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Successful Static Splinting: Hand Based Splint Fabrication, Part 3

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1.  Which of the following best describes why thermoplastic characteristics such as the drapability and conformity are important in the fabrication of hand-based splints? The hand presents with significant padding and fatty deposits, which require thick and grossly conforming thermoplastics. The hand presents with detailed anatomy, thus requiring thermoplastics which can conform and drape to the surface. Thermoplastics with high degrees of conformity and drapability are best utilized with large joints and/or anatomical areas with little detail. There is no recorded relationship between drapability, conformity and hand anatomy.

2.  Which of the following is the most conformable thermoplastic? Polyform Ezeform Synergy SansSplint

3.  A thermoplastic which offers significant conformity is beneficial for all of the following reasons EXCEPT? Reduced pressure areas, resulting in improved skin integrity Reduced splint migration Intimate fit with minimal handling by the fitting therapist For an large surface area without small anatomical surfaces

4.  List the following steps to splint fabrication in the correct order from start to finish. Decide on material, apply splint to patient, finish edges, instruct on wear/care schedule Apply splint to patient, decide on material, instruct on wear/care, finish edges Instruct on wear/care, assess the fit of the splint, apply splint to patient, finish edges Decide on material, apply splint to patient, instruct on wear/care, determine splint pattern

5.  All of the following are TRUE regarding the application of a splint for the conservative treatment of trigger finger, EXCEPT? Rest is recommended, including the use of an MP blocking splint Gentle stretching to maintain mobility Avoidance of activities which encourage repetitive grasping or motion Rest is recommended, including the use of an IP blocking splint

6.  Traditionally, the most appropriate wear schedule for a trigger finger splint would be which of the following? Wear splint for 4 hrs. on/4 hrs. off during the day and off at night for 6 weeks Wear splint as often as possible (except for stretching and hygiene), including at night, for 6 weeks Wear splint on alternating days for 24 hours at a time, with a 24-hour break between wear sessions Wear splint for 8 hrs. on/8 hrs. off for 6 weeks

7.  Which of the following are possible design options for a finger gutter splint? Foam padded, adjustable metal single layer design Thermoplastic-based, concave, single layer design Circumferential, thermoplastic-based design All of the above are possible design options for a finger gutter splint

8.  There are several benefits to the application of an Oval-8 splint as compared to a traditional, custom fabricated finger orthotic. Which of the following is NOT TRUE regarding the above statement? Oval-8 is typically less cost efficient Oval-8 may be applied during the treatment of several finger-based diagnoses Oval-8 may be used to correct lateral deviations as well as mild flexion contractures Oval-8 is only able to be applied to address finger flexion

9.  What landmark(s) are used to measure a spring finger extension splint? Proximal palmar crease and the MP crease Distal palmar crease and the PIP crease Distal palmar crease and the DIP crease Proximal palmar crease and the DIP crease

10.  Which of the following clients would be most appropriate for the application of a static progressive finger extension splint? A client, with a history of non-compliance due to mild dementia A client, with a history significant for extension contractures to the 3rd digit’s PIP A client, with a history significant for mild to moderate flexion contractures to the 2nd digit’s PIP A client who is known to “overdo it”, often attempting to achieve rapid gains even when it may not be safe to do so.