Book Review

Title: Orthotic Intervention for the Hand and Upper Extremity: Splinting Principles and Process
Editors: MaryLynn A. Jacobs, MS, OTR/L, CHT; Noelle M. Austin, MS, PT, CHT
Publisher: Lippincott Williams & Wilkins, 2013, 672 pages
Reviewed by: Ann Yamane, MEd, CO/LO

The editors of this second edition textbook provide a broad approach to the use of orthoses in the treatment of upper-extremity pathologies. In addition to low-temperature designs, the authors discuss optional methods, including prefabricated and neoprene orthoses, casting, and taping.

Orthotic Intervention for the Hand and Upper Extremity: Splinting Principles and Process identifies the aspects of the clinical evaluation and patient interview necessary to establish treatment goals and provides background information on the use of the Person, Environment, Occupation (PEO) Model. An overview of the guiding principles of the bio-occupational approach of orthotic intervention, along with clinical examples, provides the clinician a framework for optimizing patient outcomes and facilitating the individual's use of an upper-limb orthosis.

A large portion of the book (Section II) offers in-depth information regarding fabrication procedures using low-temperature thermoplastic materials, and provides an overview of the process-from the physician prescription referral to the fitting and delivery of the orthosis. Each orthosis design is accompanied with a description of the primary functions of the orthosis, alternative options, the common diagnoses typically associated with use of the orthosis, and optimal positions for each joint encompassed. The "clinical pearls" offer insights that can be generalized for use in any fitting procedure.

Section IV discusses orthotic interventions for specific diagnoses and populations, and provides an appropriate overview of the foundational knowledge related to anatomy, diagnoses, goals for orthotic management, and treatment options.

Summary: This text is intended for the occupational therapist working primarily with low-temperature thermoplastics. The orthotist may find this text useful as a resource when approaching new clinical situations. The textbook provides a comprehensive overview of the pathology and clinical treatment options for the majority of upper-limb orthoses, and the information on the various designs can be translated into use with other materials. The use of the PEO model and the bio-occupational approach are valuable tools in informing clinical evaluations, decision making, and documentation requirements.

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