Here are a few splints which may be used for stiffness of rotation. Of course, the neoprene spiral arm or TAP splints aren’t actually designed for this and it’s no surprise that they shouldn’t be used. And taping never holds people at end-of-range either, so these are not particularly useful for stiffness. We’ve included them here, just for to be comprehensive, but we wouldn’t recommend them.
| Pre-fabricated orthoses | ||
| JAS splint |  |
Pros
Does a great job at holding forearm position at end-of-range (optimal position) Cons Not able to use arm when wearing the orthosis Elbow immobilised Bulky $660 AUD |
| Progress Plus Splint |  |
Pros
Holds at forearm position at end-of-range (optimal position)
Cons Not able to use arm when wearing the orthosis Elbow immobilised $395 AUD |
| Comfort cool spiral arm |  |
Pros
Low profile Cons Does not hold forearm at end-of-range Constricts to provide force. |
| DeRoyal Static Pro |  |
Pros
*not tested by UL Co. Cons Not able to use arm when wearing the orthosis Elbow immobilised |
| Dynasplint |  |
Pros
Holds forearm position at end- of-range (optimal position) Cons Not able to use arm when wearing the orthosis Elbow immobilised Bulky Є 3300 EURO |
Custom fabricated orthoses
| Lee, La Stayo & VonKersberg supination splint |  |
Pros
May hold forearm at end-of-range |
| Can bend/straighten elbow | ||
| Cons
Bulk limits functional use of arm |
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| Supination (rotating palm up) only | ||
| Difficult and time consuming for therapist to make | ||
| Bulky | ||
| Shah splint |  |
Pros
Holds forearm position at end- of-range (optimal position) Cons Not able to use arm when wearing the orthosis Elbow immobilised Bulky Difficult and time consuming for therapist to make |
| Colello | Pros
Holds forearm position at end- of-range (optimal position) Cons Not able to use arm when wearing the orthosis Elbow and wrist immobilised Difficult and time consuming for therapist to make |
|
| Van Lede | Pros
May hold forearm position at end-of-range (optimal position) Cons Unreliable to hold at very end-of-range in real stiffness Not able to use arm when wearing the orthosis Elbow and wrist immobilised |
| Rolyan “dynamic” Supination/ pronation splint | Pros
May hold forearm position at end-of-range (optimal position). Cons Unreliable to hold at very end-of-range. Not able to use arm when wearing the orthosis Elbow and wrist immobilised Regular adjustments required Difficult for Therapist to make |
| Taping |  |
Pros
Easy for therapist Cons Does not achieve end-of-range in the stiff patient |
