dynamic splints Flashcards
purpose of dynamic splints
substitute loss of motor function
correct an existing deformity
controlled movement
fracture alignment and wound healing
discuss considerations for physiologic considerations
too much tension - fatigue, injury
too little tension - atrophy, weaken, contractures
enough - 3° gain of ROM per wk; 1-10° is acceptable
discuss outrigger bars
lagpas sa splint
attachment for elastics or springs
discuss dynamic assist
can be rubber band, spring or elastics
what are finger cuffs
used for tendon repairs
what are reinforcement bars
gives more stiffness
what are fingernail attachments
parang braces pero for fingers
discuss phalangeal bar and finger pan
phalangeal bar - over the phalanges
finger pan - supports fingers
discuss dynamic finger extension splint
aka dynamic radial nerve splint
- for radial nerve problem; extensor paralysis
immob wrist in functional pos
passively ext the MCP to 0
permits MCP flexion and IP motion
discuss dynamic wrist extension splint
passively ext wrist while allowing flexion
prevents contracture of innervated flexors
for weak or paralyzed extensors
discuss tenodesis training splint
trains tenodesis grasp
promote tripod pinch c wrist ext
allow opening c flexion
C6 quadriplegia c gr 3 wrist extensors
discuss dynamic ulnar nerve splint
anti-claw deformity for ulnar nerve lesion
passively flex 4th and 5th MCP
prevent shortening of MCP collateral ligaments
promote active IP flexion
discuss capener splint
passive PIP extension and allows ative IP flexion
restab for central slip ruptires
PIP flexion contracure
PIP dorsal disloc
volar plate injury
flexor tendon repair
collateral lig tear
boutonniere
