Ch. 6 UE orthoses (FOR MSK) Flashcards

1
Q

T/F Orthoses designed for the UE help either to stabilize/immobilize/restrict or mobilize the arm.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

T/F Do not pad a pressure area.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

T/F Use partial contact splinting to avoid excessive pressure at contact points.

A

False, use total contact splinting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

T/F Secure straps in a non-constricting manner.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

T/F Use thin straps to avoid excessive pressures.

A

False, wider straps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

T/F Use flat straps to avoid excessive pressures.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

T/F Anchor wrist securely.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

T/F Straps are pulled away the patient to secure

A

False, towards patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

T/F Place straps diagonally to avoid contriction

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

T/F Allow for function whenever possible.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

T/F Free palm for sensory input when possible

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Common pressure areas seen in a wrist splint include:

A
  1. Dorsal MCP with dorsal splints
  2. Palmar MCP with C-bar splints
  3. Ulnar head
  4. Base of thumb MC
  5. Center of palm wrist cock-up splints
  6. Base of thenar eminence
  7. Proximal end of splint
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is an articular splint? Examples?

A
  • cross the joint

Ex: wrist immobilization, elbow, PIP splints

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is a nonarticular splints?

A
  • do not cross the joint
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are static splints?

A
  • Immobilize the part
  • Can be articular (wrist splint) or nonarticular
  • Place structure in either anatomic position or an appropriate resting posture based on injury or deformity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Why are static splints used?

A
  • Preserve joint alignment
  • Decrease spasticity
  • Prevent contractures
  • Provide pressure to healing scars
17
Q

What are motion blocking splints?

A
  • Allow for motion in one direction while limiting motion in the opposite direction
18
Q

Why are motion blocking splints used?

A

Warranted when restriction is needed in one direction, while still allowing for some function and prevention of tightness overall

19
Q

What are static progressive splints?

A
  • Allow for gradual elongation of tissues through a prolonged stretch
  • Modified as tissue lengthens over time
20
Q

What are dynamic splints? Composed of what?

A
  • Assist mobilization of the part in the absence of active control
  • composed of stable base with elastic or spring-like attachments to assist motor function
21
Q

T/F Dynamic splints can be combined with motion-blocking elements if limited motion is warranted

A

True

22
Q

What type of brace used for humeral fractures?

A

Static nonarticular stabilizing brace

23
Q

What type of brace used for carpal tunnel syndrome?

A

Wrist stabilizing splint in slight extension

24
Q

Type of brace/braces used for RA vary depending on what? Examples?

A
  • Splints will vary depending on location of synovitis, deformities seen and the protections needed
  • ex: swan neck for PIP joint, ulnar drift, wrist stabilizer, ulnar drift with stabilizer
25
Q

What type of brace used for dequervain’s syndrome?

A

Thumb spica splint used to rest healing tendons

26
Q

What type of brace used for scaphoid fracture?

A

Thumb spica splint to immobilize CMC joint

27
Q

What type of brace used for Dupuytren’s contracture?

A

Splint provides palmar pressure and holds the MCPS in extension

28
Q

When there is injury to the median nerve, what muscles will that effect?

A
  1. 1st/2nd lumbricals
  2. FPL, FPB
  3. APB
  4. Oppenens
29
Q

When there is injury to the ulnar nerve, what muscles will that effect?

A
  1. 3rd/4th lumbricals
  2. Interossei
  3. Add Pollicis
30
Q

When there is injury to the radial nerve, what muscles will that effect?

A

Wrist extensors

31
Q

What is the purpose of a median nerve splint?

A

To preserve webspace

32
Q

What is the purpose of a radial nerve splint?

A

A dynamic splint to assist in extension but allow for flexion