Splinting/orthoses Flashcards
T/F: STs can make orthoses.
False: only OT, PT, dentists for teeth, and certified orthotists (COs)
Sensorimotor/rehab/biomechanical: this approach allows a person who had a stroke to grasp the walker by using orthoses that are adapted to assist with grasp
rehabilitation approach
Sensorimotor/rehab/biomechanical: goal of orthosis is to decrease amount of tone
sensorimotor
Sensorimotor/rehab/biomechanical: helps a person who had a tendon repair that resulted in flexor contractures of the CP joints regain full ROM
biomechanical
6 orthotic divisions=
identification of articular/nonarticular, location, direction, purpose, type, total number of joints
6 orthotic divisions: identification of articular/nonarticular
weather or not it affects articular structures (joints)
6 orthotic divisions: location
classifies according to location of primary anatomic parts included in the orthosis
6 orthotic divisions: direction
ONLY APPLICABLE TO ARTICULAR ORTHOSES…ex: flex,ext,opposition….ex: index small finger PIP flexion orthosis
6 orthotic divisions: purpose (4)
- mobilization (move primary and secondary joints)
- immobilization (not moving PRI or SEC joints)
- restriction-limit a specific aspect of joint ROM for the primary joints
- torque- create motion of PRI joints situated beyond the orthosis itself
6 orthotic divisions: type
specifies secondary joints included in orthosis, these joints are in the design to affect joints that are proximal distal or adjacent to the primary joint (there are different joint levels which are explained more in the book)
6 orthotic divisions: total number of joints
ex: if elbow orthosis includes the wrist and MCPs as secondary joints, the orthosis would be called elbow flexion immobilization orthosis type 2
Orthotic designs (5)
static, serial static, dropout (dont have to know), dynamic, static progressive
Orthotic designs: static
aka immobilization-can maintain a position to hold anatomical structures at the end of available ROM, thus exerting a mobilizing effect on a joint (remodels in lengthened/shortened (?) form)
Orthotic designs: serial static
requires the remolding of a static orthosis-holds the joint(s) at the limit of tolerable range, thus promoting tissue remodeling
Orthotic designs:dynamic
mobilization!! have self-adjusting or elastic components which may include wire, bands, or springs
Orthotic designs: static progressive
types of dynamic orthoses, they use inelastic things like hook and loop tapes, outrigger line, progressive hinges, turnbuckles, and screws inelastic bc it allows client to adjust the amount of tension so as to prevent overstretching the tissue
client centered assessments: (4)
- MAM (manual ability measure)
- COPM
- DASH (disabilities of arm and shoulder)
- PRWE (patient rated wrist eval)
client centered assessments: MAM 36
36 item self-report, client rates items on a 4 pt scale based upon their ability to complete tasks, includes visual analog pain scale and column asking if task can be completed with noninvolved hand
client centered assessments: DASH
disabilities of arm shoulder and hand-condition specific tool, 30 questions addressing function within performance areas- rate on 1-5 (unable)
client centered assessments: PRWE
condition specific, client rates pain and function in 15 preselected items
client centered assessments: COPM
Canadian occ perf model client centered, interests, and satisfaction with occupations, interview based, can be used to measure outcomes
Low temp thermoplastics vs high temp
- Low temp thermoplastics (LTT) most commonly used, soften in heated water bt 135- and 180 F, can be placed on skin while plastic is moldable
- high temp- become soft when warmed to >250F and cant touch a persons skin when moldable or else can burn
orthotic properties: (6)
memory, drapability, elasticity, bodng, perforations, color
orthotic properties: memory
describes a materials ability to return to its preheated (original) shape size and thickness when reheated
