tips for safety and preventive measures taken for …
TRANSCRIPT
TIPS FOR SAFETY AND PREVENTIVE
MEASURES TAKEN FOR ORTHOSIS IN POST
STROKE HEMIPLEGIA
Ms RASHMITA DASH
CLINICAL TUTOR, MPO
DEPARTMENT OF PROSTHETICS AND ORTHOTICS
राष्ट्रीय गतिशील दिव्ाांगजन सांस्थान National Institute for Locomotor Disabilities (Divyangjan)
(दिव्ाांगजन सशतिकरणतिभाग,सामातजकन्यायएिांअतिकाररिामांत्रालय,भारि सरकार)
Department of Empowerment of PwDs (Divyangjan), Ministry of Social Justice and Empowerment, Govt. of India
B.T. ROAD, BON-HOOGHLY, KOLKATA-700090 बी.टी .रोडबनहुगली,कोलकािा-700090
Phone: 2531-0279, 2531-0610/Tele Fax: 2531-8379/E-mail: [email protected] and web: www.niohkol.nic.in
ORTHOSIS USED FOR STROKE HEMIPLEGIC CONDITION
UPPER EXTREMITY ORTHOSIS/SPLINTS
FINGER AND THUMB ORTHOSIS
WRIST HAND ORTHOSIS( WHO)
ELBOW ORTHOSIS
UPPER EXTREMITY ORTHOSIS/SPLINTS
SLINGS
LOWER EXTREMITY ORTHOSIS
LOWER EXTREMITY ORTHOSIS
Ankle foot orthosis
Knee ankle foot orthosis
SLINGS/SUPPORTIVE ORTHOSIS
Bobath humeral cuff
Hemi- sling
Shoulder abduction splint
STAY SAFE , STAY HEALTHY
WASH YOUR HAND – wash between your fingers
and the back of your hands and use an alcohol based
sanitizer after.
DON’T TOUCH – refrain from touching with your
mouth, eyes, and nose without washing your hands.
GET A NEW MASK – avoid wearing the same mask
every day. Try to get a new mask or prepare your own.
COVER YOUR MOUTH – always cover your mouth
with a tissue before you sneeze or cough.
KEEP SAFE DISTANCE – keep at least a safe
distance of a metre from the person who is sneezing or
coughing.
DON’T SHARE – do not share your personal
belongings like towel, soap, cups etc.
STAY SAFE – stay up-to- date with the latest news of
COVID-19 and follow your doctor’s advice to stay free
from this stubborn virus.
CONSULT DOCTOR – if you’re suffering from cold
and cough for more than week, pay a visit to your
doctor.
CLEANLINESS IS NEXT TO GODDLINESS
ORTHOSIS MADE UP OF POLYPROPYLENE SHEET OR PLASTIC
The orthosis should be clean properly before applying over the
patient’s limb with sponging or damp cloth, using a mild soap twice a
day.
Clean the Velcro straps properly and make them dry at a room
temperature or under the fan. Dry clean the press button/rivet /joint
part properly using a damp cotton cloth.
If the soft evathene foam is present over the orthosis, then clean it
using a soft damp cotton cloth very securely instead of washing it
under running water.
Give proper time for orthosis to dry to avoid friction over skin. Keep
your limbs clean and dry before using orthosis. Apply some talcum
powder if perspiration continues and then use orthosis.
ORTHOSIS MADE UP OF CANVAS CLOTH/LYCRA /SOFT FLEXIBLE
MATERIAL
Avoid contact of the slings with eyes/mouth or face.
Bobath cuff should be kept clean with damp cloth or wet wipes and
must dry off before using it. Under high perspiration, the use may be
avoided for some time.
Patient using any type of hemi-sling or shoulder support must kept it
clean with same process as that of bobath cuff and properly dried off.
The slings should be kept in an isolated place or must be covered up
when left unused.
The lycra material splints should be kept separately and avoided to be
in contact with other people or outside environment or away from the
reach of children.
Clean the orthosis very securely as the rough treatment may lead to
wear and tear of the orthosis material.
DONNING AND DOFFING OF THE ORTHOSIS
Clean your hands every time or use alcohol based
sanitizer while donning and doffing the orthosis to
the patient. And if the patient is himself
independent then he/she should wash hands and
the orthosis before and after wearing.
The orthosis must be kept in one hand while the
other hand positioning the limb properly and
slowly donning the splint/orthosis/slings. An
interface must be kept to avoid any kind of friction
over the skin like stockinet or cotton gloves etc.
Concern must be given over fastening the straps.
Too much tight may lead to a skin embarrassment
or in many cases callus may be formed.
While doffing, the orthosis must be slowly
removed with the limb on hold. It must be kept
separately and the limb should be checked for any
kind of redness or marks.
WEARING TIME AND EXERCISE REGIMEN
The splint/orthosis must be worn for about 6 to 8
hours daily and may be included in daily living
activities.
For the patient new to the orthosis/splints, it is
instructed to remove their splints/orthosis every 1
to 2 hour to check for areas of any skin
embarrassment after the initial application of the
splint. If the skin shows no sign of distress, the
frequency of checks may be decreased and splint
wearing time increased as needed.
Slowly and progressively the wearing time should
be increased as per guidelines given by orthotist.
The orthosis/splint must be removed and placed
separately before patient’s exercise regimen and
must be avoided to be in contact with the therapist.
The exercise regimen should be followed as per
the therapist guidance.
Wear ability of the orthosis should be checked
especially for the new patients and gadget
tolerance not be exceeded.
TROUBLESHOOTING & PRECAUTIONS
While cleaning the orthosis/splints the use of
hard bristle brushes are strictly prohibited as it
may affect the material property and its durability.
While drying the orthosis, the room temperature
or under fan is feasible instead of any direct heat
contact or under sunlight.
The gadget tolerance must not be exceeded and
interfaces such as stockinet or powder may be use
approximately.
Don’t repair or dismantle the joints or any part of
the orthosis as it may disturb the overall
alignment and further leads to difficulty. In case of
severe issues, contact must be made with the
orthotist.
Donning and doffing of the orthosis must be done
accurately as it may lead to secondary joint
malfunction and further aggravates the problems.
YOUR SERVICE OUR RESPONSIBILITY
If your Orthosis need adjusting call us
by contact as given below to schedule
an appointment.
If you have more numbness, tingling,
pain, loss of bowel or bladder function
or are less able to move or do daily
activities call us immediately
Website:
http://niohkol.nic.in/Covid19.aspx
Dr. P. Lenka @9433175340, Whatsapp
Email : [email protected]
Twitter @ dr_pkl