Splints Flashcards
static
no moving parts
dynamic
resilient, moving part/component
rubber bands
serial static
progressing, casting
splint purposes
rest, inc ROM, prevent deformities and contractures, inc function, dec pain, block ROM
important when fabricating
must clear the distal palmar crease
2/3 of forearm to distribute pressure
check skin before and after
resting hand splint
FUNCTIONAL position
wrist 20-30 ext, MCPs 45-60 flex, IPs slightly flexed, thumb opposition
safe position
intrinsic plus, antideformitiy
wrist 20-30 ext, MCPs flex, IPs extended, thumb abd
most essential education
how to put it on correctly (because of purpose and prevention of skin irritation)
then: care/cleaning, skin checks, schedule of wearing
general splints for arthritis, pain, and joint conditions
position at rest
o RA: joint protection techniques – volar wrist cock up for ADLs
splints for spasticity
prevent contracture
serial casting
splints for nerve and tendon injuries
blocking the motion
think about the condition and the position you are in. your splint will want you to do the opposite
splints for burns
safe position (intrinsic plus)
dorsal/volar based on opposite side of the burn
o Volar hand burn: palmar extension splint
wrist cock up
brings wrist into extension, fingers and thumb are free
carpal tunnel, radial nerve
thumb spica
thumb and wrist, de quervains
splint for BPI
flail arm splint
