Anti-Contracture Positioning/Splinting

Question 1

Anterior Neck

Answer 1

• Common Deformity: Flexion
• Stress Hyperextension
• Position w/ firm cervical orthosis

Question 2

Shoulder

Answer 2

• Common Deformity: Adduction/IR
• Stress:
  
  • Abduction
  • Flexion
  • ER
• Position w/ Axillary Splint

Question 3

Elbow

Answer 3

• Common Deformity: Flexion/Pronation
• Stress Extension/Supination
• Position in Extension w/ Posterior Arm Splint

Question 4

Hand

Answer 4

• Common Deformity: Claw Hand (Intrinsic Minus Position)
• Stress:
  
  • Wrist Extension (15 degrees)
  • MP Flexion (70 degrees)
  • PIP/DIP Extension
  • Thumb Adduction (Instrinsic Plus Position)
• Position in intrinsic plus position w/ resting hand splint

Question 5

Hip

Answer 5

• Common Deformity: Flexion/Adduction
• Stress: Extension/Abduction
• Position in extension, abduction, neutral rotation

Question 6

Knee

Answer 6

• Common Deformity: Flexion
• Stress: Extension
• Position in extension w/ posterior knee splint

Question 7

Ankle

Answer 7

• Common Deformity: Plantar Flexion
• Stress: Dorsiflexion
• Position w/ foot-ankle in neutral w/ splint or plastic ankle-foot orthosis