Table 3.
Hand orthoses (splints) used most commonly in ALS care.
| Type of splint | Description | Use |
|---|---|---|
| Resting hand splint | Lightweight; may be used during the day and/or at night to maintain proper muscle length in patients with wrist and intrinsic hand muscle weakness. | Prevention of wrist and finger flexion contractures. |
| Anti-claw | Limits metacarpophalangeal (MCP) extension and improve grasp by keeping the joints flexed. | Reduction of “claw hand” deformity; improvement of grasp. |
| Volar cock-up | Supports the wrist in 20–30° of extension. | Improvement of grasp in people with wrist extensor weakness. |
| Short opponens | Keeps the thumb in an abducted and opposed position. | Improvement of grasp in people with thumb abduction and extension weakness. |