Name of the Procedure:

Hand Finger Orthosis (HFO), Flexion Glove with Elastic Finger Control, Prefabricated, Off-the-Shelf (L3912)

Summary

This procedure involves fitting a prefabricated flexion glove to a patient's hand and fingers. The glove is designed with elastic control to assist with finger movement and improve functionality.

Purpose

The HFO flexion glove is used to support and enhance hand and finger movements in patients with specific medical conditions that impair motor function. The primary goals are to improve hand dexterity, increase range of motion, and enhance the patient's ability to perform daily activities independently.

Indications

• Conditions such as stroke, cerebral palsy, or multiple sclerosis.
• Injury recovery, including fractures or tendon damage.
• Arthritic conditions affecting hand movement.
• Patients experiencing muscle weakness or paralysis in the hand.

Preparation

• No specific fasting or medication adjustments are typically required.
• A physical or occupational therapist may assess the patient's hand function and overall health to determine suitability.
• Measurements of the hand and fingers will be taken to ensure a proper fit.

Procedure Description

1. The prefabricated glove is selected based on the patient’s hand measurements.
2. The glove is then carefully placed onto the patient’s hand, ensuring all fingers are positioned correctly.
3. Adjust the elastic controls to provide the appropriate amount of support and flexion based on the patient's needs.
4. The patient and caregiver (if applicable) are instructed on how to wear and remove the glove.

Duration

The fitting process typically takes about 30 minutes to 1 hour.

Setting

The procedure is usually performed in an outpatient clinic or a rehabilitation center.

Personnel

• Occupational therapists or physical therapists.
• Orthotic specialists.
• Healthcare providers specialized in rehabilitation.

Risks and Complications

• Mild discomfort or irritation at the initial fitting.
• Potential skin abrasions or pressure sores if the glove is worn for extended periods without proper monitoring.
• Rarely, allergic reactions to the materials used in the glove.

Benefits

• Improved hand and finger function.
• Increased independence in daily activities.
• Enhanced muscle strength and joint flexibility.
• Benefits can often be observed immediately following proper fitting, with continued improvement over time with regular use.

Recovery

• Patients may need to gradually increase the time they wear the glove to avoid discomfort.
• Follow-up appointments to adjust the fit or improve comfort.
• Ongoing physical or occupational therapy to maximize benefits.

Alternatives

• Custom-fabricated orthosis, which may offer more personalized support but at a higher cost and longer wait time.
• Physical therapy alone, which may improve function but not as quickly or effectively as using the device.
• Medications for underlying conditions, though these might not specifically address movement issues.

Patient Experience

• During fitting, the patient might experience mild discomfort as the glove is adjusted.
• After fitting, initial discomfort is common but usually subsides as they become accustomed to the device.
• Regular follow-up can help manage any pain or discomfort.
• Pain management might include over-the-counter pain relief or specific exercises.