An on-site job evaluation performed via activity analysis.
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Accidents, Occupational↗
Biomedical subjects
M F Canelón
Publications and source records attributed to M F Canelón.
Material properties: a factor in the selection and application of splinting materials for athletic wrist and hand injuries.
Athletic injuries to the wrist and hand are common in clinical practice. When indicated, the use of a protective playing splint enables athletes to continue sports participation. The purpose of this paper is to discuss the splinting material properties that determine the materials' suitability for use in fabrication of a protective playing splint. A second aim is to present currently available splinting materials. The clinical reasoning process for material application and selection is based on understanding material properties, the type and severity of the injury, phase of treatment, and type of sport. Of the materials included in this paper, only the low-temperature materials are acceptable for use in construction of rigid splints. The no heat or layered materials can be used for fabricating the semirigid splints. It is suggested that meaningful comparisons between the material properties can only be made if laboratory and clinical comparative studies are conducted to compare the physical and mechanical properties of the splinting materials used in athletic application.
Athletic Injuries↗
A room temperature vulcanizing silicone rubber sport splint.
Athletic hand and wrist injuries may be treated by immobilizing the affected extremity in a rigid splint to protect the injury site for an extended time period. For athletes, this means a reduction in playing time, perhaps being out for an entire playing season. The use of a room temperature vulcanizing silicone rubber compound allows for a playing splint that complies with athletic regulations. Proper application of the room temperature vulcanizing silicone rubber provides an excellent, reliable protective playing splint allowing for safe, functional athletic performance for the injured player during the game. This article describes the fabrication process of a silicone rubber protective playing splint for athletic hand and wrist injuries. The effectiveness of the silicone rubber protective playing splint is illustrated via case studies.
Adolescent↗
Job site analysis facilitates work reintegration.
The Americans with Disabilities Act (ADA) offers challenges and opportunities in rehabilitative care for returning clients to previous employment after medical illness or injury. The process of work reintegration begins with assessing the client's rehabilitation potential to return to work. When clinical reasoning indicates a good rehabilitation potential, a job site analysis (JSA) is conducted to determine the essential functions of the client's work. Upon completion of the JSA, a variety of strategies can be used for successfully returning the client to work. The three case reports in this article illustrate that a JSA can serve as the basis for formulating a holistic treatment plan that addresses skill performance areas affecting work readiness for clients with neurologic and orthopaedic conditions and can facilitate successful work reintegration for these clients. The JSA links clients' rehabilitative care and work reentry after medical illness or injury and maximizes positive outcomes in reintegrating these clients to the workplace in compliance with ADA provision Title I, Employment.
Adult↗
Training for a patient with shoulder disarticulation.
This patient received 26 outpatient occupational therapy sessions for a total of 32.5 hr during an 18-week period. All treatment goals were achieved with the exception of psychosocial adjustment issues, which are ongoing. He made significant gains in right upper quadrant muscle isolation and demonstrated control and strength of the upper, middle, and lower trapezius fibers adequate for a myoelectric prosthetic. He also made improvement with left manual dexterity and unilateral coordination with regard to activities of daily living. He was discharged from outpatient occupational therapy services and referred to another medical center for prosthetic evaluation. Twenty weeks after discharge from our facility, he returned for a follow-up visit. He had been fitted with a shoulder cap and his tolerance for wearing it was approximately 10 hr per day. Thirteen weeks after the follow-up visit he resumed outpatient occupational therapy. We are evaluating his tolerance to the placement of a passive arm to the shoulder cap.
Activities of Daily Living↗
Silicone rubber splinting for athletic hand and wrist injuries.
The use of a silicone rubber protective playing splint facilitates an athlete's continued or earlier return to sport participation following injury. The purposes of this paper are to review the literature and to describe the properties, fabrication procedures, and indications for use of the silicone rubber compound materials used to splint athletic hand and wrist injuries. In general, the use of silicone rubber protective splints for stable orthopedic hand and wrist injuries has been shown to be effective.
Athletic Injuries↗