Abstract: A combination sling and therapy device is provided in the form of an elongated tubular member of pliable material, open at one end and closed at the other end, and having a slit portion extending throughout the major portion of its length incorporating adjustable fastener means whereby the tubular member can closely envelop an arm and cast assemblage from a point adjacent the fingers to at least the elbow of the user, an elongated band member having opposed ends engaging spaced portions of the tubular member, said band member being of a length to extend over the shoulder of a user and having adjustable means for providing the desired angular support for the forearm and cast, the closed end of said tubular member having a puppet-like characterization in which protruding movable lip portions are positioned to receive the thumb and fingers of the user, and at least for encouraging periodic manipulation of the thumb and fingers.