure areas, skin breakdown, pain or numbness in the fingers. Consult with a health care professional before you resume wearing the splint.