Orthotic Fitting And Devices Flashcards
(44 cards)
Custom fit versus custom fabricated
Custom fit orthoses are off-the-shelf, custom fabricated orthoses are created from a custom mold of the patient.
Five things to know before walking into a patient room
- Patient name
- Referring physician
- prescription
- diagnosis
- Insurance information
Arches of the hand
- Proximal transverse arch (heel of palm, CMC joint)
- Distal transverse arch (MCP joint of palm, mobile)
- Longitudinal arch (dorsal arch of curved/cupped hand)
Mallet finger deformity
Flexion of DIP joint
Boutonnière deformity
Flexion of PIP joint
Swan – neck deformity
Extension of PIP joint, flexion of DIP
Cock-up orthosis
WHO for wrist fracture, carpal tunnel, and post-op
Stabilizes hand and wrist, with thumb loop
Resting hand splint
WHO for contracture management
Brace on palmar surface of hand and wrist, padding straps over dorsal surface. Support for longitudinal arch of hand.
Static Progressive WHO
For patients with severe flexion deformity of hand and wrist
“Handlebar” aspect and pump up to extend over time
Volar opening WHO
Dorsal hand brace so as not to impede on burns, incisions, or sensitivity on the underside (volar) surface of hand and wrist
Wrist-driven WHO
Adjustable to help patient pick up items, must have wrist extensor power
ROM elbow orthosis
Adjustable support for fractures, ROM flexible
Elbow de-contracture orthosis
3-point pressure over the elbow to pull into extension. Padded, with adjusted ROM. Can be static or dynamic.
Cubital tunnel orthosis
To relieve entrapment of the ulnar nerve. Usually worn while sleeping and used as a kinesthetic reminder. Posterior rigid support of elbow with three anterior straps
Humeral fracture orthosis
- short version
Rigid “pauldron” orthosis with chest strap to support a fracture in upper 2/3 of humerus.
- long version
Rigid 2-part brace for upper and lower arms, joined by adjustable bar. Supported by sling. For fracture of the lower humerus
Clavicle fracture orthosis
“Wing sling” to hold shoulders back to reduce pressure/pull force on clavicle. Arm sling may also be used.
Shoulder subluxation orthosis
“Hemi sling”
Used to decrease vertical (g) force on the shoulder girdle in patients with weak or injured arms
Shoulder abduction orthosis
Holds shoulder in slight abduction, decreases contracture and g force on shoulder
Side pillow and neck/waist strap, ball for hand
Airplane orthosis
Soft chest piece and pauldron that holds shoulder at large (almost horizontal) angle of abduction. Provides immobilization and/or controlled ROM
Shoulder abduction rotation orthosis
“Waving” position
Rigid side and arm piece that immobilizes arm for palsy or contracture prevention.
The hyoid bone is at what vertebral level?
C3
The sternal notch is at what vertebral level?
T1
The xiphoid process is at what vertebral level?
T10
The spine of the scapula is at what vertebral level?
T3
