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nbcot > Chatper 11: Biomechanical Approaches > Flashcards

Chatper 11: Biomechanical Approaches Flashcards

1
Q

Resting hand splint: functional position

A

wrist 20-30 degrees extension
MCPs 30-45 degrees flexion
IPs 0-20 degrees flexion
Thumb abduction

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2
Q

Safe position splint

intrinsic-plus or anti-deformity splint

A

Wrist 20-30 degrees extension
MCPs 70-90 degrees flexion
IPs in extension
Thumb abducted and extended

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3
Q

Brachial Plexus Injury

A

Flail arm splint

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4
Q

Radial nerve palsy

A

dynamic wrist, finger, and thumb extension splint

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5
Q

median nerve injury

A

opponens splint, c-bar or thumb post splint

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6
Q

ulnar nerve injury

A

dynamic/static splint to position MPs in flexion

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7
Q

combined median ulnar

A

figure-of-eight or dynamic MCP flexion splint

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8
Q

spinal cord (c6-c7)

A

tenodesis splint

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9
Q

Carpal tunnel syndrome

A

wrist splint positioned in neutral

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10
Q

Cubital tunnel syndrome

A

elbow splint positions in 30 degrees of flexion

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11
Q

deQuervain’s

A

thumb splint, includes wrist, IP joint free

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12
Q

Skier’s thumb

A

hand-based thumb splint

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13
Q

CMC arthritis

A

hand-based thumb splint

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14
Q

Ulnar drift

A

ulnar drift splint

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15
Q

Flexor tendon injury

A

dorsal protection splint

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16
Q

swan neck

A

silver rings or buttonhole splint

17
Q

boutonniere

A

silver rings or PIP extension splint

18
Q

arthritis

A

functional splint or safe splint, depending on stage

19
Q

Flaccidity

A

resting splint

20
Q

spasticity

A

spasticity splint or cone splint

21
Q

Muscle weakness (ALS, SCI)

A

balanced forearm orthosis, deltoid sling/suspension sling

22
Q

Hand burns

A

Wrist 15-30 degrees extension, MCP 50-70 degrees flexion, and IPs in full extension

23
Q

Contraindiciations of heat therapy

A

Do not use with:

postsurgical repairs, acute injuries, impaired sensation, impaired vascular supply

24
Q

Precautions/Contraindications of cryotherapy

A

Do not use with:

Sensory deficits, impaired circulation, Raynaud’s disease

25
Q

Ultrasound contraindications

A

Active malignant tumor, pregnancy, area near pacemaker, some joint replacements, and thrombophlebitis
Precautions: fractures, growth plates, and breast implants

26
Q

Electrical Stimulation Contraindications

A

Cardiac pacemaker, phrenic or urinary bladder stimulators, presence of thrombosis or thrombophlebitis, and over carotid sinus

27
Q

ROM

Cervical Spine

A

Flexion - 0-45 degrees
Extension - 0-45 degrees
Lateral Flexion - 0-45 degrees
Rotation - 0-60 degrees

28
Q

ROM

Thoracic and Lumbar Spine

A

Flexion - 0-80 degrees
Extension - 0-30 degrees
Lateral Flexion - 0-40 degrees
Rotation - 0-45 degrees

29
Q

ROM

Shoulder

A 
Flexion - 0-170 degrees
Extension - 0-60 degrees
Abduction - 0-170 degrees
Adduction - 0
Horizontal Abduction - 0-40 degrees
Horizontal adduction - 0-130 degrees 
Internal Rotation - 0-60/70 degrees
External Rotation - 0-80/90 degrees
30
Q

ROM

Elbow

A

Flexion - 0-135-150 degrees

Extension - 0 degrees

31
Q

ROM forearm

A

Pronation: 0-80-90 degrees
Supination: 0-80-90 degrees

32
Q

ROM

Wrist

A

Flexion: 0-80 degrees
Extension: 0-70 degrees
Ulnar Deviation - 0-30 degrees
Radial Deviation - 0-20 degrees

33
Q

ROM

Thumb

A

DIP flexion - 0-80-90 degrees
MP flexion - 0-50 degrees
Adduction, radial & palmar - 0
Palmar and radial abduction - 0-50 degrees

34
Q

ROM

Finger

A

MP flexion: 0-90 degrees
MP hyperextension: 0-15-45 degrees
PIP flexion: 0-110 degrees
DIP flexion: 0-25 degrees

35
Q

ROM

Hip

A 
Flexion: 0-120 degrees
Extension: 0-30 degrees
Abduction: 0-40 degrees
Adduction: 0-35 degrees
Internal Rotation: 0-45 degrees
External Rotation: 0-45 degrees
36
Q

ROM
Knee
Ankle and Foot

A 
Knee flexion: 0-145 degrees
Plantar flexion: 0-50 degrees
Dorsiflexion: 0-15 degrees
Inversion: 0-35 degrees
Eversion: 0-20 degrees

nbcot (19 decks)

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