Vazquez Inelastic Mobilization System

Step-by-Step application of ClikStrips™ to a low-temperature thermoplastic splint

1.  Once the splint base is fabricated, mark the desired placement for the lockclip. Brush solvent on the splint base in this area to insure a permanent bond.  Dry heat the small square of 1/16” Reveals™ QuickBond and the marked area on the splint. Firmly adhere the small square to the splint base.
2.  Immediately put one drop of liquid adhesive onto the flat bottom footprint of the lockclip.
3.  Work quickly, so the heated Reveals™ square is still transparent, and press the lockclip firmly into position. Hold in place for 30 seconds. It is crucial that you use 1/16” thick material--a thicker thermoplastic will interfere with the sliding mechanism of the ClikStrips™.
4.  Attach outrigger or line guide to splint base.  In this example, an S shaped outrigger fabricated from Reveals™ Tubes is attached to the splint.  The outrigger is designed with two hinges and two holes, allowing almost full arc of motion without ever needing readjustment!
5.  The ClikStrips™ strip is cut to size, a hole punched at the distal end (with smallest sized punch), then slipped through lockclip for 3 audible clicks.
6.  One end of a 4 inch length of 25lb test monofilament is guided through the punched hole in the strip. 

Both ends of the monofilament are passed through a hole in the outrigger.  A line connector is slid over both lines and compressed with a crimp tool.



7.  The monofilament will then be neatly attached to both the ClikStrips™ Strip and the outrigger.

8.  A Fabriplast™ fingersling is trimmed to size, heated and formed around the dorsum of the phalanx. With the second smallest punch, make holes at either end of the finger sling.  A 6 inch length of 10lb monofilament is folded in half and then slipped through one of the punched holes.
9.  The 2 free ends are weaved through and tightened.  Repeat the same process on the other side of the fingersling. 
10.  The 4 monofilament ends from the finger slings are passed over and through the distal punched hole (smallest punch).  A line connector is passed over the 4 grouped ends and firmly compressed with a crimp tool.
11.  The ClikStrips™ Strip is gently pulled from the un-ridged proximal end one click at a time until end-range is determined.
12.  The ClikStrips™ strip pulls the hinged outrigger proximally which in turn places the isometric tension (or hold) unto the phalanx. The distal hinge of the outrigger allows an almost constant 90 degree angle of pull relative to the (improving) arc of phalangeal flexion.

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Last modified: 06/01/03.