Splints

Question 1

What is an opponens splint?

Answer 1

May be short or long
-Supports the thumb in a position of abduction and opposition
-Used during functional activities

Question 2

What is a cock up splint?

Answer 2

This splint supports the user’s wrist in 10° to 20° of extension to prevent contracture, but allows digits to function, such as in a case involving a flaccid wrist

Question 3

What type of split would be crafted for a brachial plexus injury?

Answer 3

A flail arm splint

Question 4

What type of split would be crafted for a median nerve injury?

Answer 4

An opponens splint or C-Bar splint

Question 5

What type of split would be crafted for an ulnar nerve injury?

Answer 5

A dynamic/static splint to position MPs in flexion

Question 6

What type of split would be crafted for a combined median/ulnar nerve injury?

Answer 6

A figure of eight splint or dynamic MCP flexion splint

Question 7

What type of splint would be crafted for someone with a C6-C7 spinal cord injury?

Answer 7

A tenodesis splint

Question 8

What type of split would be crafted for someone with the skiers thumb injury?

Answer 8

A hand-based thumb splint

Question 9

What type of split would be crafted for someone with CMC arthritis?

Answer 9

A hand-based thumb splin

Question 10

What type of split would be crafted for someone with a flexor tendon injury?

Answer 10

Kleinert or Duran dorsal protection splint

Question 11

What type of splint would be crafted for someone with swan neck?

Answer 11

Silver rings or buttonhole splint

Question 12

What are the general considerations of splinting?

Answer 12

Comfort
- Function
- Cosmesis
- Patient acceptance and compliance - Patient education
- Tratment plan integration

Question 13

What are the objectives of static splinting?

Answer 13

The main purporse of splinting is to help the individual perfom ADLs through:
- positioning and maintaining alignment
- protecting or supporting or immobilizing
- inhibiting tone by positioning the extremity in a reflex inhibiting position

Question 14

What are supportive splints?

Answer 14

Supportive splints are static splints used to: - relieve pain
- position and maintain join alignment
- prevent adaptive shortening of soft tissues

Question 15

What are the objectives of dynamics splints?

Answer 15

prevent progressive deforming changes as a result of muscle imbalance
- substitute for or assist lost or weakened muscles - increase ROM
- minimize formation of adhesions

Question 16

What are static progressive splints?

Answer 16

Static progressive splints apply low-load prolonged stress at the end range to soft tissue through static positioning to increase ROM and correct contractures

Question 17

What are seral static splints?

Answer 17

Serial static splints hold the tissue in end range until it adaps to its new length to increase ROM and maintain improvement obtained

Question 18

What is the functional position of the hand?

Answer 18

Wrist: 30 degrees in extension -Phalanges: Slight flexion -Thumb: Opposed to index finger

Question 19

What is intrinsic plus grasp?

Answer 19

Characterized by:
-All the MPs in flexion
-DIPs and PIPs, full extension
-Thumb in opposition to MF & RF (

Question 20

What splint is used to subtitute for loss of intrinsic plus grasp?

Answer 20

Use figure eight or dynamic flexion splint -Loss of intrinsic plus is associated with median and ulnar nerve dysfunction

Question 21

When is the intrinsic plus splinting position used?

Answer 21

For individuals with burns and traumatic hand injuries

Question 22

What are the common splinting precautions?

Answer 22

Preexisting skin problems -
Bony prominences -
Friction -
Pressure spots

Question 23

What splint is used for median nerve compression (CTS)?

Answer 23

Dorsal, volar, or ulnar gutter splint

Question 24

What splint is used for a carpal tunnel release surgery?

Answer 24

Volar splint with the wrist in a neutral, or slightly extended wrist position

Question 25

What immobilizing splint is used for radial nerve palsy?

Question 26

What immobilizing splint is used for tendinitis/tenosynovitis?

Answer 26

Volar or dorsal, 20-30 degrees of wrist extension

Question 27

What immobilizing splint is used for rheumatoid arthritis

Answer 27

Volar in extension up to 30 degrees, based on the person's comfort level -Ulnar drift close to neutral during early stages

Question 28

What immobilizing splint is used for wrist fracture?

Answer 28

Volar, dorsal, or circumferential. -Maximum passive extension up to 30 degrees.

Question 29

What immobilizing splint is used for reflex sympathetic dystrophy (CRPS)?

Answer 29

Volar in extension, as tolerated -Circumferential wrist might be used to avoid edema

Question 30

What is a resting hand splint used for?

Answer 30

RA, Burns, Dupuyten's, and RSD -Supports the hand and wrist joint so that they heal without contracting and so that a deformity does not develop

Question 31

When are thumb immobilization splints used?

Answer 31

Tenosynovitis -Rheumatoid arthritis -Osteoarthritis -Traumatic injuries of the thumb

Question 32

When is a thumb spica used?

Answer 32

Immobilizes the thumb while allowing other digits freedom to move -A long thumb spica splint also immobilizes the wrist -Immobilizes 1st CMC and sometimes 1st MP and IP -Hand based (short opponens splint)

Question 33

What type of split would be crafted for someone with a Boutenniere deformity?

Answer 33

dynamic PIP extension splints

Question 34

What type of split would be crafted for someone with arthritis?

Answer 34

A functional splint or safe splints, depending on stage

Question 35

What type of split would be crafted for someone with flaccidity?

Answer 35

A resting splint

Question 36

What type of split would be crafted for someone with spasticity?

Answer 36

A spasticity splint or a cone splint

Question 37

What is the position of deformity?

Answer 37

Wrist flexion -MCP hyperextension -IP joints flexed -Thumbs adducted

Question 38

What is the functional position of the hand?

Answer 38

Wrist 20 to 30° of extension -MCPs 45° flexion -IPs 20 to 30° of flexion -Thumb in palmar abduction

Question 39

What is a blocking splint used for?

Answer 39

Used to isolate tendon and joint range of motion

Question 40

What splint is used for a 5-year old child with spastic quad CP how shows bilateral thum-in-palm deformities?

Answer 40

A neoprene hand-based splint w/thumbs in opposition