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67 Cards in this Set
- Front
- Back
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one part that is used as an application when a patient has injuries involving the upper extremities |
UE orthosis |
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MC affected joints in UE |
Fingers and Wrist |
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2 types of UE orthosis |
Static Dynamic |
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Classifications for functions of UE orthosis |
Flexion Extension Abduction Adduction Rotation |
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Regions in UE orthosis |
Volar or Dorsal Joints are crossed |
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When the joints are crossed what orthosis can be used |
Finger/Thumb splint Wrist Splint Wrist hand orthosis (WHO) Elbow (WHO) Shoulder (elbow WHO) |
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Purpose of splinting: static |
Immobilize or support Help prevent deformity Prevent soft tissue contracture allow attachment of assistive devices block a segment |
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Basic components of static splints |
C-bar Connector Bar Cuff or Strap Deviation Bar and Pan Forearm through Anatomic bars Thumb Post Thumb through Blocks |
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helps position a certain muscle, part of joint, basically to maintain a position. |
Location -> name |
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To position the thumb in opposition to the index finger and maintain the webspace b/t the thumb and index finger |
C-Bar |
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Connects from the main orthosis to the segmental part of the orthosis (e.g., DIP or PIP joints) |
Connector Bar |
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Provides support to hold the position of an orthosis para pwedeng maconnect, iadhesive, or ihold yung position para maprevent ang falling/paglaglag ng joint at improper positioning |
Cuff or Strap |
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The cuff or straps are usually made up of? |
Velcro |
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usually seen on the the fingers and is located on fingers and extremities |
Deviation Bar |
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Provides support on the volar surface of fingers, hands and wrist. |
Pan and Thumb Trough |
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Provides support on the volar or dorsal surface (volar surface trough / volar forearm trough) |
Forearm Trough |
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Types of anatomic bars |
Hypothenar Bar Metacarpal Bar Lumbrical Bar Opponens Bar |
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Used to maintain the position into flexion of the thumb |
Thumb Post |
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Solid surface used to block the affected segment of the whole dorsal or volar surface No movement can be performed by the patient |
Blocks |
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Finger and Thumb Orthosis types |
DIP PIP |
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Hand Orthosis |
Volar or Dorsal Hand Orthosis Universal Cuff |
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WHO - Wrist Hand Orthosis |
Cock-up splint Resting Hand Splint Thumb Spica Anti-spasticity Splint |
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Treatment Goals |
Prevent or decrease edema Assist in wound healing Relieves pain Allows relaxation Avoid muscle jamming or injury |
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Function of Finger orthosis (DIP) |
Limit the motion of the DIP joint |
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Used para ma-prevent yung certain position and to allow movement sa vice versa na position ng pini-prevent niya |
Static three point orthosis for boutonniere defomity |
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Used for boutonniere defomity |
Finger orthosis (PIP) Static Three point orthosis |
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Other examples of Finger Orthosis (PIP) |
Immobilize Swan Neck Mallet finger Trigger Finger Boutonniere Lateral Deviation |
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Ginagamit na assistive technology associated sa mga devices (pwedeng ang isang orthosis ay ilagay sa isang device para maging-functional siya, aka assistive device) |
Universal Cuff |
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Maintain the wrist in the neutral or mildly extended position. Immobilizes the wrist while allowing full MCP flexion and thumb mobility. |
Wrist Cock-up Splint (WHO) |
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Contraindications for Wrist Cock-Up Splint |
Active MCP synovitis (Rheumatoid Arthritis) |
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Stronger mechanical support of wrist and freeing up some of the palmar surface for sensory input and is better tolerated by edematous hand |
Dorsal Wrist Cock-Up splint |
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used for pt with problems w/ wrist mvt during wrist ulnar/radial deviation and to retard further deformity |
Resting Hand Orthosis |
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Special considerations |
For Burns Preventing infection Pts in the ICU RA pts benefit from thin thermoplast <1/8 inch |
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Help stabilize CMC, MCP, and IP joints |
