Plaster splinting as a means of reducing elbow flexor spasticity: a case study

Area of Science:

• Neurology
• Orthopedics
• Rehabilitation Medicine

Background:

• Upper motor neuron lesions can cause severe spasticity, significantly impacting limb function.
• Elbow flexor spasticity presents a common challenge in patients with neurological impairments.
• Conservative management strategies are crucial for improving motor control and function.

Observation:

• A patient with upper motor neuron lesion presented with severe elbow flexor spasticity.
• Plaster splints were progressively applied over several weeks to manage spasticity.
• Splinting allowed controlled elbow extension while limiting excessive flexion.

Findings:

• The serial plaster splinting demonstrated effectiveness in reducing elbow flexor spasticity.
• The mechanism may involve modulation of Golgi tendon organ input in spastic muscles.
• Gradual reduction in splint wear time (from 24 hours to 12 hours/night) was feasible.

Implications:

• Plaster splinting offers a viable conservative treatment for upper motor neuron lesion-induced spasticity.
• Successful spasticity management can lead to restored voluntary, functional range of motion.
• This approach may enhance patient independence and quality of life through improved limb function.