Splints Flashcards
1
Q
STATIC DORSAL BLOCKING SPLINT
A
- Positioned in wrist and MCP flexion with PIP/DIP extension
- Restricts Wrist/MCP extension
- Protective Night Splint
- Who needs it ?
- Night time protection
- Children less than 7 to 10 years of age
- Cognitive impaired
- Impulsive or overzealous
- Unmotivated
2
Q
BLOCKING SPLINT WITH DYNAMIC TRACTION
A
- Allows early motion in splint
- Elastic strap that attached to the nail of repair finger
- Active finger extension (to a limit)
- Passive finger flexion to prevent contracture
3
Q
DORSAL TENODESIS SPLINT WITH WRIST HINGE
A
- Worn exclusively for the exercise sessions
- Allows full wrist flexion and:
- limited wrist extension (30o)
- MCP (60o) flexion
- PIP/DIP in full extension
- Allows for early active and passive exercises
4
Q
What is proper positioning for flexor tendon repair?
A
- Wrist flexion = 10 - 45*
- MCP flexion = 40 - 70*
- PIP/DIP = 0*
5
Q
Exercise during Max Protection Phase (5-6 weeks)
A
Dorsal blocking splint throughout the day and static splint at night to avoid contracture.
- Early Controlled Active Motion =
- Place and hold exercises of Submaximal isometric muscle contractions (controlled stress)
- With the MCP’s in flexion, the therapist passively places the IP’s into partial flexion
- The patient sustains a minimum static contraction for 5 seconds.
6
Q
Early exercises
A
- Early Controlled Active Motion
- Dynamic Short-Arc Minimum Muscle Tension Exercises
- Active minimum tension exercises of short range performed with the wrist into slight extension.
- Performed also in the loosened dorsal blocking splint or the tenodesis splint
