This resource from the Disability and Rehabilitation journal explores the management of hand deformities of people with neurological impairment is complex and challenging. The use of orthoses to manage hand deformity in clinical practice continues despite low level evidence.

Understanding the purpose of an orthosis supported by a biomechanical framework, the Neurological Hand Deformity Classification (NHDC), to identify deforming forces and how to resolve them with appropriate orthotic intervention may reduce controversy surrounding orthosis use.