Thumb spica splint |
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Types of thumb spica splint |
Volar Dorsal Radial Gutter |
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Antispaticity splints platform design types |
Volar based platform Dorsal Based platform |
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Finger and thumb position for antispasticity splints |
Finger spreader Cones |
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Meron siyang freely moving space area sa may elbow space |
Static dorsal elbow orthosis |
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UE orthosis |
Static dorsal elbow orthosis Shoulder sling Humeral Fracture brace Airplane Splints |
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The most basic in UE orthisis |
Shoulder Sling |
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prevent rotation of the humerus |
Humeral Fracture Brace |
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hold a certain joint in a position, applicable with patients with burns |
Airplane Splints |
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Purpose of splinting: Dynamic |
Provide controlled directional movement Aid in fracture alignment and wound healing To substitute for loss of motor function To correct an existing deformity |
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Basic components of Dynamic Splinting |
Outrigger Dynamic Assist Finger cuff Reinforcement bar Fingernail attachments Phalangeal bar/finger pan |
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Dynamic Splints include? |
Dynamic Finger extension splint Dynamic wrist extension splint Tenodesis training Dynamic ulnar nerve splint Capener Anti-microstomial splint |
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Other name for Dynamic Finger Extension splint |
Dynamic radial nerve splint |
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Objectives of Dynamic Finger Extension splint |
Immobilize the wrist in functional position Passively extend the MCP to 0 Permit full active MCP flexion and unrestricted IP motion |
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Indications for Dynamic Finger Extension Splint |
PNI Paralysis of wrist, MCP, finger extensor |
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Advantages of Dynamic finger extension splint |
Relatively has a less obtrusive shape as compared to the outrigger design (looks like a puppet) The hand can be slipped through a loose sleeve with the orthosis on; freely moving hands |
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Dynamic wrist extension splint objectives |
Passively extends the wrist while allowing wrist flexion To prevent contracture of unopposed, innervated wirst flexors |
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Dynamic Wrist Extension splint indications |
Weak or paralyzed wrist extensors |
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Components of dynamic wrist extension splint |
Metacarpal bar Dynamic springwire Knucklebender assist Volar Forearm Trough |
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Where MCP jts rest |
Metacarpal bar |
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Provides assistance/movement |
Dynamic springwire knucklebender assist |
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Where forearm rests |
Volar forearm through |
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Aso known as dynamic anti-claw deformity splint or wynn sperry splint |
Dynamic Ulnar Nerve Splint |
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Objectives of Dynamic Ulnar nerve splint |
To passively flex the 4th and 5th MCP/PIP jt To prevent shortening of the MCP collateral ligaments To promote active IP flexion |
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Dynamic ulnar nerve splint indications |
Ulnar nerve lesion, deformities, neuropathies |
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Parts of Dynamic Ulnar Nerve splint |
Metacarpal bar Dynamic springwire knucklebender assist Lumbrical bar |
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Dynamic spring wire splint for PIP extension |
Capener splint |
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Objectives of capener splint |
To passively extend the PIP Allows active IP flexion Provide stability to PIP Promote restabilization of lateral bands and prevent rupture of the central slip |
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Advantages of capener splint |
No profile Plain/minimalist design |
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Indications for Capener splint |
PIP flexion contracture PIP dorsal dislocation Volar plate injury Flexor tendon repair with resulting PIP flexion contracture Partial or complete tear of the collateral ligament Boutonniere deformity |
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anti microsomal splint objectives |
To apply stretch to tissues surrounding the oral cavity while permitting speech To prevent contractures of lip and buccal tissues that may lead to limitation in oral opening |
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Indications of Anti microsomal splint |
Facial and perioral burns |
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Wearing regimen of anti microsomal splint |
Continuously worn Taken off only for cleaning |
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Precautions for antimicrosomal splint |
The corners of the lips are prone to skin breakdown with improper fit and tension of the splint |
