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Successful Static Splinting: Foundations, Part 1

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1.  The first evidence of the use of splinting concepts dates as far back as when? World War II, during the early 1940s when soldiers in Germany experienced lower extremity injuries due to explosives During the 1960s when thermoplastics were developed In ancient Egypt, as evidenced by the excavation of Egyptian tombs Civil War, when soldiers required makeshift splinting following injuries received on the battlefield

2.  A factor that has contributed to the advancement of splinting/orthotic techniques is: The occurrence of major wars, increasing the need for splinting/orthotics The development of thermoplastic materials in the 1960s The advancement of thermoplastic materials All of the above

3.  Hand-based splints are most appropriate when: You want to use perforated splint material Involvement is strictly intrinsic The patient refuses a forearm-based splint Only the thumb is injured

4.  Intrinsic muscles of the hand may be best defined as which of the following? Muscles which originate in the wrist and forearm and insert in the digits of the hand Muscles which have muscle bellies within the forearm Smaller muscles which are located within the hand itself Smaller muscles located within the shoulder complex

5.  Which of the following arches of the hand reaches from the distal 3rd digit to the wrist? Longitudinal arch Proximal transverse carpal arch Oblique arch Transverse metacarpal arch

6.  When fabricating hand-based splints, which of the following is TRUE regarding the positioning of splints in relationship to the creases of the palm? Dorsal creases serve as a visual guide to help determine where splint borders need to be to allow or block range of motion Palmar creases aid in guiding the placement of splint borders needed to allow or block range of motion The distal palmar crease is of greater importance to the placement of splints as compared to the thenar eminence Palmar creases have no impact on the placement of hand splints

7.  Why do different thicknesses of splint material exist? Variety in splint thicknesses allows lighter and less cumbersome splints to be fabricated if desired Patients can make their own splint adjustments, depending on the thickness Thinner materials are always easier to work with Thinner materials are more comfortable than thicker splint materials

8.  When looking at different splint materials, the term Conformable describes: How easily the material contours to the patient’s anatomy The adaptability of the patient is to the wearing schedule Perforated versus non-perforated materials The amount of time you have to conform the material to the patient

9.  Highly Conformable splint material is typically used when: The patient has hypertonicity The patient is heat sensitive and the splint needs to be made quickly Intimate contact is desirable due to the patient’s anatomy or diagnosis Making a burn splint

10.  Which of the following is considered a benefit to the incorporation of perforated thermoplastics in splint fabrication? Perforation allows for airflow and lighter weight Perforation excludes dirt and dust from accessing the splinted area Perforation is a preferred look None of the above