At Spot

Hand splinting / Serial casting

At SPOT thearpy we provide customised upper limb splinting and serial casting for children with neurological impairment both neural related ( Spasticity ) and non neural related ( muscle stiffness ) .

Our Thearpist is trained under Brian Hoare Specialised Occulational Thearpist from Australia .

SPOT hand therapy and upper limb team offers service aimed at maximising functional hand and arm use when this has been impacted by muscle tone difficulties.

Our team of Occupational Therapists and Physiotherapists and their assistants work with the child or adult and family/carers to address specific goals.

The team provide specialist assessment and guidance on specific or targeted therapy interventions along with fabricated use of night resting splint recommended.

Hand Therapy Team: Occupational Therapist, Physiotherapist, OT /PT Assistant

General Referral Criteria:

Children with physical disability where atypical tone impacts upper limb and hand function

Cerebral palsy GMFCS I-V

General Exclusion Criteria:

Congenital Hand Disorders

Children presenting with hypermobility

Brachial Plexus Palsy

Hand Therapy Clinic Prioritisation Rationale

P1 Under 5 years old (prevention model) Pre/post intervention evaluation (e.g., UL BoNT-A, Surgery)

P2 Advice / support for UL intervention options for local team

P3 Mild functional difficulties requiring specialist advice/input

We also provide specialist orthosis / casting / advice on targeted therapy interventions such as modified constraint induced therapy / upper limb lycra garments and second skin garments, with continuous liaison, education and support to the child’s local primary therapists.

WHAT WE DO IN OUR SERVICES

Joint and tendon mobilisation

Full assessments of hand function

Sensory assessment

Sensory re-education

Desensitisation

Custom-made splint fabrication: Resting or night splints.

Kinesiotaping – to manage pain, support

Splinting: Splints can be fabricated from thermoplastic, neoprene or plaster of paris. Your therapist will discuss with you and provide a splint suitable for your clinical indications.

Functional assessment and advice: Any injury to the hand or upper limb can affect how you function in everyday life. This can include home life, work and leisure activities. Your therapist will advise and guide you on how to return to these activities successfully throughout your recovery.

Exercises: Exercise is provided specifically for spastic hand in managing muscle tone in conjunction with use of resting or night splints .

Manual therapy techniques: These are used to improve mobility, function and to assist with the reduction of spasticity or stiffness.

If ye are concerned on your child hand development please contact our team for advise at info@spottherapyservices.ie