A proposed decision hierarchy for splinting the stiff joint, with an emphasis on force application parameters

Metal frame mobilisation orthoses for wrist and elbow

“…Brand recommended a 22 H. wearing time out of 24 H. The time necessary for soft tissue remodeling. Flowers and La Stayo in 1994 proposed the term "TERT", total end range time ie maintaining the joint in maximum acceptable position for a given duration [3].…”

“…The choice of mobilization splint action mode is identical to Hard end -soft end feel. 3. JOINT AxIS AND FIxED AxIS HINGED SPLINTS Wrist and elbow biomechanics are complex.…”

“…Этот период времени необхо-дим для ремоделирования мягких тканей. В 1994 году Flowers и La Stayo предложили пользоваться термином "TERT" (общее время конечного объёма), т.е., поддер-жание сустава в максимально приемлемом положении в течение заданного периода времени [3].…”

Case Series Utilizing Drop-out Casting for the Treatment of Knee Joint Extension Motion Loss Following Anterior Cruciate Ligament Reconstruction

“…Total end range time could be used to quantify the dosage of stress provided by splints when a lowload prolonged stretch is used. 8 Drop-out casting is purported to improve knee extension loss by applying a low-load, longduration extension stretch via a 3-point fulcrum system.…”

“…3 The major advantage of using splinting to increase ROM is that forces are applied through the use of lowload long-duration static stretching. 3,8,9 Serial casting is 1 method of splinting to improve knee extension loss following knee surgery. Because serial casting can be cumbersome and can interfere with the return to normal knee flexion, dropout casting has been proposed as a method to improve terminal knee extension.…”