1 / 29

Splints for the NBCOT

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.

jane
Télécharger la présentation

Splints for the NBCOT

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Splints for the NBCOT Stephanie Shane OTR/L NBCOT Tutor

  2. C bar splintMedian Nerve Injury Used to maintain web space No joint stabilization

  3. Flail arm splintBrachial Plexus Injury (BPI)

  4. Thumb Extension SplintRadial Nerve Palsy

  5. Opponens splintMedian Nerve Injury

  6. thumb posterior splintMedian Nerve Injury

  7. Ulnar Nerve InjuryUlnar Nerve Injury Splint Ulnar Nerve Splint dynamically flexes the MP joints of the ring and little finger to allow functional use of the hand

  8. Spinal Cord c6-c7Tenodesis splint

  9. Carpal Tunnel SyndromeWrist splint positioned 0-15 degrees extension

  10. Thumb Spica Splint

  11. Ulnar Deviation SplintUlnar Drift

  12. Duran dorsal protection splintFlexor tendon injuryRadial nerve palsytendinitis/tenosynovitiswrist fracture

  13. Silver ringsSwan Neck Deformity

  14. Boutonniere

  15. Resting splintFlaccidity

  16. Cone SplintSpasticity

  17. Airplane SplintBurns

  18. ulnar gutter splintmedian nerve compression(CTS)

  19. Volar splint with the wrist in a neutralcarpal tunnel release surgeryradial nerve palsytendinitis/tenosynovitisrheumatoid arthritiswrist fracture

  20. general considerations of splinting • Comfort • - Function • - Cosmesis • - Patient acceptance and compliance • - Patient education • - Tratment plan integration

  21. common splinting precautions • Preexisting skin problems • -Bony prominences • -Friction • -Pressure spots

  22. 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

  23. 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

  24. 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+)

  25. 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.

  26. 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.

  27. 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.

  28. 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.

  29. 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.

More Related