Term
| When Fabricating a volar forearm based wrist orthosis for a diagnosis such as wrist fracture or general pain, you will place the wrist in the following position: |
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Definition
| 15-30 degrees wrist extension |
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Term
| A patient has been referred to you for carpal tunnel syndrome. The orders are for a wrsit orthosis to help decrease symptoms. Which of the below is the most appropriate othosis for this patient? |
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Definition
| Volar wrist orthosis with the wrist in neutral |
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Term
| When fabricating a thumb spica orthosis, the thumb shoul typically be placed in the position of: |
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Definition
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Term
| A patient has been referred to you with the diagnosis of DeQuervian's Syndrome and the orders include an orthosis. The most appropriate orthosis is: |
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Definition
| Thumb Spica radial based forearm splint with the thumb MP included and the IP free |
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Term
| When splinting for lateral epicondylitis you should place the wrist int he following position: |
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Definition
| 35-40 degrees of extension |
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Term
| the proper orthotic for an MP collateral ligament injury is: |
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Definition
| Hand based with the MP included and the IP free |
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Term
| The proper orthosis for CMC arthritis is: |
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Definition
| Hand based with the MP included and the IP free |
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Term
| Is it possible to fabricate an ulnar gutter thumb spica orthosis? |
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Definition
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Term
| What is recommended by the Centers for Medicaid and Medicare Services as the noun now used in palce of a single spint? |
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Definition
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Term
| An orthosis that applies tension to tissue at its maximal length for a long period of time which requires adjustment of tension by the therapists is called a: |
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Definition
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Term
| A dynamic of orthosis applies tension to the tissue by utilizing...(what type of traction) |
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Definition
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Term
| a radial based orthosis is fitted on the... |
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Definition
| Thumb side of the hand/wrist |
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Term
| A plastic based thermoplastic material has a: (what type of resistance to stretch) |
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Definition
| low resistance to stretch. |
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Term
| The part of Velcro that is sticky and hold the strap to the splint is called: |
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Definition
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Term
| When fabricating a forearm based orthosis, the length should always be: |
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Definition
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Term
| The correct position for a forearm based resting hand orthosis is: |
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Definition
| Wrist slight extension, MP's flextion, IP's extension |
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Term
| In fabricating an orthosis, is it okay to place two pieces of the orthosis material in the heating pan on top of each other? |
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Definition
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Term
| Why are we not suppose to use the word "splint" anymore? |
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Definition
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Term
| What is the purpose of an Orthosis? |
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Definition
| To immobilize, mobilize, position |
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Term
| Who can't make an orthosis? |
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Definition
Certified Hand Therapists
Occupational Therapists
Certified Occupational Therapist
COTA'S
PT's
PTA's
Certified Orthotists (CO) |
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Term
| What are the Orthosis classifications/categorization? |
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Definition
Purpose
Location
Direction
Articulat/nonarticular
Type
Total number of joints |
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Term
| what are the characteristics of an articular orthosis classificaton? |
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Definition
3 point pressure system.
-immobilize
-Mobilize
-Restrict |
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Term
| what are the characteristics of a nonarticular orthosis classification? |
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Definition
two point pressure.
Stabilize or immobilize
Typically for long bones |
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Term
| Name the orthoses designs |
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Definition
Static
Serial static
Dynamic
Static progressive
Volar based vs. dorsal based
Radial based vs. ulnar based |
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Term
| What are the two purposes of a static orthosis? |
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Definition
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Term
| What is the purpose of a serial static orthosis? |
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Definition
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Term
| What type of orthosis must be adjusted by a therapist? |
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Definition
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Term
| What type of orthosis is this?: tension applied to the tissue at its maximal length and is worm for long periods of time at that length? |
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Definition
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Term
| What type of orthosis generates mobilizing force on targeted tissue by applying dynamic elastic traction? |
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Definition
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Term
| What type of orthosis generates mobilizing force on targeted tissue by applying non-elastic traction? |
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Definition
| static progressive--(for Mobilization) |
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Term
| what types of material can othoses be made of? |
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Definition
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Term
| list some characteristics of elastic material |
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Definition
more memory (higher resistance to stretch)
Plastic coating (prevents adhering to self)
Longer working time
tend to shrink during cooling phase |
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Term
| list of characteristics of plastic material |
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Definition
more drapable with low resistance to stretch
Good conformibility
More difficult to work with
Fingerprints/stretch |
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Term
| What are some characteristics or rubber material? |
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Definition
Least resistance to stretch
Less conforming |
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Term
| Name the handling characteristics of material used for othotics. |
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Definition
memory
Drapability or conformability
elasticity of resistance
bonding
rigidity |
