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OTB 520- Phys Dys > UE Position Orthotics > Flashcards

UE Position Orthotics Flashcards

1
Q 
Supportive devices are commonly prescribed to prevent what?
A
contracture
B
spasticity

C
subluxation
D
flaccidity

A

C

subluxation

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2
Q

Slings are most commonly prescribed to be held in what positon?

A
elbow flexion
B
elbow extenstion
C
shoulder ext rot
D
shoulder extension
A

A

elbow flexion

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3
Q

Wheelchair/chair attachments are widely used to……
A
minimally reduce subluxation

B
fully reduce subluxation
C
reduce spasticity
D
prevent further stroke complications
A

B

fully reduce subluxation

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4
Q

Lap tray, arm trough, triangular sling, and Harris sling are……..
A
encourage use of Bil UE
B
encourage use of intrinsic/extrinsic muslces
C
to improve strength

D
best devices for preventing subluxation

A

D

best devices for preventing subluxation

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5
Q

Beneficial for shoulder impingement, joint sprains, and multi-directional instability Reposition humeral head with tape to that it is in a neutral position (gives proximal stability of scapula) allows client to feel normal alignment Can result in immediate pain relief and improved ROM may encourage realignment of joint structures offers proprioceptive feedback What is this intervention?

A
taping
B
orthotic
C
sling
D
casting
A

A

taping

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6
Q

uses 3 pieces of tape helps prevent impingement, relocate humerus into socket, and propriceptive feedback placement of tape: 1) Mid humerus deltoid tuberosity across the scapula near T3 spinous process 2) Deltoid tuberosity across clavicle to mid clavicle 3) Deltoid tuberosity over acromion process to the neck results were immediate pain relief and improvements in ROM/ADL’s
A
California Tri pull method

B
Tri pull method
C
AC blocking
D
shoulder strapping
A

B

Tri pull method

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7
Q

Created by Kate hayner tape placement 1) Medial = 1 inch below deltoid tuberosity - 1 inch above acromial process 2) Posterior = 1 inch below deltoid tuberosity - 1 inch above spine of scapula 3) Anterior = 1 inch below deltoid tuberosity - 1 inch above coracoid process

A
California Tri pull method
B
Tri pull method
C
AC blocking
D
Shoulder Strapping
A

A

California Tri pull method

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8
Q 
This may improve muscle strength, joint alignment, spasticity, and sensory deficitys rationale is allows mm activity to maintain in the GH joint no significant evidence of pain reduction, did improve pain free PROM no negative effects found found to be most effective in preventing subluxation when used early within first 6 weeks of onset
A
taping
B
sling
C
orthotic

D
E-stim

A

D

E-stim

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9
Q

Used to maintain or increase the length of soft tissues by preventing or lengthening shortened tissues and preventing overstretching of the antagonist Used to correct biomechanical malalignment and protecting joint integrity Used to position the hand to assist in functional tasks Used to promote independence in specific areas of occupation Compensate for weakness by providing an external support what is this?

A
taping
B
sling

C
orthotic
D
E-stim

A

C

orthotic

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10
Q

Which is NOT a reason to prescribe an orthotic due to severe spasticity?

A
Skin Breakdown
B
edema

C
impingement
D
circulatory impairments

A

C

impingement

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11
Q

Evaluation: Extend the wrist with digits flexed, wrist in ext. and attempt to extend the digits (if this is achieved no tightness) Next flex the wrist palm downwards, if no change in available digit extension occurs pathologic joint condition (bony contracture) what are you evaluating

A
intrinsics
B
composite flexion

C
extrinsics
D
radial/ulnar deviation

A

C

extrinsics

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12
Q

What would the limiting factor be if evaluating extrinsics and no change in available digit extension occurs while the wrist is flexed?
A
tenodesis limitation

B
pathologic joint condition

C
extrinsic tightness
D
intrinsic tightness

A

B

pathologic joint condition

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13
Q

Evaluation: Normal: MCP are flexed and IP joints are extended (shortened in this position) Normal: MCP are extended and IP are flexed Hold MCP joint in ext and attempt to flex the PIP joint what are you evaluating

