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A single-subject rapidly alternating treatment design was used to compare the effectiveness of bilateral hand splints and an elbow orthosis in decreasing stereotypic hand behaviors and increasing toy play in 2 children with Rett syndrome. The subjects’ responses were compared across three treatment conditions: no intervention, hand splints, and elbow orthosis. The order of the treatment phases was randomly selected for each subject. Data were collected in both a free-time condition and a toy-play condition; the outcome measures were stereotypic hand movements and hand-to-toy contact. Both subjects demonstrated a decrease in stereotypic hand movements and a corresponding increase in toy contact with the use of the elbow orthosis. The bilateral hand splints had no obvious treatment effect.

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A Belly Gutter Splint for Proximal Interphalangeal Joint Flexion Contracture

Shin-Han Wu

The American Journal of Occupational Therapy, 1991, Vol. 45(9), 839–843.

DOI: https://doi.org/10.5014/ajot.45.9.839

Published: 01 August 1991

Abstract

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Postoperative Management of Flexor Pollicis Longus Laceration in Two Cases

Kylie Ahlschwede

The American Journal of Occupational Therapy, 1991, Vol. 45(4), 361–365.

DOI: https://doi.org/10.5014/ajot.45.4.361

Published: 01 April 1991

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Tenodesis Brace Use by Persons With Spinal Cord Injuries

Cathy Cox Shepherd, Susan H. Ruzicka

The American Journal of Occupational Therapy, 1991, Vol. 45(1), 81–83.

DOI: https://doi.org/10.5014/ajot.45.1.81

Published: 01 January 1991

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A Dynamic Finger Flexion Loop

Sam Dovelle, Patricia K. Heeter, Tuyet V. McFaul

The American Journal of Occupational Therapy, 1988, Vol. 42(8), 535–537.

DOI: https://doi.org/10.5014/ajot.42.8.535

Published: 01 August 1988

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Early Controlled Motion Following Flexor Tendon Graft

Sam Dovelle, Patricia K. Heeter, Douglas R. Fischer, Jimmy A. Chow

The American Journal of Occupational Therapy, 1988, Vol. 42(7), 457–463.

DOI: https://doi.org/10.5014/ajot.42.7.457

Published: 01 July 1988

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Roll Splints: An Option in Low-Profile Dynamic Splinting

Barbara Barrett Lucas

The American Journal of Occupational Therapy, 1988, Vol. 42(1), 49–52.

DOI: https://doi.org/10.5014/ajot.42.1.49

Published: 01 January 1988

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Cluster Homes: A Community for Profoundly and Severely Retarded Persons

Linda D. Shalik, Harold Shalik

The American Journal of Occupational Therapy, 1987, Vol. 41(4), 222–226.

DOI: https://doi.org/10.5014/ajot.41.4.222

Published: 01 April 1987

Abstract

This article discusses community residences that in 1983 replaced two large institutional facilities for retarded persons in Florida. Twenty-six of these residences, or clusters, usually housing 24 clients each, are located throughout the state. The clusters are designed to normalize the living conditions of the mentally retarded, increase their safety, and place them close to society and their families. Medical and social services, including occupational therapy, are made available to all residents of the clusters. This article focuses on one of these clusters, with special emphasis on the role and scope of occupational therapy services within this unique setting. Special problems and experiences encountered in the delivery of occupational therapy services to the profoundly and severely retarded clients in the clusters are explored.

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Effects of Splinting in the Treatment of Hand Contractures in Progressive Systemic Sclerosis

Melinda W. Seeger, Daniel E. Furst

The American Journal of Occupational Therapy, 1987, Vol. 41(2), 118–121.

DOI: https://doi.org/10.5014/ajot.41.2.118

Published: 01 February 1987

Abstract

One of the major factors in the decreasing functional ability of patients with progressive systemic sclerosis is involvement of the patient’s hands with secondary immobility and contractures. In a 2-month study of 19 patients, we assessed whether dynamic splinting could decrease proximal interphalangeal (PIP) flexion contractures. Of the eight patients who completed the study, one experienced a statistically significant improvement in PIP range of motion as a result of the splinting. There was no evidence that the use of the splints served to maintain PIP extension when compared with the control hand.

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