Occupational Therapists at The Children's Hospital provide splinting, casting and orthotics for the arms and hands.  OTs select/fit orthoses to provide support that will provide musculoskeletal alignment of the joints, facilitate stability or provide mobility. The goal is to promote an overall improvement in function, allowing children to participate in daily tasks with comfort and ease.

Occupational Therapists provide evaluation and treatment for patients that may require orthotics, splinting and/or casting for the upper extremity or hand.  Splinting and/or casting is used to:

  • Increase active and passive range of motion in a joint
  • Obtain or maintain joint alignment/integrity
  • Enhance functional use of hands
  • Enhance strength,function and quality of movement in treatment 
  • Limit use of the non-affected side as "constraint" therapy in children with hemiplegia/stroke

The following diagnoses and conditions can benefit from orthotics, splinting and/or casting:

  • Amputation
  • Burns
  • Arthrogryposis
  • Muscular Dystrophy 
  • Joint contracture
  • Fractures
  • Tendon Injuries
  • Joint abnormalities
  • Stroke
  • Cerebral Palsy
  • Spina Bifida
  • Spinal Cord Injury
  • Traumatic Brain Injury
  • Brachial Plexus Injury