An Indigenous Design of Splinting for Radial Nerve Palsy Patient - A Case Study

Introduction: The radial nerve is the most frequently injured major nerve of the upper extremity leading to a clinical condition of wrist drop. Individuals affected experiences major hand impairments that include spasticity, limited range of motion, poor muscle strength which in turn results in restriction of the upper extremity in performing activities of daily living. Splinting to maintain joint motion and functional use of the hand is usually required until nerve recovery occurs or tendon transfer procedures are performed. Application of various types of splints in this population is widely used in clinical practice as an integral part of rehabilitation. Method: the patient suffering from radial nerve palsy with significant wrist drop was provided a new design assistive glove aimed to provide an appropriate splinting management for prehension activity. This further allows them to improve motor recovery and regain functional independence by active assistance of the newly designed gloves. The outcome measure of upper extremity functional recovery evaluated clinically by Modified Ashworth Scale for spasticity and available active range of motion before and after a period of 3 weeks was assessed. Result and Conclusion: After the splint is worn for a period of 3 weeks a positive result is observed on patient with increased hand function along with active range of motion and decrease in spasticity. The patient is able to perform the grasping and gripping activity individually and independently. This study concludes the application of splinting on radial nerve palsy individuals enhances the upper limb functional recovery and reduces the motor impairment of the hand. Key words: Radial nerve palsy, Spasticity, Assistive glove, Activities of daily living