Day 2- Orthotics of the Wrist and Hand

Question 1

Wrist Cock-up or Extension Immobilization Type 0 Splints are another name for this type of splint?

Answer 1

Wrist Immobilization Splint

Question 2

The Wrist Immobilization Splint puts the wrist into what degrees of extension?

Answer 2

0-30

Question 3

T/F: in a Wrist Immobilization Splint you should be able to completely oppose your thumb?

Answer 3

True

Question 4

T/F: in a Wrist Immobilization Splint, the thumb has full mobility and MCP flexion?

Answer 4

True

Question 5

What type of splint is the typical base for a dynamic splint?

Answer 5

Wrist Immobilization Splint

Question 6

Where can a Wrist Immobilization Splint be applied on the forearm?

Answer 6

volar
dorsal
ulnar
circumfrential

Question 7

3 features of the Wrist Immobilization Splint?

Answer 7

FA trough
hypothenar bar
Metacarpal bar

Question 8

What should the dimensions of the FA trough be on the Wrist Immobilization Splint?

Answer 8

2/3 length of FA

1/2 circumference of the FA

Question 9

Which arch does the metacarpal bar on the Wrist Immobilization Splint support?

Answer 9

Transverse Arch

Question 10

The hypothenar bar of the Wrist Immobilization Splint should not inhibit what movement?

Answer 10

Thumb MCP flexion

Question 11

The matacarpal bar of the Wrist Immobilization Splint should not cover what two anatomical landmarks?

Answer 11

distal palmar crease

thenar crease

Question 12

An orthotics prescription should include what 4 things?

Answer 12

1. wearing schedule
2. orthotic maintenance instruction
3. orthotic precautions
4. exercise program

Question 13

What anatomical landmarks do we need to mark when creating a pattern for a Wrist Immobilization Splint?

Answer 13

Mark 2nd and 5th MCP heads
1st webspace and CMC joint
Ulnar and Radial styloid
2/3 down the FA on both sides

Question 14

Resting hand orthoses is another name for this splint?

Answer 14

hand immobilization orthoses

Question 15

3 purposes for the Hand Immobilization Orthoses?

Answer 15

1. immobilize
2. position in functional alignment
3. prevent further deformity

Question 16

T/F: in a Hand Immobilization Orthoses, the thumb is alway included?

Answer 16

False

Question 17

2 types/positions of a Hand Immobilization Orthoses?

Answer 17

1. functional position

2. antideformity position

Question 18

What is the functional position for a Hand Immobilization Orthoses?

Answer 18

20-30* degrees extension
45* palmar abduction
MCP flex 35-40*
PIP and DIP slightly flexed

Question 19

What is the antideformity position for a Hand Immobilization Orthoses?

Answer 19

15-20* wrist extension
in b/w palmar and radial abduction
thumb IP in full extension
PIP and DIP in full extension
MCP flexed b/w 60-70*

Question 20

4 features of the Hand Immobilization Orthoses?

Answer 20

1. FA trough
2. Pan
3. Thumb Trough
4. C bar

Question 21

What does the pan on the Hand Immobilization Orthoses do?

Answer 21

support the fingers and the palm

Question 22

What is the function of the C Bar on a Hand Immobilization Orthoses?

Answer 22

To keep the thumb into palmar abduction; prevents the thumb from getting tight

Question 23

What is the function of the thumb trough on the Hand Immobilization Orthoses?

Answer 23

to support the thumb