Orthosis Flashcards

1
Q

In a resting hand splint, how much wrist extension is normal?

What is the normal wear time?

A

30 degrees

8pm -> 8am

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2
Q

What is the hand position of a resting hand splint?

A

Thumb w/ palmar abduction and opposition

MCP, PIP, and DIP in slight flx

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3
Q

What is a resting hand splint and a pan splint used for?

A

preventing hand contractures

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4
Q

If a patient has a C5/6 injury and no hand function and needs a hand splint, where do you start

A

Resting hand splint

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5
Q

Whats the main difference between a resting hand splint and a pan splint

A

Wrist is in 10-20 degrees of ext

thumb is resting toward opposition

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6
Q

What is the function of Focus Rigidity Casting?

A

Used over night to prevent contractures

or use during the day to assist WB treatment

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7
Q

What does a Short Opponens Splint do?

A

Best position for thumb for tenodesis grasp

if wrist is extended, the hand goes into a finger pinch

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8
Q

What SCI level patients can don/doff this with modified independence, and might need help if they’re newly injured

A

C6

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9
Q

What is a universal cuff used for?

What is the typical wear time?

A

Insert used for feeding utensils, stylists, make up brushes

throughout the day during ADLs

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10
Q

What patients can benefit from a wrist driven orthotic?

how can they obtain one?

A

C6 SCI patients

perscription required

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11
Q

What is the wrist driven orthotic used for?

A

Wrist extension causes a tri-pod grasp

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12
Q

How should compression gloves be worn?

A

“inside out” with the seams on the outside

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13
Q

What kind of orthotic will a C5 or lower functioning C6 patient use in order to use utensils and other ADL devices

A

Wrist/hand orthotic w/ insert

Has metal wrist support and u-cuff

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14
Q

What kind of orthosis do you give a patient who needs significant wrist support during ADLs

when is it worn?

A

Cock up wrist splint

worn during day

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15
Q

What kind of orthosis might a c6 patient need in order to use their mobile device

A

single digit extension splint

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16
Q

When is this orthosis usually perscribed

A

if a patient has poor pronation/supination and needs their utensils held at a right angle

17
Q

What kind of orthosis or brace do you give someone who has nerve pain, or just needs their wrist held in the optimal position

A

wrist stabilization brace

18
Q

How should you assess a patient’s response to a new orthosis?

Don for ____________ and then………

A

Don for 60 minutes then assess if there’s redness after 15-20 minutes

19
Q

how do we test if an orthosis is cutting off circulation

A

if there’s redness on the skin, see if it turns white when you press it

if not, then the orthosis was cutting off circulation