CRO & UE Flashcards
What is synostotic plagiocephaly?
sutures fused early
The FDA has classified the cranial remolding orthosis as a class __ device
class 2
The male to female ration of plagio is:
3 male:1 female
What % of normal skull growth is achieved by 12 months?
85%
Positional plagio does not normally resolve itself after __ months of age
5 months
Including the auditory ossicles, how many bones make up the skull?
28
The best treatment period for an infant w/ plagio is:
3-8 months
About 80% of children w/ plagio show some sort of torticollis - t/f?
true
What nerve is affected with ape hand deformity?
median
What nerve is affected with wrist drop?
radial
What is normal position for the wrist and arm in a WHO?
15-30* wrist extension
neutral pronation/supination
What residual function would you expect with a complete C6 cervical lesion?
wrist extension
What is your orthotic recommendation for C6 complete cervical lesion?
wrist driven flexor hinge splint
How does a wrist driven splint work?
tenodesis action from wrist extension to grasp
Name 4 of the 6 prehension patterns
spherical tip palmar cylindrical hook lateral
A thumb post should hold the thumb in what position?
oposition to index and second fingers
What type of orthotic device(s) would you use for a patient with a complete C5 lesion?
static WHO
mobile arm supports
What type of orthosis would you use for an intrinsic minus hand?
HO
What is clonus?
a rapid alternating involuntary movement elicited by stretch
How many cervical neural segments are there?
eight
At neural segmental level of spinal cord lesion there will always be return of reflex action – t/f?
false
Describe a rotator cuff injury.
damage to the SITS muscles in the shoulder
What is your orthotic recommendation for rotator cuff?
immobilize shoulder in slight abduction
airplane splint
Describe Erb’s palsy and make orthotic recommendations.
avulsion of C5-C6 roots resulting in flail arm
gunslinger orthosis to position hand and support shoulder
What type of neural injury normally results in flaccid paralysis?
peripheral nervous system injuries
What muscle flexes, abducts, extends, and supports the shoulder joint?
deltoid
What should one of your primary concerns be in upper extremity orthotics for SCI?
insensate skin sensitive to pressure
What orthosis would you recommend for a hand with lumbricals, interossei, and thumb abduction out? Why?
HO w/ C bar and MP ext stop to maintain thumb web space, flex MPs allowing long extensors to extend IP and DIP
Describe the etiology of CTS.
compression of the median nerve in the carpal tunnel
How would you treat a mid-humeral fracture with radial nerve lesion?
humeral fx brace w/ positional cock up splint and sling
