Transcript splints - Pass The OT

Splints for the NBCOT
Stephanie Shane OTR/L
NBCOT Tutor
C bar splint
Median Nerve Injury
Used to maintain web space
No joint stabilization
Flail arm splint
Brachial Plexus Injury (BPI)
Thumb Extension Splint
Radial Nerve Palsy
Opponens splint
Median Nerve Injury
thumb posterior splint
Median Nerve Injury
Ulnar Nerve Injury
Ulnar Nerve Injury Splint
Ulnar Nerve Splint dynamically flexes the MP
joints of the ring and little finger to allow
functional use of the hand
Spinal Cord c6-c7
Tenodesis splint
Carpal Tunnel Syndrome
Wrist splint positioned 0-15 degrees
extension
Thumb Spica Splint
Ulnar Deviation Splint
Ulnar Drift
Duran dorsal protection splint
Flexor tendon injury
Radial nerve palsy
tendinitis/tenosynovitis
wrist fracture
Silver rings
Swan Neck Deformity
Boutonniere
Resting splint
Flaccidity
Cone Splint
Spasticity
Airplane Splint
Burns
ulnar gutter splint
median nerve compression
(CTS)
Volar splint with the wrist in a neutral
carpal tunnel release surgery
radial nerve palsy
tendinitis/tenosynovitis
rheumatoid arthritis
wrist fracture
general considerations of splinting
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Comfort
- Function
- Cosmesis
- Patient acceptance and compliance
- Patient education
- Tratment plan integration
common splinting precautions
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Preexisting skin problems
-Bony prominences
-Friction
-Pressure spots
NBCOT QUESTIONS
• When assessing an individual who is
suspected of having carpal tunnel syndrome,
the OT tests for Tinel’s sign by gently tapping
the median nerve at the level of the:
– elbow
– mid-forearm
– palmar crease
– carpal tunnel
• An OT practitioner documents that an individual exhibits
elbow flexion strength of grade 1. according to the manual
muscle test system of letters and numbers, the word that
would be the equivalent of grade 1 would be:
– absent
– trace
– good
– normal
• An individual is able to complete the full range of shoulder
flexion while in a side-lying position during an evaluation.
However, against gravity, the individual is not quite able to
achieve 75% of the range for shoulder flexion. This muscle
should be graded as:
– Good (4)
– Fair (3)
– Fair minus (3-)
– Poor plus (2+)
• A method that an OT practitioner can use to document total
finger flexion without recording the measurement in degrees
would be to measure the:
– Passive flexion at each joint and total the numbers.
– Distance from the fingertip to the distal palmar crease
with the hand in a fist.
– Active flexion at each joint and total the measurements.
– Distance between the tip of the thumb and the tip of the
fourth finger.
• An OT practitioner is assessing the range of
motion of an individual who actively
demonstrates internal rotation of the shoulder
to 70 degrees. The practitioner would MOST
likely document this measurement as:
– Within normal limits.
– Within functional limits.
– Hypermobility that requires further treatment.
• An OT practitioner measures an individual’s
elbow PROM three times, and gets three
different measurements, varying by up to 10
degrees. The BEST action for the therapist to
take is to:
– Check the alignment of the goniometer.
– Use a larger goniometer.
– Use a smaller goniometer.
– Attempt to force the individual’s arm further into
flexion.
• An OT practitioner is evaluating two-point discrimination in an
individual with median nerve injury. The MOST appropriate
procedure is to:
– Apply the stimuli beginning at the little finger and
progress toward the thumb.
– Test the thumb area first, then progress toward the little
finger.
– Present test stimuli in an organized pattern to improve
reliability during retesting.
– Allow the individual unlimited time to respond.
• An individual’s PIP joint appears flexed, and
the DIP joint appears hyperextended. The OT
can BEST document this condition as a:
– Mallet deformity.
– Boutonniere deformity.
– Subluxation deformity.
– Swan neck deformity.