Plaster splinting as a means of reducing elbow flexor spasticity: a case study.

Plaster splinting was used to decrease severe elbow flexor spasticity in a patient with an upper motor neuron lesion. A series of plaster splints were applied over a period of several weeks that allowed elbow extension yet controlled the amount of flexion. The design of the splint was effective in reducing the spasticity, which was probably a result of the input from the golgi tendon organs in the spastic flexors. Initially, the splints were worn 24 hours a day. Later in the treatment process the wearing time was reduced to 12 hours at night only. Currently, the patient has voluntary, functional range in the impaired extremity.