Skin graft healed and stable enough to commence moving the joint. This will be determined by the treating doctor and in children will typically occur 1-2 weeks after skin grafting – splint regime ceased or changed to night time wear.
Child maintaining range or movement with no restrictions, skin tightness (blanching) or compensation to activity performance during scar management phase.
Child in developmental stage matching desired position from splint for example:
Healed palmar burn and baby crawling – promoting active palmar extension
Dorsal hand burn on infant with existing palmar grasp reflex – promoting active MCP flexion
Burn over achilles region on child who is walking/active
Splint is impacting on child’s skin integrity (i.e. rash/causing pressure). Consider what alternative materials, splinting regime or positioning recommendations you could implement to achieve desired outcome.
