Intensive care patients who suffer prolonged immobilization are
at risk for development of contractures, and at-risk extremities
should be splinted to retain function.
- ▪ Contracture: Muscle and tendon shortening following
- ▪ Resting splints are applied to the hands, wrists,
and ankles (Figures 54-1, 54-2, 54-3, 54-4, and 54-5) of intensive care unit (ICU) patients
who are unconscious or unable to move for prolonged periods.
Wrist and hand splint with straps.
Ankle splint showing heel clearance.
Pearls and Pitfalls
- ▪ Despite the
fact that there are little published data showing evidence for the
efficacy of splints, many physical therapists advocate their use.
Stiller K. Physiotherapy in intensive care: towards an evidence-based