Orthosis Flashcards
In a resting hand splint, how much wrist extension is normal?
What is the normal wear time?
30 degrees
8pm -> 8am
What is the hand position of a resting hand splint?
Thumb w/ palmar abduction and opposition
MCP, PIP, and DIP in slight flx
What is a resting hand splint and a pan splint used for?
preventing hand contractures
If a patient has a C5/6 injury and no hand function and needs a hand splint, where do you start
Resting hand splint
Whats the main difference between a resting hand splint and a pan splint
Wrist is in 10-20 degrees of ext
thumb is resting toward opposition
What is the function of Focus Rigidity Casting?
Used over night to prevent contractures
or use during the day to assist WB treatment
What does a Short Opponens Splint do?
Best position for thumb for tenodesis grasp
if wrist is extended, the hand goes into a finger pinch
What SCI level patients can don/doff this with modified independence, and might need help if they’re newly injured
C6
What is a universal cuff used for?
What is the typical wear time?
Insert used for feeding utensils, stylists, make up brushes
throughout the day during ADLs
What patients can benefit from a wrist driven orthotic?
how can they obtain one?
C6 SCI patients
perscription required
What is the wrist driven orthotic used for?
Wrist extension causes a tri-pod grasp
How should compression gloves be worn?
“inside out” with the seams on the outside
What kind of orthotic will a C5 or lower functioning C6 patient use in order to use utensils and other ADL devices
Wrist/hand orthotic w/ insert
Has metal wrist support and u-cuff
What kind of orthosis do you give a patient who needs significant wrist support during ADLs
when is it worn?
Cock up wrist splint
worn during day
What kind of orthosis might a c6 patient need in order to use their mobile device
single digit extension splint
When is this orthosis usually perscribed
if a patient has poor pronation/supination and needs their utensils held at a right angle
What kind of orthosis or brace do you give someone who has nerve pain, or just needs their wrist held in the optimal position
wrist stabilization brace
How should you assess a patient’s response to a new orthosis?
Don for ____________ and then………
Don for 60 minutes then assess if there’s redness after 15-20 minutes
how do we test if an orthosis is cutting off circulation
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
