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Beyond plaster: exploring the benefits of an orthosis

General benefits

Low temperature thermoplastic material used for orthoses can be a superior alternative to traditional plaster cast material. Unlike most plaster casts, which must remain dry, many orthotic fabrication materials are designed to be water-resistant, allowing users to get in the water without compromising the immobilization of their injury. This feature is especially beneficial for children and adults who want to maintain an active lifestyle (in the water), even when dealing with an injury.

Moreover, these materials are often perforated, making them breathable. This breathability ensures better airflow around the injured area, reducing the risk of skin irritation and infections that can occur with traditional plaster casts.

Additionally, orthoses can be cleaned, either by hand using lukewarm water and dish detergent or even in a washing machine on a cold water cycle, enhancing hygiene and making them a cleaner option for long-term use. Learn here how to keep orthoses clean.

 

Rehabilitation of the injury

Perhaps the most notable and significant difference between these immobilization with plaster casts versus low temperature thermoplastic materials is in the course of rehabilitation.

A removable thermoplastic orthosis allows for immediate skin care and commencement of active range of movement exercises, and other rehabilitation strategies, as soon as it is safe and clinically appropriate.

This can lead to a decrease in the number of therapy sessions required by the patient: those able to commence early mobilization needed an average of only 6.57 sessions, versus 17 sessions when mobilization was delayed.

When comparing early mobilization versus delayed mobilization, research has found statistically significant differences n favor of early mobilization with regards to increased patient compliance to rehabilitation, faster return to normal function, superior grip strength, and improved wrist range of movement.

 

A more sustainable choice

Low temperature thermoplastic materials are also a more sustainable choice compared to traditional plaster casts. For instance, low thermoplastic materials like Orfit Classic or Orfit Natural NS are 100% remoldable and can be remolded for positioning or comfort as needed.

This feature minimizes material waste, supporting a more sustainable practice in hand therapy.

If you would like to know more about the environmental impact of our different materials, please consult our CSR report.

 

Traditional plaster

Traditional plaster cast used for immobilization.

 

Beige Orfit Classic wrist immobilization orthosis

Wrist immobilization orthosis fabricated from Orfit Classic.

 

Get inspired

We have published several videos on social media (video 1, video 2, video 3) demonstrating the significant impact orthoses (and not plaster casts) can have on patients, especially children. Participation in all activities positively impacts everyone’s mental well-being.

 

Photo of Charles, who suffered a broken leg

Photo of Charles, who suffered a broken leg and is able to enjoy the pool fun with his custom made low temperature thermoplastic orthosis.

 

 

Sources:

Farzad, M., Naqui, Z., MacDermid, J. & Cuypers, S. 2024, Sustainable practices in hand therapy: a global perspective, Journal of Hand Surgery (European Volume).

Action Rehab 2023, Choosing between casts and splints for distal radius fractures, viewed 2 August 2024, <https://actionrehab.com.au/choosing-between-casts-and-splints-for-distal-radius-fractures/>.

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