Upper Limb Bracing

Question 1

Shoulder elbow wrist orthosis (airplane SEWO)

Answer 1

fx: transmits weight of upper limb to pelvis
idc: rotator cuff repairs, AP cap repairs, axially burns,

Question 2

Shoulder elbow orthosis (gunslinger orthosis)

Answer 2

fx: supports painful shoulder or brachial plexus injury. . Places hand in position for functional activities.

Inc: brachial plexus injury, subluxing glenohumeral joint.

Question 3

Antideformity position of the hand

Answer 3

slightly more wrist extension, MCP flexion and palmar abduction, but fingers straight.

Question 4

Short Opponens

Answer 4

fx: maintain hand in functional position. Thumb in opposition and abduction.

No orthotic wrist control.

Indications:
Inflammation of thumb
median nerve lesion
C6-C7 SCI

Question 5

Ratchet wrist hand orthosis

Answer 5

fx: Wrist position can be changed for different activities, . Achieve pinch by pressing nob attached to device with chin or other hand.
idc: total paralysis or severe weakness of hand and wrist. Must have at least poor shoulder and elbow control. C5 quad.

Question 6

Elbow orthosis

Answer 6

Fx: reduce soft tissue contractors. Incorporates at least one mechanism of increasing range of motion.

Ind: SCI

Question 7

When to apply an Outrigger bar to a WHO

Answer 7

Combination of MCP extension stop with PIP extension assist to prevent claw hand.

Question 8

Wrist Driven wrist hand orthosis (WDWHO)

Answer 8

Uses functional tenodesis to allow for grasp.

Indications: C6-C7 SCI with 3- to 3+ wrist extensor strength.

Question 9

Resting hand splint

Answer 9

fx: keeps hand fixed in a C shaped pattern to prevent contractors and maintain webspace. It can also reduce pain and inflammation.

Idc: Flaccid hand, burns, trauma to hand or wrist.

Question 10

3 different types of orthoses

Answer 10

Immobilization

Mobilization

Restriction

Question 11

Functional position of the hand

Answer 11

20-30 degrees of wrist extension

40 degrees of MCP flexion

45 PIP

Thumb in palmar abduction

Question 12

Wrist Hand Orthosis

Answer 12

fx: same as short opponens with additional wrist stabilization.

Indications:
Dequervain's tenosynovitis
median and ulnar nerver lesions
C5-C6 lesions
Pathology of wrist thumb joint. 
Scaphoid or bennett's fx.