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Title: Orthotic intervention incorporating the dart-thrower's motion as part of conservative management guidelines for treatment of scapholunate injury.
Austin Authors: Anderson, Hamish;Hoy, Greg 
Affiliation: Anderson Hand Therapy, The Avenue Physiotherapy Centre, Windsor, Victoria, Australia
Melbourne Orthopaedic Group, Windsor, Victoria, Australia
Department of Occupational Therapy, Austin Health, Heidelberg, Victoria, Australia
Issue Date: 2016
Date: 2016
Publication information: Journal of hand therapy : official journal of the American Society of Hand Therapists 2016; 29(2): 199-204
Abstract: Case series. This paper describes conservative guidelines for the management of scapho-lunate interosseous ligament (SLIL) injury including fabrication of an orthosis that restricts active wrist movement to the dart-throwers (DTM) plane. The dart throwers' orthosis (DTO) was designed as a response to biomechanical studies suggesting that restraining motion to the DTM would off-load a deficient SLIL. After six weeks of wearing the DTO, the 5 patients in this case series initiated an exercise program that incorporated wrist proprioceptive training and specific muscle strengthening. The DTO was designed to incorporate controlled movement in order to better integrate the secondary wrist stabilizers in wrists that had a deficient SLIL. The orthosis and the exercise program harnessed proprioceptive influences using active motion within the DTM plane, and stimulated mechanoreceptors so as to enhance stability. All patients demonstrated improvement in subjective and objective outcomes including self-reported pain and function. Orthotic intervention that controls motion within the DTM, combined with an appropriate proprioceptive rehabilitation program, may provide a viable conservative treatment option for patients with a similar clinical presentation. 4.
DOI: 10.1016/j.jht.2016.02.007
Journal: Journal of hand therapy : official journal of the American Society of Hand Therapists
PubMed URL: 27112271
Type: Journal Article
Subjects: Dart-throwing motion
Scapholunate ligaments
Therapy guidelines
Appears in Collections:Journal articles

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