Clincal Guidelines for Conditions or Diagnoses

Question 1

Fracture

Answer 1

Splint above & below the fracture.

x6 weeks to heal. (can be split half cast/half splint)

Question 2

Tendonitis

Answer 2

Immobilize for 24/7 x2 weeks to calm inflammation.

Followed by prn for aggravating activity.

Question 3

Osteoarthritis (OA)

Answer 3

Rest at HS to calm inflammation.

Minimize joint movement during aggravating activity.

Question 4

Rheumatoid Arthritis (RA)

Answer 4

Common deformity is ulnar deviation at MP’s which need support.

Question 5

Tendon or Nerve Repairs

Answer 5

If repaired need to keep in shortened position during healing to prevent breakage at repair site.

Question 6

Carpal Tunnel Syndrome

Answer 6

CT has the most space when the wrist is at 0 degrees.

Question 7

Spasticity

Answer 7

Abduction reduces spasticity.

Soft objects increase spasticity while hard pressure reduces tone.

Question 8

Burn

Answer 8

Goal is to prevent or correct scar contracture.
Early on- only immobilization tolerated (preserve ROM).
Focus on maintaining web space and lumbricale length (MO at 60 degrees)

Question 9

Pediatrics

Answer 9

Developmental Age- avoid chocking hazards.
Compliance- less easily removed strapping.
Sensory Issues- Pts. are less tolerant of heat and will not tell you if it hurts.