From the Guidelines
The recommended duration for wearing an orthopedic splint should be as short as possible, ideally less than 4 weeks, to minimize potential harm and promote normal movement patterns. This is based on the most recent and highest quality study available, which suggests that splinting may prevent restoration of normal movement and function, and can lead to potential problems such as increased attention and focus to the area, accessory muscle use, compensatory movement strategies, immobilization leading to muscle deconditioning, learnt non-use, and increased pain 1.
When considering the use of a splint, it is essential to weigh the potential benefits against the potential harm, and to try strategies that encourage normal movement patterns and resting postures before considering splinting. If a splint is issued, the person should be monitored regularly and feel empowered to discontinue use in the event of adverse side effects such as pain and skin break down.
In specific cases, such as root fractures, splinting for 4 weeks may be recommended 1. However, for other conditions, such as acute Achilles tendon rupture, mobilization with a protective device by 2 to 4 weeks postoperatively is suggested 1. It is crucial to follow the specific instructions of a healthcare provider regarding the duration of splint wear, as this can vary depending on the individual case and condition.
Key considerations when wearing a splint include:
- Keeping the splint clean and dry
- Watching for signs of skin irritation, increased pain, numbness, or swelling
- Avoiding prolonged wear to prevent muscle weakness or joint stiffness
- Regular monitoring and follow-up with a healthcare provider to adjust the treatment plan as needed.
Ultimately, the goal of splinting is to promote proper healing and prevent further injury, while minimizing potential harm and promoting normal movement patterns.
From the Research
Recommended Duration for Wearing an Orthopedic Splint
The recommended duration for wearing an orthopedic splint can vary depending on the type of injury, the location of the injury, and the individual patient's needs.
- According to 2, the duration of wear for an isometric traction splint for treating fractures of the proximal phalanx of long fingers was approximately 5 weeks (mean: 36 days; range: 21-44 days).
- There is no specific information provided in the other studies regarding the recommended duration for wearing an orthopedic splint.
- However, 3 mentions that excessive immobilization from continuous use of a cast or splint can lead to chronic pain, joint stiffness, muscle atrophy, or more severe complications, suggesting that the use of casts and splints should be limited to the short term.
- The other studies 4, 5, 6 do not provide information on the recommended duration for wearing an orthopedic splint, but rather focus on the comparison of different splinting techniques, the assessment of splinting quality, and the description of a modified thumb spica splint.