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OCP Adults > Upper Extremity Orthosis > Flashcards

Upper Extremity Orthosis Flashcards

1
Q

Static splints have no moving parts and are used to ______

A

support, stabilize, protect or immobilize

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2
Q

 Static Progressive splints use _______ to create ______

A

adjustable components such as Velcro,
hinges, screws or turnbuckles

a mobilizing
force to improve motion

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3
Q

T or F the same static progressive splint can be used without remolding

A

True

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4
Q

Dynamic splints use _________ parts to permit, control or restore movement

 Critical Concepts

A

Moveable

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5
Q

The goal of dynamic splints is to

A

lengthen tissues

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6
Q

The forces generated by dynamic splints are generated by?

A

springs, spring wires, rubber

bands, or elastic cords

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7
Q

The two critical concepts of dynamic splints are:

  1. Force must be ___ load for an extended period of time
  2. Line of pull must be a ___ angle of segment being mobilized
A

low

90⁰

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8
Q

Considerations for orthotic selection

A

What is the primary problem?
What are the goals for splints use?
How will it affect the problem and overall client’s
function?
What benefits will the splint provide?
What limitations will the splint impose?
What evidence is available related to the splint?

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9
Q

Purpose of splints?

A

 1.Support a Painful Joint
 2. Immobilize for healing or to protect tissues
 3. Provide Stability or Restrict unwanted motion
 4. Restore Mobility
 5. Substitute for Weak or Absent Muscles
 6. Prevent Contractures or Modify Tone

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10
Q

PURPOSE OF A SPLINT #1
-Support a painful joint
-Often worn all day, night, or both or during certain
activities
-Should be removed at _____________throughout
the day

A

Intervals

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11
Q

SHOULDER

-Slings immobilize the whole arm in ___ and __ which is a ________________ position

A

IR

Adduction

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12
Q

ELBOW
-Counterforce braces change fulcrum position of
the tendon to _____________during contraction

A

Limit full expansion of the muscle

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13
Q

ELBOW
-Wrist splinted in _______ of extension and worn
with/without counterforce brace will allow
resting of muscles

A

30-45 degrees

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14
Q

SHOULDER

The primary purpose of shoulder slings is to prevent or correct ____

A

Subluxation

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15
Q

SHOULDER

  • Arm troughs/lapboards
  • Used when patient is ______
  • Allows appropriate positioning of the _____
A

in a wheelchair

scapula

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16
Q 
HAND/WRIST
- \_\_\_\_ hand splint to support wrist, fingers
and thumb
flexion
-Good for \_\_\_
A

Resting

RA

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17
Q

HAND/WRIST
-0-20⁰ wrist _________, 20-30⁰ of _________, 10-30⁰
PIP flexion, and slight DIP flexion,

A

Extension

MCP flexion

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18
Q

HAND/WRIST

  • Reduce pressure on joint capsules, synovial lining, and ____ structures
  • Can leave IP joints or Thumb ___
A

periarticular

free

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19
Q

HAND/WRIST
- ____splint is the most commonly prescribed splint for UE

 Functional position for hand
 Best for CTS is 10-15⁰ of extension

A

Wrist Cock-Up

20
Q

HAND/WRIST

- ____splint is the most commonly prescribed splint for UE

A

Wrist Cock-Up

21
Q

HAND/WRIST

-Wrist cock up splint places wrist in 10-30⁰ of _________ which is the _____ for hand

A

Functional position

22
Q

The best wrist position for carpal tunnel syndrome is __to____degrees of extension

A

10 to 15 degrees

23
Q

Thumb Spica
 Typically on ____ side of wrist or hand to immobilize
___ joint and/or MP joint

A

radial

CMC

24
Q

Thumb Spica
-Typically on ____ side of wrist or hand to immobilize
___ joint and/or MP joint

A

radial

CMC

25
Q

PURPOSE OF A SPLINT #2

  • Immobilize for ____ or to ___ Tissues
  • Protect after _____ or _____ of a fracture
A

Healing
Protect
surgery or immobilization

26
Q

PURPOSE OF A SPLINT #2
For hand or wrist: Incorrect application of a
splint or improper positioning while in a splint
may lead to both joint __________ and tissue __________

A

Contracture

Injury

27
Q 
Neutral or “Safe” position of
immobilization for the hand is:
-\_\_to\_\_\_ of wrist extension, , 
 DO NOT force joints into ideal position, but as close
to this position as possible
A

10-30⁰

28
Q

Antideformity or “Safe” position of
immobilization for the hand is:
MCP’s in ___ to ___ of flexion,

A

70-90⁰

29
Q

Antideformity or “Safe” position of
immobilization for the hand is:
IPs in __ to __ of flexion

A

0-15⁰

30
Q

Neutral or “Safe” position of
immobilization for the hand is:
Thumb in ______

A

palmar abduction

31
Q

For tendon repairs, _____ for Extensor Tendon

and for Flexor Tendon

A

Wrist Cock up

Dorsal Blocking

32
Q

PURPOSE OF A SPLINT #3
-Provide stability or restrict ____ when integrity has been compromised by an acute injury
or a chronic disease: arthritis.

A

unwanted motion

33
Q

PURPOSE OF A SPLINT #3
Can facilitate ____ of the limb
The ___ is considered to be key to function of the
hand

A

functional use

wrist

34
Q

PURPOSE OF A SPLINT #4
-Restore _____
-Corrects soft tissue or joint ___________ that occur
from poor positioning, trauma, scarring, or
increased muscle tone
-Redness and inflammation

A

Mobility

35
Q

PURPOSE OF A SPLINT #4

-Provide ___ for an extended period of time

A

low load

36
Q

PURPOSE OF A SPLINT #4
-Restore _____
-Corrects soft tissue or joint ___________ that occur
from poor positioning, trauma, scarring, or
increased muscle tone
-Redness and inflammation

A

Mobility

Contractures

37
Q

 Static Progressive Splinting
 Can be worn for ____ throughout the
day

A

shorter periods of time

38
Q

PURPOSE OF A SPLINT #4

  • ROM is gained not by tissue stretching but actual _______ _________________
  • Watch for signs of excessive stress
A

Tissue elongation

39
Q

PURPOSE OF A SPLINT #4
-Chronically stiff joints or fixed contractures
respond best to ___________________
——Person brought to end range and then progressively
——-stretched and recasted in stretched position

A

Serial casting

40
Q

Dynamic Splinting is more effective for _______
contractures
-Typically worn at ___ to not interfere with daily
activities

A

Large joint

Night

41
Q

-Static Progressive Splinting
-Can be worn for ____ throughout the
day

A

shorter periods of time

42
Q

PURPOSE OF A SPLINT #5
-Substitute for __________________muscles
-Assist clients to maximize function of an affected
UE
-Can be temporary or permanent
-Generally worn during the day or for a specific
functional task

A

Weak or absent

43
Q 
SHOULDER OR ELBOW
Mobile Arm support (MAS)
-Typically mounted to \_\_\_ but can be
attached to table top
-Used with SCI, MD, Guillain-Barre, ALS, and Polio
A

wheelchair

44
Q

-For Radial Nerve Palsy, _____
splint dynamically extends wrist, MCPs, and
thumb

A

Thomas suspension

45
Q

-Universal Cuffs or a ______ splint for

those with weak grip hold items for patient

A

Wanchik writing

46
Q

PURPOSE FOR A SPLINT #6
-Prevent Contractures or Modify ___

-____ positioning in the presence of a healing
wound, muscle imbalance, abnormal tone, or motor
disorders to prevent loss of ROM

A

Tone

Purposeful

OCP Adults (14 decks)

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