Braces, Splints, and Assistive Devices

Braces and splints are over-the-counter or custom-made supports designed to relieve pain and stabilize and protect joints during periods of inflammation, when joints (especially those in the hands and wrists) are more prone to injury. Splints should be lightweight and easy to remove, allowing for range-of-motion exercises several times daily. Prolonged or improper use of splints can increase stiffness and progressively diminish muscle strength and joint mobility.

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Splints are most effective for the hands, wrists, or both. The best "splint" for the hip and knee joints is lying in a face-down position on a firm bed for about 15 minutes several times a day. Long-term use of splints for the elbow and shoulder joints poses the risk of rapid loss of mobility in these joints. As a result, judicious use of local treatments such as injections of inflammation-reducing steroids and appropriate use of physical therapy are preferable.

Assistive devices (such as faucet turners or jar openers) help decrease the difficulty of everyday tasks. Occupational therapists are experts in fitting braces and splints, recommending assistive devices, and instructing patients in their proper use.