Expert opinion on splinting adult patients with neurological injuries

Abstract

In the light of a lack of definitive research evidence this study explored expert opinion for splinting in adults with neurological injuries. An exploratory, descriptive, qualitative methodology was used with 14 occupational therapists, experienced in neurorehabilitation.

Data were analysed based on priori themes:-

The Model of Practice Development :- most value was placed on personal knowledge gained from experience in the field and being able to individualise treatment for each patient. Procedural knowledge gained from clinical experience; reflection on protocols and working with and learning from others was seen as essential in developing skills required for this type of intervention.

The Three Track Model of Clinical Reasoning -The effectiveness of the splints depended on the patient's context and response as well as the therapists' ability to adapt to their preferences and goals. Procedural reasoning and goals related to client factors should not be considered  in isolation. Outcomes should consider occupational performance and client satisfaction.