6 Orthotic Fabrication Ideas with Orficast More

The endless possibilities of splinting with Orficast More

From static to dynamic orthoses, from short to long ones and even combined designs, the possibilities of Orficast More really are endless.

Three boxes of Orficast More


Maryam Farzad PhD, OT and Debby Schwartz OTD, OTR/L, CHT  share some of their best static and dynamic orthoses made with Orficast More:

Dynamic Wrist Extension Orthosis

Blocking Orthosis following Extensor Tendon Repair Surgery

Combination of a Whale Design and an Anti-Ulnar Drift Orthosis

Long Opponens Orthosis

Hand Based Radial Gutter Orthosis

Hand Based Ulnar Gutter Orthosis


Dynamic Wrist Extension Orthosis

A wrist extension orthosis can be used after radial nerve injuries or in a late stage of wrist extensor tendon repair. The design can also serve as a functional orthosis for patients with upper motor neuron syndrome.


Blocking Orthosis following Extensor Tendon Repair Surgery

This blocking orthosis uses the controlled passive motion technique.

Fabricated for a patient who underwent a tendon transfer surgery to improve hand function. This design combines a whale orthosis to support the thumb in a palmar abduction position and a short dynamic cuff to facilitate thumb IP extension. An extra reinforcement in Orficast More was added to restrict flexion of the wrist.


Combination of a Whale Design and an Anti-Ulnar Drift Orthosis

This orthosis for patients with rheumatoid arthritis supports the thumb and helps to improve the alignment of deviated fingers.


Long Opponens Orthosis

An orthosis that helps with the radial sided wrist pain that often accompanies De Quervain’s syndrome.


Hand Based Radial Gutter Orthosis

This hand based orthosis offers stabilisation for the protection of metacarpal fractures of digits 2 or 3.


Hand Based Ulnar Gutter Orthosis

A hand based orthosis for the protection of metacarpal fractures of digits 4 or 5.


Do you have interesting Orficast More designs you would like to share? We’d love to see them! Post them in the Orfit Splinting and Rehabilitation Group on Facebook to inspire us and your fellow OT’s and hand therapists.


Co-Written by Maryam Farzad PhD, OT

Maryam has a PhD in Occupational Therapy and has been working as an OT/Hand Therapist for more than 20 years.

She currently works as an assistant professor in Occupational and Hand Therapy at the University of Welfare and Rehabilitation Sciences and as a visiting professor at Western University.

Four years ago, Maryam started working as an Orfit Specialist and she has since given multiple splinting workshops across Asia and the Middle East.

Maryam Farzad’s Google Scholar profile

Co-Written by Debby Schwartz, OTD, OTR/L, CHT

Physical Rehabilitation Product and Educational Specialist at Orfit Industries America.

Debby is a certified hand therapist with over 36 years of clinical experience. She completed her Doctorate of Occupational Therapy at Rocky Mountain University of Health Professions in 2010. She has worked at Orfit Industries America as Product and Educational Specialist since 2007.

Debby is also an adjunct professor at the Occupational Therapy Department of Touro College in NYC and has written many book chapters in the field of hand therapy and multiple articles for hand therapy journals, including the ASHT Times and the Journal of Hand Therapy. She has published a new textbook on orthotic fabrication together with Dr. Katherine Schofield, entitled “Orthotic Design and Fabrication for the Upper Extremity: A Practical Guide”.

Debby’s Google Scholar profile


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