compression or "Saturday night palsy" sleep stress on n. or comp due to humeral shaft fx.
"wrist drop"
median n. injury splint
opponens splint
C-bar (maintain 1st web space and prevent contractures) or thumb post splint
ulnar n. injury splint
dynamic/static splint to position MP's in flexion
combined median ulnar splint
figure-of-eight or
dynamic MCP flexion splint
Spinal cord (C6-C7) splint
tenodesis splint
Carpal Tunnel Syndrome Splint
Describe
wrist splint neutral
numb, tingling, thumb, index, middle, and radial half ring
paresthesias at night
drop things
Positive Tinel's at wrist
Positive Phalen's sign (hold dorsum of hands together and press)
Cubital tunnel syndrome splint
Describe
Elbow splint @ 30 degrees flex
especially at night
2nd most common comp. problem
leaning on elbow in extreme flex.
numb/tingling ulnar aspect forearm
pain @ elbow with extreme flex.
weak power grip
positive tinel's sign at elbow
DeQuervains Splint
Describe
thumb spica splint includes wrist-IP's free
Most common cumulative trauma disorder
Stenosing tenosynovitis of the abductor pollicis longus & extensor pollicis brevis
Pain & swelling over radial styliod
Positive Finkelstein Test (tuck thumb in and compete ulnar deviation)
Skier's thumb splint
Describe
UCL hand based thumb splint
Rupture of ulnar collateral ligaments of the MCP of the thumb
CMC arthritis splint
hand based thumb splint
Ulnar Drift Splint
Ulanr Drift splint
Flexor tendon injury
dorsal protection splint
Swan neck
Describe
sliver rings or buttonhole splint
hyperextension of PIP
flexion DIP
Boutonniere Splint
silver rings or PIP extension splint
flexion PIP
hyperextension DIP
Arthritis splints
functional splints
safe splint
depends on stage
Flaccidity
resting splint
spasticity
spasticity splint
cone splint
muscle weakness
ALS, SCI, Gullian Barre
Balances forearm orthosis (BFO)
deltoid sling
suspension sling
Mounts to W/C
Must have shoulder or trunk movements
Burns-Hand Splints
Wrist 15-30 ext
MCP 50-70 flex
IP full extension
Thumb abd. & extended
Burns to volar surface of hand splint
causes flex contractures
Wrist 0-30 flex
MCP neutral, slight extension & abd.
IP full extension
thumb abd. & extended
Splint for Web space burn
c-splint
Bobath Finger spreader
abduction splint
inhibitory/tone normalizing
fingers & thumbs abducted to decrease tone
Rood Cone
Roods inhibitory principle of sustained deep pressure
cone-shaped splint used to decrease flexor spasticity in hand
Orthokinetic splints
Utilizes tactile input (via elastic bandages) to facilitate or inhibit opposite muscle groups.
Spasticity reduction splint
places spastic extremity on submaximal stretch to decrease spasticity
Overhead suspension sling
supportive orthosis
arm support that is supported by sling ans suspended by overhead rod
For ind. with proximal weakness (ALS, lateral sclerosis, Gullian Barre)
Must have muscle grade 1/5 to 3/5
Balanced forearm orthosis
mobile arm supports or ball-bearing forearm orthosis
supportive orthosis
consists of:
1) arm trough
2) proximal and distal arms
3) support braket
Allows pt. with weak mus. to utlilize available control of trunk and shoulder to engage in fun. tasks.
Shoulder slings
supportive orthosis
support flaccid arm after neuro insult for short, controlled period of time
long-term use is detrimental leading to soft tissue contractures, edema, pain syndromes
support may be utilized on W/C
-position flaccid arm on lapboards, arm troughs, etc
cock-up splints
supports
wrist 10-20 ext. to prevent contracture
allows digits to function
supports flaccid wrist
When fabricating & checking for sites of pressure on a resting hand splint, need to check bony prominences of ________, _______, &________
styloid process
head or radius
thumb CMC joints
Purpose of burn hand splints
prevent stress on the tendons & ligaments, while decreasing edema secondary to avoidance of dependent positioning.
T/F When making a splint for CTS, you should trim the lines distal to the MCP crease.
F-trim lines should extend proximal to the MCP crease to allow for full MCP extension & flexion
T/F The most appropriate static splint to assist with maintenance of functional hand & finger position while keeping soft tissues of hand in mid-range is a resting pan splint.
T-
T/F A bivalve cast is typically utilized when circumferential pressure of a body part is required to maintain a desired position.
Areas that typically benefit from this is digits, wrists, & knees
T
T/FWrist cock-up splint impacts the position of the entire hand due to it's distal aspect terminating at DIP
F- the wrist-cock up does not impact the position of the entire hand as the distal aspect terminates at the MCP crease
Carpal tunnel splint should have the wrist in ________ degrees of ________ & _________deviation
2 degrees flexion
ulnar deviation
neutral wrist splint
when using an antispasticity splint, its most important to check that redness disappears after _______min of removing the splint
20min.
Overhead suspension sling
Used with ind. with proximal weakness (Gullian Barree, ALS)
Muscle grades of 1/5 to 3/5.
T/F For child with bilateral thumb-in-palm deformities, it is best to use a neoprene glove with thumb in opposition for functional hand use.
