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Neoprene splinting: dermatological issues

E B Stern1, N Callinan, M Hank

  • 1Department of Physical Medicine and Rehabilitation, School of Medicine, University of Minnesota, Minneapolis 55455, USA.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|August 7, 1998
PubMed
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Occupational therapists using neoprene splints should be aware of potential skin reactions like allergic contact dermatitis (ACD) and prickly heat. Early detection and patient education are key to managing these dermatological issues.

Area of Science:

  • Dermatology
  • Occupational Therapy
  • Materials Science

Background:

  • Occupational therapists increasingly utilize soft splints made from neoprene (polychloroprene).
  • Limited literature exists on the dermatological complications associated with neoprene use in splinting.

Observation:

  • Neoprene skin contact can lead to allergic contact dermatitis (ACD) and miliaria rubra (prickly heat).
  • ACD reactions are typically linked to manufacturing accelerants like thiourea compounds and mercaptobenzothiazole (MBT).
  • Symptoms include itching, eruptions, swelling, and skin hemorrhages for ACD, and inflammatory papules with tingling for miliaria rubra.

Findings:

  • Neoprene hypersensitivity, while currently rare, may increase with its broader application in therapeutic splints.
  • The specific chemical agents causing allergic reactions in neoprene are identified as thiourea compounds and MBT.

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Implications:

  • Therapists should screen patients for prior sensitivities to neoprene or related chemicals (thiourea, MBT).
  • Educating patients to cease splint use upon symptom onset is crucial for managing ACD and miliaria rubra.
  • Reporting ACD reactions to manufacturers can aid in material improvement and product safety.