Splinting fundamentals

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created 8 years ago by tracey_brown4238
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updated 8 years ago by tracey_brown4238
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1

static

splint doesnt move

2

dyanamic

moving spint

3

static progressive splint

used to provide constant tension on stiff joints and are effective in increasing PROM.

4

immobilization orthosis

keeps joints static in functional neutral position

5

mobilization orthosis

increase ROM by providing steady gentle force to jnt in flex/ext for prolonged time.

6

Orthosis vs Splint

one is hand made & covered by Med/medcare other is prefab and considered strapping

7

Axis of motion

pt of pivot

8

how to document reimbusment

"custom fabricated _____ splint"
Custom modifications to ______ orthos to increase....ect

9

What factors do you consider when splinting?

$, time, life style, growth, swelling, need for adjustment, comfort, precautions, functionality, cognitive ability

10

palm & wrist creases

distol (DPC) proximal palmer creases
Distol and proximal palmer creases
Thenar crease

11

What two creases do you need to make sure to clear in a volnar/ wrist cockup?

DPC, thenar

12

Arches

longitudal, distol & proximal

13

standard measurements

2/3rds the lenght of forearm
1/2 circumference or little more
Avoid bone prominences, pins, hardware (styloid process)
OR pad & protect

14

orthosis and splinting precautions

presure sores
sensory loss
cognition
surgical precautions
nerve compression
hardware (pins, fixation)
edma

15

Why are orthosis or splints used

immobilization,
correct deformity,
prevent pain
protect jnt, tendon, nerve
increase ROM
decrease tone
rough edges
edema sleeves too tight
inflamation

16

Why would you fold/curve orthosis

for strength

17

finger splint measurements

clear proximal finger crease, length needed to immobilize PIP DIP

18

finger splint purpose

immobilize PIP & DIP

19

resting hand splint measurements

2/3 forearm, wrist 20-30
thumb palmer abductions CMC 40-45*
MCP 35-45*

20

resting hand splint parts

C bar, thumb trough, pan, forearm trough

21

Volar/wrist cockup parts

hypothenar bar, metacarpal bar, & forearm trough, wrist at 20*-30*,clear thenar & DPC,

22

Volar/wrist cockup

immobilize, position in functional alignment, & retard further deformity

23

Finger creases

Distal, middle, proximal finger creases