Contractures Flashcards
What type of contracture responds to therapy?
Soft tissue
What type of contracture requires surgery to release?
Bony block
What are the three steps in the treatment of contractures?
(1) superficial and deep heat to increase tissue extensibility,
(2) slow stretch,
(3) static splinting
Types of splints to reduce soft-tissue contractures:
1Antideformity (safe position) burn splint for hand:
Wrist 20 deg extension;
MCP joint 90 deg flexion;
PIP and DIP joints, 0 deg extension
Types of splints to reduce soft-tissue contractures:
Elbow or knee extension splint:
Position in as much extension as possible
Types of splints to reduce soft-tissue contractures:
Wrist extension splint to prevent_____: functional splint with ____ of ____ worn during day
Wrist drop
45 deg of wrist extension
Types of splints to reduce soft-tissue contractures:
Thumb abduction splint to prevent thumb adduction contracture:
splint forms a “C” bar between
the thumb and index web space
Types of splints to reduce soft-tissue contractures:
Lumbrical bar splints are designed to reduce
MCP hyperextension and IP flexion contractures
Types of splints to reduce soft-tissue contractures:
In a lumbrical bar splint, MCPs are splinted to block ____
hyperextension
Types of splints to reduce soft-tissue contractures:
Resting hand, ball, and cone antispasticity splints: purpose is to
decrease tone in the hand and upper extremity
Types of splints to reduce soft-tissue contractures:
Soft neoprene splints to position thumb and forearm are commonly used with clients with ____ or _____ to increase
clients with rheumatoid arthritis or cerebral palsy
to increase functional use of the hand
Types of splints to reduce soft-tissue contractures:
10. Dynamic splinting: may involve metal and loop components; angle of pull needs to be ___ degrees for most
effective outcome
90 degrees
Types of splints to reduce soft-tissue contractures:
Foot-drop splints position the client’s ankle at __
0 degrees
