Upper limb splinting following a stroke or neurological impairment can offer several benefits, which are supported by research and clinical practice.

These benefits include:

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 1. Prevention of Contractures:

    • Contractures are permanent shortenings of muscles or tendons that can limit joint mobility. Splinting helps maintain muscle length and joint alignment, thereby preventing or reducing the risk of contractures.

 

 2. Reduction of Spasticity:

    • Spasticity is a common post-stroke condition where muscles are continuously contracted. Splinting can help manage spasticity by positioning the limb in a way that reduces muscle overactivity, which can lead to improved limb function and comfort.

 

3. Improvement of Functional Use:

    • By stabilising and supporting the affected limb, splints can enhance the functional use of the upper extremity. This support can assist in performing daily activities, promoting greater independence and quality of life.

 

4. Balance and Coordination: Aquatic therapy can assist in improving balance and coordination. The supportive nature of water can provide a safe environment for practicing and relearning movements.

 

5. Pain Management: Water's buoyancy and warmth can help alleviate pain and discomfort. The reduced stress on joints and the soothing effect of warm water can provide relief during therapy sessions.

 

6. Psychological Benefits: Engaging in aquatic therapy can have positive psychological effects, such as reducing anxiety, improving mood, and enhancing overall well-being. The calming properties of water can create a therapeutic and enjoyable experience for individuals.

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The Evidence

The evidence for aquatic therapy for neurological rehabilitation suggest that aquatic therapy can lead to improvements in balance, strength, functional mobility, and quality of life for individuals with various neurological conditions, including TBI. However, it's important to note that the specific efficacy and outcomes may vary based on individual factors and the severity of the neurological impairments.\

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    1.    Prevention of Contractures:

    •    Contractures are permanent shortenings of muscles or tendons that can limit joint mobility. Splinting helps maintain muscle length and joint alignment, thereby preventing or reducing the risk of contractures  .

    2.    Reduction of Spasticity:

    •    Spasticity is a common post-stroke condition where muscles are continuously contracted. Splinting can help manage spasticity by positioning the limb in a way that reduces muscle overactivity, which can lead to improved limb function and comfort  .

    3.    Improvement of Functional Use:

    •    By stabilizing and supporting the affected limb, splints can enhance the functional use of the upper extremity. This support can assist in performing daily activities, promoting greater independence and quality of life  .

    4.    Pain Reduction:

    •    Post-stroke shoulder pain is a frequent issue. Proper splinting can help alleviate pain by providing support and preventing improper positioning and movement, which might otherwise lead to discomfort and pain  .

    5.    Facilitation of Motor Recovery:

    •    Splinting can aid in motor recovery by maintaining appropriate limb alignment and positioning, which can help retrain neural pathways and support rehabilitation exercises aimed at improving motor function