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Hand and Arm Thermoplastic Splinting Clinical Service

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NeuroTherapy Specialist Upper Limb Splinting Service

At The Neuro Rehab Practice, we specialise in "Functional Splinting" using custom moulded thermoplastics to support individuals living with neurological conditions affecting the upper limb.

 

Our approach is grounded in clinical reasoning, rehabilitation science, and patient-centred goals, helping you regain independence in everyday tasks such as writing, dressing, eating, or playing an instrument.

Functional splints are uniquely designed to:

 1. Facilitate active use of the affected limb during functional tasks

 

 2. Support motor learning and neuroplasticity

3. Reduce the need for external support and increase self-directed practice

  

4. Improve grip, positioning, and movement efficiency 

Unlike resting or corrective splints, the functional splints are task-specific, helping individuals achieve meaningful goals, whether it’s handwriting, using cutlery, or playing golf.

The Evidence

While formal research into functional splinting is still evolving, there is growing clinical consensus and expert case study evidence supporting its use. In fact:

  • Over 50% of UK therapists report using splints to improve activities of daily living

  • Studies in spinal cord injury and neuromuscular disease show improved pinch grip and manual dexterity using customised functional splints 

  • Thermoplastic splints can reduce compensatory movement, allowing more efficient upper limb activation and improved proximal control 

 

Functional splinting can be used in:

 

  • Restorative rehabilitation, supporting muscle engagement and motor recovery based on neuroplastic principles

  • Compensatory rehabilitation, where splints enable task performance when full restoration isn’t feasible

Custom Design for an Individual's Functional Activities

 

Every splint we make is crafted with these principles:

    1.    Promote functional grip and alignment

    2.    Stabilise joints with poor control

    3.    Improve movement efficiency and reduce effort

    4.    Enable independent task practice

    5.    Increase training intensity outside therapy

 

We combine movement analysis, goal setting, and client feedback to shape splints that empower you, not restrict you.

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Richmond, Hampton, Claygate, Esher, East Sheen, Putney, Kingston, Twickenham, Hampton and Neighbouring Areas

The Rehab Practice Ltd Trading As

Neuro Rehab Practice, Stroke and Neurological Rehabilitation Clinic,         Unit G, Kingsway Business Park, Hampton, Richmond-upon-Thames. TW12 2HD 

A team of clinicians with greater than 100 years specialist neurological experience who focus to maximise our clients functional potential. Our team provide experiential excellence whilst delivering evidence based treatment to our clients.

© 2025 by The Rehab Practice Ltd Trading As Neuro Rehab Practice

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