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PANat
2009,
revised 02/2015, version 2017
30
Sample exercises
Use these to develop your own exercise programmes.
The elbow air splint is used in
combination with the hand air splint in
various activities in weight bearing.
Markers are used as an external
focus to enable reaching forward
and
up.
This
movement
encourages weight bearing with
rotation and extension on the
hemiplegic arm and hand.
Variation of the same
exercise in tandem
standing with the leg
air splint for support.
Removal of the air splint
• Inform the client that the air splint is to be removed.
• If the client is standing ensure he is stable and in a good position prior to removing the splints.
• The elbow air splint can be removed before or after the hand air splint depending on the aim of the
exercise/activity.
• If active movement is present encourage the client to move his limb.
• Passively mobilise all joints (see preparation for application).
• Ask the client if he is aware of changes in feeling or in movement of the limb.
Precautions
• Ensure the air splint zip is placed on the front (anterior) aspect of the elbow and then inflated.
•
Never
weight bare if the shoulder is internally rotated.
•
Never
pull the air splint off - always let the air out first. Open the zip; support the arm and hand
and carefully draw off the air splint thus avoiding any potential trauma to the shoulder.
• Do not leave the air splint on for more than 30-45 minutes. Within the course of a treatment session
it may be removed and reapplied if it is being used dynamically rather than as a tool to stretch soft
tissues. To mobilise tight muscle groups apply the air splint 2-3 times daily for 20 minutes.
• For weight bearing exercises through the arm ensure the hemiplegic shoulder is in external (outward
rotation).
•
Never
use the air splints for positioning overnight.