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Term
| what is the strapping material called that is the strap of the orthosis? |
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Definition
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Term
| What is the strapping material that is used to secure the loop and is typically "sticky-back?" |
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Definition
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Term
| what is the typical positioning |
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Definition
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Term
| what is the typical positioning for a wrist splint? |
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Definition
15-30 degrees of wrist extension
Palmar crease free for finger motion
Thenar area free for thumb motion |
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Term
| what is the position for a resting hand splint? |
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Definition
wrist in 15-30 degrees extension
MP's 50-70 degrees flextion
IP's Extension
Thumb Opposition |
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Term
| "an approach to service which embraces a philosophy of respect respect for, and partnership with, people receiving services"--which type of "practice" is this? |
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Definition
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Term
| "the degree to which occupation is used with reflective insight into how it is experienced by the individual, how it isused in natural contexts for that individual, and how much the resulting changes in occupational patterns are valued by the client."--which type of "practice" is this? |
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Definition
| Occupation-based practice |
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Term
| What are the purposes of a resting hand orthosis? |
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Definition
Immobilize to rest and support
position in functional alignment
retard further deformity |
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Term
| Name the conditions that would require a resting hand orthosis? |
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Definition
Rheumatoid or osteoarthritis
Tramumatic multiple injury
strokes
burns |
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Term
| What is the wearing schedule for Acute Arthiritic Exacerbation? |
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Definition
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Term
| What is the wearing schedule for Arthritic pain maintenance? |
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Definition
| as needed for pain relief. (often nighttime) |
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Term
| What is the wearing schedule for Tramatic Multiple Injury? |
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Definition
As per the doctor
Typically full time unless to remove for specific ROM/wound care |
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Term
| what is the wearing schedule for strokes? (for the resting hand splint) |
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Definition
| Depends on severity of spasticity or tone deficit |
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Term
| What is the wearing schedule for burns? (resting hand splint) |
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Definition
Initially continuous except for ROM
Gradually as needed to prevent contracture "claw" deformity |
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Term
| What are the components of a resting hand splint? (4) |
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Definition
Forearm trough (volar or dorsal, 2/3 down forearm)
Pan (supports fingers and palm, wide enough to houes the fingers, curve slides slightly)
Thumb Trough
C-bar keeps web space of thumb in abduction-resembles of "c") |
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Term
| What is the functional positioning of a resting hand orthosis? EX: Wrist/thumb/MCP/IP's |
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Definition
Wrist: slight extension. varies 10-40 degrees
Thumb: palmar abduction/opposition
MCP's digits 2-5: Flexion between 35-90 degrees (preferred at 70 degrees)
IP's digits 2-5: extension to very sligth flexion |
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Term
| What are some precautions you should be aware of with a resting hand splint? |
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Definition
Pessure areas
Open wounds
Correct Application
Correction tension on straps |
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Term
| What are the styles of a thumb spica orthosis? (4) |
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Definition
Forearm (volar) based thumb spica orthosis IP free
Forearm based (volar) thumb spica orthosis IP included
Radial gutter thumb spica/CMC orthosis IP free
Hand based (dorsal) thumb spica, wrist free, splint IP free, MP included |
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Term
| What diagnoses are appropriate for a thumb spica orthosis? |
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Definition
DeQuervains's Tenosynovitis
Pain: such as Arthritis (RA and OA)
Scaphoid fracture (wrist fracture)
Ligament injurys thumb (MP/Gamekeepers thumb)
CMC Arthritis
- |
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Term
| What would be the purpose of a thumb spica splint for De Quervain's syndrome? |
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Definition
| Rest to decrease inflammation |
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Term
| What would be the design/style of a splint for Dequervain's Tenosynovitis? |
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Definition
| Thumb spica: Radial gutter/based, IP free, MP included, wrist extension (15-30 degrees) |
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Term
| what would be the wearing schedule for DeQuervain's syndrome? |
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Definition
Several weeks (up to six)
gradually decrease as pain resolves
Wean |
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Term
| What is the design/style of a thumb spica splint for arthritis? |
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Definition
Include joints that are painful
wrist extension (15-30 degrees)
Thumb opposition |
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Term
| What is the most common wrist bone fracture? |
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Definition
| Scaphoid fracture--pain in snuff box |
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Term
| what is the purpose of a thumb spica splint for a scaphoid fracture |
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Definition
| immobilize to allow healing of bone |
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Term
| The proper orthotic for a scaphoid fracture would be? |
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Definition
| Thumb spica: forearm based, wrsit in slight extension (15-30), thumb MP included, thumb IP free, slight opposition |
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Term
| what is the purpose of an orthotic for a ligament injury? |
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Definition
| Immobilize allow healing of ligament |
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Term
| what is the wearing schedule for a ligament thumb injury? |
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Definition
full time for 4-8 weeks
--depends on the grade of injury |
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Term
| what is the purpose of an orthosis for CMC arthritis? |
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Definition
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Term
| What year did orthotists make splints from high temperature plastic? |
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Definition
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Term
| When did hand therapy evolve |
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Definition
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Term
| What year did the American association hand therapy become established |
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Definition
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