THERAPEUTIC HAND SPLINTS
A rational approach
AUTHORS
Paul
VAN LEDE was born in 1944 and originally studied physical education.
After completing his studies in 1964, he was attracted to the new profession
of occupational therapy and obtained his diploma from the Hoger Technisch
Instituut in Bruges (Belgium) in 1967.
After completing his military service, he assumed duty at the University Hospital
in Liège. He worked there as head occupational therapist until 1986.
Paul completed the first Belgian hand splinting course presented by A. Penta
in 1971 and started his own post-graduate course for therapists two years
later.
The oil crisis in 1973 created problems with the supply of derivatives, namely
the thermoplastics Orthoplast® en Polyform®. By changing over to cheaper
industrial synthetics, he could continue experimenting with different splint
designs on different patients, namely hemiplegic, arthritic, paediatric and
orthopaedic patients, as well as patients with burns or hand injuries.
Between 1978 and 1981 he was appointed to the post of lecturer in splinting
and mechano therapy at the Hoger Instituut voor Paramedische Beroepen in Ghent
(Belgium). At the same time he returned to study at the University, where
he obtained a degree in Hospital Sciences. During this period the "Association
pour la Révalidation de la Main" was founded (later known as the
Society of Belgian Hand Therapists). Paul was the society's first treasurer
and is its present president.
Paul was frequently invited to present splinting seminars and courses which
were sponsored by a Belgian manufacturer of splinting material. In 1986 he
accepted a position of Product Specialist with this manufacturer. His brief
was to extend the range of products on a medical level and to teach his original
splinting philosophy world-wide promote a new type of splinting material,
Orfit®. This enabled him to devote himself totally to hand splinting and
to gain international experience. He learned to appreciate different cultures
and was able to introduce the concept of “Immediate Fitting” to
different parts of the world. Since then, Paul is usually seen at most national
and international congresses and shows, where he maintains contact with many
well-known splint designers, many of whom have become his friends.
Griet van VELDHOVEN was born in 1963. She qualified as occupational
therapist in 1985 at the Hoger Instituut voor Paramedische Beroepen in Ghent.
During the final year of her studies, she completed part of her practical
training at the University Hospital in Liège where she met Paul. The
Flemish Association of Occupational Therapists conferred the prize for the
best thesis of the year on her thesis on “Hand splinting for peripheral
nerve injuries”.
Meanwhile, she was well and truly bitten by the splinting bug. She decided
to improve her range of technical skills by completing the three year course
in technical orthopaedics. This she did in one year. At the same time she
worked part-time as an occupational therapist in the hand therapy department
at the O.L.V. Middelares hospital in Antwerp where her interest in hand splinting
was further stimulated.
To develop her splinting skills, she decided undertook additional orthopaedic
training. The practical affiliations of this training took her to many centres
nationally and internationally, including one in Norway. Here she trained
as an Orthopaedic Engineer and became fluent in Norwegian at the same time
she completed a night school program to obtain a teaching diploma in 1988.
She returned to Belgium a year later where she qualified as an orthotist.
She has many professional interests and has been combining tasks, namely occupational
therapy in a general hospital, orthotics in a university hospital, product
development for a manufacturer of thermoplastics and lecturer at a tertiary
institute for orthopaedics and occupational therapy. When living in Belgium
Griet has been working at the Ontwikkelings Centrum voor Revalidatie Technologie
(Development center for rehabilitation Technology) (O.C.R.T.) which is affiliated
to the University Hospital in Louvain, where she was in charge of all upper
limb splinting. Her patients where from the departments of rheumatology, hand
surgery, neurology, orthopaedics and paediatrics (congenital deformities).
She was a part-time lecturer at the two tertiary Institutes and runed a hand
therapy practice in association with another therapist.
Griet was also an active member of the executive committee of the Society
of Belgian Hand Therapists, where she was responsible for the Dutch secretariat.
For
the moment Griet is living in Norway where she has been working as an occupationel
therapist and orthopaedic eningeer at the national university hospital. For
the moment she takes a break by studying silver and metal techniques in order
to improve her technical skills as an orthopaedic engineer spesialised in
handsplints.
She is still often invited as a guest speaker at various national and international
congresses and courses and has published a number of papers.
She
is a member of the board of the Norwegian Hand therapy society where she is
the international delegate.