Indica??o e materiais de confec??o do cock-up volar: uma revis?o integrativa da literatura/Indications and materials for fabrication of volar cock-up orthosis: an integrative literature review

摘要

Introduction: Among the techniques and resources that the therapist uses during the rehabilitation of the upper limb, orthoses play an important role. The volar cock-up has been used extensively prescribed for upper limbs conditions, but its effectiveness in some pathologies has been questioned. Objective: To identify the indications of cock-up volar and the materials used in its fabrications. Methodology: This is an integrative review of the literature. The key words used were: ―Cock up‖, ―órtese de punho‖ and their English terms. Articles published from January 2007 to December 2017 were included. Results and discussion: 8 articles were included in this review. Studies have shown that the use of orthoses is still controversial, but may have benefits in some pathologies, such as reduction of wrist pain and conservative treatment of carpal tunnel syndrome, as well as questionable results, for example in lateral epicondylitis treatment. In addition, it may be observed that the splint material can also influence the outcome of the treatment, such as in the treatment of wrist chronic pain. Conclusion: Despite its great use in clinical practice, the use of cock-up is still controversial and needs more studies to have a scientific basis for its effectiveness.