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Rehab Test 3
Professor Kalb's 3rd Rehab test 2013
36
Medical
Graduate
04/13/2013

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Cards

Term
CHT
Definition
credentialed hand therapist
Term
What is required to become a CHT?
Definition
4000 hours in UE rehab, pass certification exam
Term
What are the 4 purposes of splints?
Definition
-Mobilize: move joints
-Immobilization: immobilize joints
-Restriction: limit joint ROM
-Torque transmission:
Create motion of joints beyond boundary of splint
Harness secondary to driver joints
Term
What are the 5 splint classifications?
Definition
Static
No moveable parts
Enhances healing, immobilization
Serial static
Remolding of static splint
Dropout
Allows motion in one direction while blocking motion in another direction
Dynamic
One or more moveable parts
Joints, springs, wires
Static progressive
Type of dynamic splint with adjustable tension
Term
temperature of water to soften material
Definition
135-180
Term
PLOF
Definition
prior level of functioning
Term
DASH
Definition
Disability of the Arm, Shoulder, and Hand
Term
COPM
Definition
Canadian Occupational Performance Measure
Term
Palpate
Definition
areas of atrophy, edema, pain, skin, scar, temperature
Term
Parts of a clinical exam for splinting...
Definition
-client history
-interview
-observation
-assessment (DASH, COPM, or clinic pre/post)
-Pain
-wounds
-joint/ligament
-sensation
-vascular status
-ROM/strength
-edema
-coordination/dexterity
-function (ADL, IADL)
Term
What does the Semmes-Weinstein test for?
Definition
sensation, specifically peripheral nerve damage
Term
Dynamometer tests
Definition
grip strength
Term
2 ways to measure edema
Definition
circumferential and volumeter
Term
rotator cuff musculature
Definition
SITS-
supraspinatus
infraspinatus
teres minor
subscapularus
Term
rotator cuff musculature
Definition
SITS-
supraspinatus
infraspinatus
teres minor
subscapularus
Term
This approach was used on a child who has cerebral palsy. The goal of the splint was to decrease the amount of tone present.
Definition
sensorimotor approach
Term
This approach allowed a person who had a stroke to grasp the walker by using splints that were adapted to assist with grasp.
Definition
rehabilitation approach
Term
this approach helped a person who had a tendon repair that resulted in flexor contractures of the metacarpophalangeal (MCP) joint to regain full range of motion.
Definition
biomechanical approach
Term
Define splint
Definition
an orthopedic device for immobilization, restraint, or support of any part of the body
Term
Nonarticular splints are ___ point and are associated with what kind of body part?
Definition
2 points of pressure, long bones
Term
What does a dropout splint do?
Definition
It allows motion in one-direction while blocking motion in another.
Term
has self-adjusting or elastic components, which may include wire, rubber bands, or springs.
Definition
elastic tension dynamic splints
Term
Type of dynamic (mobilization) splint that incorporates the use of inelastic components, such as hook-and-loop tapes, outrigger line, progressive hinges, turnbuckles, and screws.
Definition
Static progressive splint
Term
requires the remolding of a static splint
Definition
serial static splint
Term
Important to know during splinting if pathology effects extrinsic muscles splint will probably incorporate...
Definition
digit, wrist, and forearm
Term
thenar muscles
Definition
opposition
Term
Hypothenar muscles?
Definition
small digit rotation
Term
lumbricals
Definition
Mp flex/IP ext
Term
Palmar/Dorsal Interossei
Definition
abduction and adduction
Term
Intrinsic Plus (closed pack position)
Definition
Interossei & Lumbricals Functional
MP flexion with IP extension
Thumb palmar abduction with IP extension
Term
intrinsic minus
Definition
Interossei & Lumbricals Nonfunctional
MP extension with IP flexion
Thumb unable to oppose/abduct
Term
strongest pinch
Definition
lateral prehension
Term
Avulsion of terminal extensor tendon
Presents as droop of DIPJ
Able to passively extend to neutral
Definition
mallet finger
Term
Finger postures with PIP flexion and DIP hyperextension
Central extensor tendon is disrupted leading to lateral bands to displace volarly
Definition
boutinear
Term
PIP hyperextension and DIP flexion
Imbalance of extensor mechanism with lateral bands displacing dorsally
Definition
swan neck
Term
what kind of splint for swan neck?
Definition
figure 8
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