McKie Thumb Splint Pediatric Sizes: P1, P2, P3, P4, P5, P6 (Birth – 12years)

• Thumb abduction and opposition splint
• Pediatric thumb splints for patients with cerebral palsy, hemiplegia, and other neurological disorders that affect the hand such as indwelling thumb and congenital clasped thumb.
  
• Sized to fit average size children from Birth to 3 years old.  (see sizing)
• Dynamic, streamlined design promotes thumb opposition during grasp.
• Minimal palmar coverage allows the hand to function normally — to feel and manipulate objects.
• Made from 1.5 mm thick, washable, nylon-covered neoprene.
• Latex free.
• The smooth side nylon of the thumb splint is worn against the skin and the outer looped nylon fabric is receptive to hook tape, thus allowing adaptability when attaching the strapping.
• Extra hook tape is available for purchase.  VELCRO® brand as well as other hook tape brands are used in the manufacture of the McKie Thumb Splint.
• Custom options include custom sizing, longer strapping, lengthened or shortened thumb, and plastic web stay.
• Toddler sized thumb splint.

How It Works

Neurological/ Developmental Deficits

• The thumb is drawn into opposition. The splint pulls in the same direction as muscle attached to the thumb.
• Because active, opposed grasp is supported, the potential for acquisition of abnormal, compensatory grasp patterns is diminished.
• The neoprene is only 1.5mm and coverage of the palm is minimal, thus adequate space is left in the hand to manipulate and explore objects.
• Normal hand use and development is thus not thwarted by the splint itself.
• For weakness and hypermobility at the M-P joint, strap placement at the head of the metacarpal will block hyperextension.

Arthritis/Injury

• The splint provides light compression.
• It cushions the thenar eminence and reduces joint play.
• At the C-M-C joint, the splint strap can be attached to provide lift to the thumb metacarpal and increase joint space.
• For weakness and hypermobility at the M-P joint, strap placement at the head of the metacarpal will block hyperextension.

Instructions

Applying Thumb Splint 

Step 1: Put the thumb through the thumb hole. Orient the splint so that the stitching follows the crest of the web between thumb and index finger. Snug to fit comfortably. Draw the strap of the splint at an angle so that it drops below the corner of the palm. (For medical personnel, it sits below the pisiform bone). Pull the split strap so it continues around the back of the hand all the way around again to the palm side.

Step 2: Depending on your intent, you can attach the hook tape in either of 2 ways:

Option A: If you are experiencing thumb pain or arthritis at the base of the thumb (C-M-C joint), direct the pull of the strap up into the base of the thumb metacarpal as illustrated.

Option B: If you are attempting to improve grasp quality, attach the hook tape to put mild pressure on the head of the thumb metacarpal.