Splints

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Author:
chalford23
ID:
227360
Filename:
Splints
Updated:
2013-08-03 21:23:21
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Splints
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Description:
Splints UE
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  1. Resting hand splint
    • Wrist 10-20 ext
    • MCP 30-45 flex
    • IP 0-20 flex
    • Thumb abd.
  2. Safe Position hand splint
    • wrist 20-30 ext
    • MCP 50-70 flex
    • IP extension
    • Thumb abd & extended
  3. Brachial Plexus Injury Splints
    Flail arm splint
  4. Radial N. Palsy Splint
    Radial N. Palsy Definition
    dynamic wrist, finger, & thumb extension splint

    • compression or "Saturday night palsy" sleep stress on n. or comp due to humeral shaft fx.  
    • "wrist drop"
  5. median n. injury splint
    • opponens splint
    • C-bar (maintain 1st web space and prevent contractures) or thumb post splint
  6. ulnar n. injury splint
    dynamic/static splint to position MP's in flexion
  7. combined median ulnar splint
    • figure-of-eight or
    • dynamic MCP flexion splint
  8. Spinal cord (C6-C7) splint
    tenodesis splint
  9. 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)
  10. 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
  11. 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)
  12. Skier's thumb splint
    Describe
    • UCL hand based thumb splint
    • Rupture of ulnar collateral ligaments of the MCP of the thumb
  13. CMC arthritis splint
    hand based thumb splint
  14. Ulnar Drift Splint
    Ulanr Drift splint
  15. Flexor tendon injury
    dorsal protection splint
  16. Swan neck
    Describe
    • sliver rings or buttonhole splint
    • hyperextension of PIP
    • flexion DIP
  17. Boutonniere Splint
    • silver rings or PIP extension splint
    • flexion PIP
    • hyperextension DIP
  18. Arthritis splints
    • functional splints
    • safe splint
    • depends on stage
  19. Flaccidity
    resting splint
  20. spasticity
    • spasticity splint
    • cone splint
  21. muscle weakness
    ALS, SCI, Gullian Barre
    • Balances forearm orthosis (BFO)
    • deltoid sling
    • suspension sling
    • Mounts to W/C
    • Must have shoulder or trunk movements
  22. Burns-Hand Splints
    • Wrist 15-30 ext
    • MCP 50-70 flex
    • IP full extension
    • Thumb abd. & extended
  23. 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
  24. Splint for Web space burn
    c-splint
  25. Bobath Finger spreader 
    abduction splint
    • inhibitory/tone normalizing
    • fingers & thumbs abducted to decrease tone
  26. Rood Cone
    • Roods inhibitory principle of sustained deep pressure
    • cone-shaped splint used to decrease flexor spasticity in hand
  27. Orthokinetic splints
    Utilizes tactile input (via elastic bandages) to facilitate or inhibit opposite muscle groups.
  28. Spasticity reduction splint
    places spastic extremity on submaximal stretch to decrease spasticity
  29. 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
  30. 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.
  31. 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
  32. cock-up splints
    • supports
    • wrist 10-20 ext. to prevent contracture
    • allows digits to function
    • supports flaccid wrist
  33. 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
  34. Purpose of burn hand splints
    prevent stress on the tendons & ligaments, while decreasing edema secondary to avoidance of dependent positioning.
  35. 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
  36. 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-
  37. 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
  38. 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
  39. Carpal tunnel splint should have the wrist in ________ degrees of ________ & _________deviation
    • 2 degrees flexion
    • ulnar deviation
    • neutral wrist splint
  40. when using an antispasticity splint, its most important to check that redness disappears after _______min of removing the splint
    20min.
  41. Overhead suspension sling
    • Used with ind. with proximal weakness (Gullian Barree, ALS)
    • Muscle grades of 1/5 to 3/5.
  42. 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.
    T
  43. Buddy strap
    provides passive ROM to the affected digit.

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