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AOTA PDFs: Muscoloskeletal Impairments > Contractures > Flashcards

Flashcards in Contractures Deck (13)
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1

What type of contracture responds to therapy?

Soft tissue

2

What type of contracture requires surgery to release?

Bony block

3

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

4

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

5

Types of splints to reduce soft-tissue contractures:
Elbow or knee extension splint:

Position in as much extension as possible

6

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

7

Types of splints to reduce soft-tissue contractures:
Thumb abduction splint to prevent thumb adduction contracture:

splint forms a ā€œCā€ bar between
the thumb and index web space

8

Types of splints to reduce soft-tissue contractures:
Lumbrical bar splints are designed to reduce






MCP hyperextension and IP flexion contractures

9

Types of splints to reduce soft-tissue contractures:
In a lumbrical bar splint, MCPs are splinted to block ____

hyperextension

10

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

11

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

12

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

13

Types of splints to reduce soft-tissue contractures:
Foot-drop splints position the client's ankle at __

0 degrees