How to manage hand spasticity - Hand splint after stroke
Jul 14, 2021
How to manage hand spasticity - Hand splint after stroke

Many stroke survivors suffer from spasticity in their affected hand, causing them to present with a clenched fist. Spasticity is a condition of muscle stiffness and is caused by miscommunication from the brain to the affected hand. Hand spasticity also interferes with limb positioning, grasping, self-care and other activities of daily living.

Table of contents

The general aspects of the spasticity in the hand

  • Muscles appear stiff because the signals to the muscles are sent incorrectly through the damaged part of the brain.
  • When a muscle is affected by spasticity, the limbs seem more stiff the faster it is moved.
  • Spasticity is seen in a number of different conditions including cerebral palsy, traumatic brain injury, spinal cord injury, stroke and multiple sclerosis.
  • People may have difficulty moving from one position to another.

3 general spasticity treatment options

There are a few different spasticity treatment options. These treatments can be both temporary or permanent.

  1. Botox

One temporary option would be getting a botox injection to the hand. Botox is a medication that is used to relax the muscles. Botox usually lasts about 3 months before it wears off.

2. Utilizing hand splints(orthosis)

Another way to treat spasticity is by utilizing hand splints(orthosis). If someone keeps their hand clenched all day, their muscles will start to shorten, causing them to become very tight. If the hand is in a clenched position for too long without being stretched, it can cause contractures. Contractures can be very painful and can require surgery to release them. In order to prevent contractures, it is important to stretch out the muscles. Neofect provides a variety of hand orthosis for stroke recovery according to the hand movement level.

3. Rewire pathways in the brain through Neuroplasticity

In order to treat spasticity in a more permanent way, one would have to retrain the brain in order to prevent miscommunication from the brain to the hand. Reorganization of surviving central nervous system elements supports behavioral recovery.

Stroke survivors can rewire the pathways in the brain. This process is known as Neuroplasticity. Neuroplasticity is the ability of the brain to rewire itself even in injured areas by performing repetitive tasks and movements. Repetition helps stimulate neuroplasticity and strengthen new neural connections that are growing. The main goal of task oriented/repetitive rehab activity is to enhance neuroplasticity as well as support behavioral and functional recovery like opening the hand.

How to choose a Hand Rehab Glove

Now that you know using a hand splint or stroke recovery equipment is one of the ways to treat hand spasticity, you might be wondering which hand splint to use. Here are a few things to consider before choosing a hand splint. Refer to the image below to find the right hand splint for you.

How to choose hand rehab glove for those who has hand spasticity

Neofect Extender is a positioning tool for those with mind spasticity or weakness. With customizable tension straps, the extender helps reduce spasticity by encouraging the fingers into an extended open hand position. The finger strapping can also be reserved to support a secure grip while holding an object.

Neofect Extender - Positioning Glove with dual purpose strap for finger extension, stretching and gripping assistance

Neofect Extender Plus has a lightweight ergonomic design that features gliding elastic finger strapping which mimics the natural movement of the extensor tendons of the fingers. The proprietary tension system gently extends the client’s fingers and thumb following grasping. Thick industrial strength velcro allows for the tension to be adjusted for each fingers as well as the MCPs and wrist. The palm is exposed to increase breathability and ease when putting the glove on.

Neofect Extender Plus - Functional Training Glove which assists in joint motion to maximize functional performance

Neofect Finger Splint is a finger positioning tool for those who have moderate to severe hand spasticity. The splint prevents deformity and shortening of the fingers caused by spasticity.

Neofect Finger Splint-Positioning Tool for patients with moderate to severe hand spasticity

A great way to provide a long passive stretch is by utilizing Neofect’s hand orthosis. These are functional gloves for stroke survivors that are used to minimize spasticity, maintain functional grasp as well as prevent stiffness. To find out more about the Neofect Hand Orthosis please call us at 888-623-8947 or email us at

To purchase Neofect's hand splints, visit Neofect Shop now!


Further reading

Other support and brace products



Spasticity and Stroke
Spasticity and Stroke
A stroke is caused by either a blockage of a blood vessel or bleeding in or around the brain, which results in a lack of oxygen to the brain and the death of brain cells.
Improve Spasticity After Spinal Cord Injury NEOFECT Smart Rehab
How Can I Improve Spasticity After a Spinal Cord Injury?
Spasticity is the overexcitability of a muscle in response to movement. It’s a hyper exaggerated stretch reflex.
How to regain hand grasp and function
How to regain hand grasp and function
The ability to do these simple tasks reduces dependency on others, improves potential for employment and enhances quality of life.
Using the Neofect Smart Glove to Maximize Constraint-Induced Movement Therapy
Constraint Induced Movement Therapy (CIMT) is used to treat people with Hemiplegia by constraining or restricting movement of the non-affected hand to force a person to use their affected hand.
Hemiplegia vs. HemiparesisHemiplegia vs. Hemiparesis
Hemiplegia and hemiparesis could seem very similar because they sometimes have the same underlying symptoms. However, they have different meanings.
What  does  a  drop  foot  brace  do?
Foot drop
What Does A Foot Drop Brace Do?
Are you contemplating to buy a drop foot brace? Here is the check list you need to consider before buying one.