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Successful Static Splinting: Fabrication for Specific Diagnoses, Part 4

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1.  Which of the following scenarios would most likely benefit from the use of a thermoplastic with a high degree of conformity and drapability? A 35-year old female who experienced a 25% total body surface area burn to the face and neck A 45-year old male who burned the posterior aspect of the calf and thigh, requiring a knee extension splint A 40-year old female who experienced an 18% burn to the right arm and torso, requiring a large airplane splint to hold the shoulder in horizontal abduction A 38-year old female who experienced a 5% burn to the back of the skull with no neck involvement

2.  Which portion of the anatomy would be most applicable to being splinted with a stretchable thermoplastic? The fifth digit (pinky finger) The thumb and thenar eminence (web space) The wrist and the ulnar aspect of the hand All of the above would benefit from a stretchable thermoplastic.

3.  Which of the following is a TRUE statement? Thermoplastics with a coating are ‘sticky’, while those without a coating are non-sticky. A thermoplastic with a coating is beneficial for splinting situations where a temporary bond is required. Thermoplastics with a coating are beneficial for elbow splint applications, where a temporary bond is required. Thermoplastics with a coating are non-stick, while those without a coating are ‘sticky.’

4.  Which of the following household items would be least likely to be adapted via the use of thermoplastic pellets except? Toothbrush Pencil & Pen Soccer Ball Fork and Spoon

5.  The _________ splint is most commonly used while the patient is non-ambulatory, while the __________ splint is most often utilized after the patient has started performing mobility. Pre-formed foot drop splint, ankle foot orthosis Ankle foot orthosis, pre-formed foot drop splint Ankle foot orthosis, below the knee amputation Preformed foot drop splint, below the knee amputation

6.  A 40-year-old male has started therapy services following a motorcycle accident, resulting in the placement of an external fixator. Which of the following depicts the most appropriate application of a foot drop splint while an external fixator is in place? Use of a preformed foot drop splint Creation of a foot plate, to be placed on the distal half of the foot and secured to the external fixator Creation of a foot plate, to be placed on the proximal half of the foot and secured to the external fixator Creation of a foot plate, to be placed on the distal half of the foot and secured to the patient’s heel

7.  After a below the knee amputation, splinting is utilized to achieve which of the following? Achieve and maintain knee extension Achieve and maintain knee flexion Prevent extension contractures of the knee Achieve dorsiflexion of the ankle

8.  Current trends in below the knee amputation (BKA) orthotic application are leaning towards the use of prefabricated orthotics. This is most likely because of which of the following benefits? Ease in application Improved resistance to flexion Increased cost efficiency All of the above are benefits of prefabricated BKA orthotics

9.  Which of the following educational methods would be LEAST beneficial in educating the patient and caregiver about the fit of a newly fabricated splint? Mark, with a permanent marker, the top and bottom of the splint along with any other necessary landmarks. Observe the patient apply and remove the splint to ensure proper fit. Thoroughly document the wear schedule in the chart. Provide the patient with an instructional sheet with the splint application diagrammed and the wear schedule listed.

10.  Which of the following would be a reasonable outcome to include when considering goal writing in regard to splint fabrication and use? No skin breakdown or redness to be present Patient will don/doff splint independently Patient will verbalize wear schedule All of the above would be applicable components of a splinting goal