Rolyan Progressive Palm Protector Splint

How to determine which Palm Protector Splint series or size to use?

Extend the fingers as far as comfortably tolerated. Measure flexion angle at MCP joint of tightest finger.

• 1" - Tight hands with moderate to severe spasticity or contractures. 90-degree MCP Flexion
• 2" - Hands with mild to moderate spasticity or contractures. 60-degree MCP flexion
• 3" - Hands with mild spasticity or contractures or non-spastic hands to provide a functional position in a soft splint. 30-degree MCP flexion

Indications

• For mild to severe finger spasticity or contractures

Contraindications

• Not for use in the presence of severe arthritic deformities
• Not for use with severely fluctuating edema
• Not for use over open wounds and infected areas

What to buy with Palm Splint

• Norco Finger Sleeve Color Pack
• Bell-Horn Fast Freeze Pro Style Therapy Roll-On
• Master-Mite Adjustable Bench-Top 120 Volt Heating System
• Norco Silicon Rubber Larger Portions Exercise Putty

How to use Roylan Progressive Palm Splint?

1. Place splint in hand to check fit. It should extend no more than 1/2" (1.3 cm) beyond sides of hand or finger tips. If necessary, mark splint for trimming
2. Remove splint and trim with scissors
3. Place finger separators on outside of splint and pull the three finger separators through slots in splint. Notches in finger separators should point toward wrist
4. Attach foam palm piece to finger strap on volar surface of finger separators. If losing foam palm piece is a concern, use hot glue gun to attach it permanently to finger strap after achieving desired thumb positioning
5. Put splint in position and check as follows:
   • Check thumb hole for clearance. If necessary, cut hole larger
   • Check finger separators for proper fit. If they touch web spaces, trim them. If they are too far from finger web spaces, remove finger separators and cut slots in splint slightly longer
6. Place splint onto hand and fasten wrist strap
7. Finger strap can be wrapped to incorporate thumb and fingers, only fingers, or only thumb, as follows:
   • Thumb and fingers: Starting at thumb, wrap finger strap around volar surface of splint and over dorsal surface of fingers. Attach hook piece near thumb
   • Only fingers: Wrap finger strap from index finger over dorsal surface of fingers and attach it to hook piece on strap at ulnar side of hand. Trim excess length of finger strap
   • Only thumb: Pull finger strap over thumb and around volar surface of splint and attach it to hook piece on strap at ulnar side of splint. Trim excess length of finger strap
8. As degree of contractures or spasticity decreases, foam palm piece can be replaced with larger foam palm piece. Simply remove foam palm piece from finger strap and secure new one in its place

Care and Cleaning for Palm Protector Splint

• The stay will lose its shape in temperatures over 135°F (57°C). It should be kept away from sources of heat such as ovens, hot water, open flames, and sunny car windows
• Remove foam palm piece, strap with finger separators, and stay if using the wrist support. Fasten hook-and-loop closures. Hand wash splint and strap with finger separators in lukewarm water and mild soap. Rinse thoroughly. Remove excess moisture with a towel and dry at room temperature. Be sure splint is completely dry before reapplying it
• Foam palm piece can be surface wiped, but it should not be immersed in water.
• Wash and dry hand before splint application, and have splint off during mealtimes to reduce need for washing.

Precautions

• These splints are to be fitted initially by a healthcare professional who is familiar with the purpose for which they are prescribed. The healthcare professional is responsible for providing wearing instructions and precautions to other healthcare practitioners, care providers involved in the patient’s care, and the patient
• If unusual swelling, skin discoloration or discomfort occurs, use should be discontinued and a healthcare professional consulted
• Be careful that the straps are not so tight that they interfere with circulation
• After heating splinting material, always check its temperature before applying it to the patient

Rolyan Progressive Palm Protector Splint User Manual