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Splinting 202: Pediatric Splinting

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1.  Which of the following are important concepts to take into consideration when splinting a child?
  1. Compensatory function
  2. How splinting will impact function
  3. How to make an adult splint small
  4. a and b
2.  When fabricating a resting hand splint for a child with high tone, submaximal range at which joint will facilitate digit extension?
  1. Metacarpophalangeal (MP)
  2. Carpometacarpal (CMC)
  3. Wrist
  4. None of the above
3.  A weight bearing splint requires which of the following:
  1. Passive wrist extension
  2. Active wrist extension
  3. Active digital flexion
  4. Passive digital flexion
4.  In the article by Shiozawa et al. (2012), children who were splinting for trigger finger:
  1. Had significantly higher resolution of symptoms
  2. Had significantly higher subsequent surgery
  3. Had significantly higher rates of non-compliance
  4. b and c
5.  Which of the following results were found by Plint et al. (2006) in their study of splinting versus casting after wrist fractures in children:
  1. There was a significant difference in physical function in the splint group at day 14.
  2. There was a significant change from baseline in the splint group at days 14 and 20.
  3. There were no significant differences between groups or in change from baseline in either group at day 28.
  4. All of the above
6.  You want to create an elbow extension splint for the right arm of a child, but notice that they are exhibiting the ATNR reflex. What should you do to facilitate the process?
  1. Make sure their head is turned to the right side.
  2. Make sure their head is turned to the left side.
  3. Make the splint while the child is sleeping.
  4. Wrap the child snugly in a papoose-type fashion.
7.  You are attempting to splint a child with high tone. What should you avoid?
  1. Preparatory inhibitory activities
  2. Allowing them to have a toy in the opposite hand
  3. Asking for assistance
  4. Using a cold wrap to speed the cooling process
8.  Which of the following help maintain placement of splints on children:
  1. Tape
  2. Coban
  3. Circumferential strapping
  4. All of the above
9.  Choosing to fabricate a dorsal-based splint may facilitate:
  1. Palmar sensibility
  2. Functional use
  3. Compliance
  4. All of the above
10.  Skin integrity is particularly important to monitor due to growth rate in children.
  1. True
  2. False
  3. xxx
  4. xxx

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