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Successful Static Splinting: Forearm Based Splint Fabrication, Part 2

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1.  Which of the following is TRUE regarding a pre-formed (pre-fab) orthotic?
  1. Previously molded and sized to client based on a size chart
  2. Easily adjustable and reshaped via heat if needed
  3. Various thermoplastics available
  4. All of the above
2.  Precut splints offer which of the following?
  1. Increased efficiency with fabrication
  2. Reduced time cutting, sizing, and fitting
  3. Are helpful for beginners
  4. All of the above
3.  Which is NOT a consideration for choosing a hand-based vs. a forearm based splint?
  1. Intrinsic vs extrinsic muscular involvement
  2. Objective of the splint: Safety? Immobilization?
  3. Color of the splint
  4. Client preference, comfort, and/or compliance
4.  Splint fabrication goals should include ALL EXCEPT:
  1. Used for a quick stretch
  2. Maintain arches
  3. Allows freedom of digits
  4. Contour to skin
5.  A larger surface area is used when fabricating a splint to:
  1. Reduce arches
  2. Distribute pressure
  3. Reduce contour to skin
  4. Restrict balanced function of unaffected muscles
6.  Which of the following would be the best selection for a client who presents with numbness and tingling in the evenings, with reduced productivity at work due to wrist discomfort and a possible carpal tunnel injury?
  1. Radial gutter/thumb spica splint
  2. Intrinsic plus splint
  3. Functional position splint with a 24-hour wear schedule (removable for hygiene and range)
  4. Volar wrist cock-up splint
7.  A client presents to the ICU following admission to the emergency room with right-sided facial droop and right upper extremity weakness with hypertonia. Which of the following would be the best selection for this client?
  1. Radial gutter/thumb spica splint
  2. Intrinsic plus splint
  3. Functional position splint on a 24-hour wear schedule (removable for hygiene and range)
  4. Volar wrist cock-up splint
8.  Following the completion of a thumb spica splint, you realize the thumb is not fully immobilized and still demonstrates excess mobility at the CMC. Which of the following is a viable option for adjusting this fit?
  1. Refit the splint to the client by reheating the affected area
  2. Use a foam inlay to bolster the CMC/MP region and reduce mobilization
  3. Cinch the splint straps to better secure the CMC/MP joints
  4. Any of the above adjustments can be a successful implementation
9.  Which of the following is FALSE regarding sheet, pre-cut, and pre-formed methods of splint fabrication?
  1. Splint fabrication from sheet material can be more cost effective than other methods
  2. Pre-formed splints ALWAYS save time in fabrication as they are off the shelf ready
  3. Often, with involved trauma and/or very specific parameters to be developed within a splint, a sheet or pre-cut method allows greater flexibility in design as compared to a pre-shaped splint option
  4. None of the above
10.  Which of the following factors contributes to the decision to fabricate a hand-based splint as compared to a forearm-based option?
  1. Client preference and/or comfort
  2. Intrinsic versus extrinsic muscular involvement
  3. A need for increased protection and/or support
  4. All of the above