Carrot Splint, palm cone, foam roll or resting splint: which one for a closed hand?

Four products are commonly used for a contracted hand. They are not interchangeable: each suits a different stage of opening. This table is written from the carer's point of view, not as a clinical recommendation.

Carrot SplintPalm or finger coneFoam roll or palm protectorRigid resting splint
Fits a fully closed handYes. Goes in deflated, drawn in with a wandUsually no. Must be pushed inNo. Needs a partly open handNo. Fingers must be extended first
How the opening is setInflated gradually, by comfortFixed by the cone sizeFixed by the roll diameterFixed by the splint shape
Lets you clean the palmYes, while in place and after removalLimitedLimitedYes, once fitted
Progress can be recordedYes, markings on the coverNoNoNo
WashableCarrot rinsed, cover hand-washedDepends on materialOften not, or wears quicklyWipe clean
Typical roleOpening a closed hand; the first stageMaintenanceMaintenance, mild contractureMaintenance and positioning once open

Once the hand has opened enough, some people move on to a foam roll or a resting splint for maintenance. The Carrot is the tool that gets them there.

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