994 Alternative Route When Airplanes Don’t Fly
Nichole Schiffer

TL;DR
A new orthosis design using neoprene and thermoplastic helps position the shoulder in pediatric burn patients who struggle with traditional airplane orthoses.
Contribution
A novel, sensory-friendly orthosis method for pediatric burn rehabilitation that minimizes distress and improves patient tolerance.
Findings
The neoprene and thermoplastic orthosis successfully maintained axilla positioning with minimal therapist handling.
The orthosis improved sensory experience and patient comfort for a neurodivergent pediatric burn patient.
No skin integrity issues were observed during orthosis use.
Abstract
Standard burn rehabilitation of the skin grafted axilla includes shoulder positioning in abduction, commonly achieved through airplane orthoses. In the pediatric population, fabricating an airplane orthosis can be challenging particularly when the patient has comorbidities. When pediatric burn patients have underlying diagnoses such as anxiety, sensory processing disorder or autism spectrum disorder, the challenge to fabricate an airplane orthosis is amplified. This method introduces a new technique to fabricate a shoulder positioning orthosis when traditional airplane fabrication proves too difficult or distressing for the patient. OT collaborated with a compression garment designer to fabricate a neoprene shirt with a sleeve and pocket. Measurements were taken of the patient similar to that of compression garment shirt. OT provided guidance to the designer on strapping, pocket sizing…
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Taxonomy
TopicsAir Traffic Management and Optimization