A
intrinsics
B
composite flexion
C
extrinsics
D
radial/ulnar deviation
A

A

intrinsics

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14
Q

full passive composite wrist and digit flexion are not attainable
A
extrinsic flexor tightness

B
extrinsic extensor tightness
C
intrinsic tightness

A

B

extrinsic extensor tightness

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15
Q

full passive composite wrist and digit exentsion are not attainable

A
extrinsic flexor tightness
B
extrinsic extensor tightness
C
intrinsic tightness
A

full passive composite wrist and digit exentsion are not attainable

A
extrinsic flexor tightness
B
extrinsic extensor tightness
C
intrinsic tightness
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16
Q 
PIPs & DIPs can be fully passively flexed when MCP’s are in a position of flexion (puts the interossei on slack) PIPs & DIPs cannot be fully passively flexed when MCP’s are in a position of extension
A
extrinsic flexor tightness
B
extrinsic extensor tightness

C
intrinsic tightness

A

C

intrinsic tightness

17
Q

when the tissue is held in a low lengthened position for a total end range time
A
high load prolonged stretch (HLPS)

B
low load prolonged stretch (LLPS)
C
high load short stretch (HLSS)
D
low load short stretch (LLSS)
A

B

low load prolonged stretch (LLPS)

18
Q 
How often must an orthotic be adjusted to ensure a prolonged stretch is occurring?
A
daily
B
hourly
C
monthly

D
weekly

A

D

weekly

19
Q 
Total End Range Time (TERT) starts at 1-2 hours, 3-4 hours, then progresses to holding the stretch for how long?
A
10-12 hours
B
5-6 hours

C
6-8 hours
D
8-10 hours

A

C

6-8 hours

20
Q 
Forearm neutral (midway between supination and pronation) Wrist 10 - 15 degrees of ext Thumb slight ext and abd, MCP and IP flexed 15 - 20 degrees 2nd metacarpal aligned w/ radius Digits: all joints in slight (10-20 degrees) flexion Palmar arch maintained normal posture of......
A
proximal UE
B
glenohumeral joint

C
distal UE
D
distal LE

A

C

distal UE

21
Q

flattened palmer arches passive digit extension shortened collateral ligaments @ MPs narrowed thumb web space decreased grip decreased wrist deviation ROM Edema shortening of wrist & extrinsic digit flexors lengthening of wrist & extrinsic digit extensors These are deviations of what motion after stroke?

A
wrist flexion

B
wrist and digit flexion
C
extreme ulnar deviation
D
loss of palmar arches
A

A

wrist flexion

22
Q 
decreased wrist extension shortened tissues ulnar deviators lengthened tissues radial deviators shift of carpal rows These are deviations of what motion after stroke?
A
wrist flexion
B
wrist and digit flexion

C
extreme ulnar deviation
D
loss of palmar arches

A

C

extreme ulnar deviation

23
Q 
decreased grip decreased dexterity These are deviations of what motion after stroke?
A
wrist flexion
B
wrist and digit flexion
C
extreme ulnar deviation

D
loss of palmar arches

A

D

loss of palmar arches

24
Q 
Clinical reasoning followed for deciding on what style and type of orthosis to fabricate
A
decision-making chart
B
decision-making graph

C
decision-making tree
D
decision-making table

A

C

decision-making tree

25
Q 
Which deformities should you try and correct first when using an orthotic
A
distal deformities
B
superior deformities
C
inferior deformities

D
proximal deformities

A

D

proximal deformities

26
Q
  • Check for abnormal pressure points - Decide then the ________ will be worn - _______ for comfort - Use positional ________ only as an adjunct as it is important pt experiences full ROM, ROM needs to be monitored - Make wearing schedules practical for compliance of pt and staff - Realistic expectations - Be sure to educate pt on purpose of device What are these general guidelines for and what goes in the blanks?
A
orthotic
B
sling
C
cast
D
taping
A

A

orthotic

OTB 520- Phys Dys (12 decks)

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