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WorksheetsDynamic Splinting (Guest)
Total questions: 45
Worksheet time: 11hrs 15mins
Dr. _____ wrote a lot about pain. He described pain as "the gift that nobody wants" and discussed how (dynamic) orthosis is both a science and an art.
Bo Hussell
Paul Brand
Mitchell Walter
Edmund Dantes
Which of the following is true about dynamic orthosis?
They are intended for mobilization
Effort is achieved through movement and force
These type of splints are used only for the duration needed to achieve its goal
These types of splints should be worn permanently
Which of the following is true about dynamic orthosis?
It is needed when exercise and positioning is not enough to achieve satisfactory results
It is needed when movements must be assisted, replaced or restricted
If exercise and positioning is enough to achieve satisfactory results, it is recommended as an additional benefit
Concerns about pressure is relatively unimportant if wear is intermittent (30 minutes on, 30 minutes off)
How is pressure calculated?
As Pressure equals force over area (P=force/area)
As pressure equals area over force (P=area/force)
As pressure equals volume over time (P=V/T)
As pressure equals time over volume (P=T/V)
Stretch is an important goal of using a dynamic orthosis. Which of the following is true about stretch?
Stretch is a passive action that results in the elongation of elastic elements in the skin, scar and connective tissue
Stretch is an active action that results in the shortening of elastic elements in the skin, scar and connective tissue
Elongation by stretch will shorten when the force is relaxed
Elongation by stretch will increase when the force is relaxed
Which of the following is the best way to length tissues?
Keep them constantly in a state of mid-tension
Keep them constantly in flexion
Keep them constantly in extension
Rapidly alternate between states of tension and relaxation
Bruce, a firefighter, accidentally cut his arm with a large piece of glass. Is a splint appropriate for Bruce?
No, because this patient has an sore or wound and this is a contraindication for using a splint
Yes, because having a sore or wound is not a contraindication of using a splint
Tony recently received a skin graft after being burned. Is a splint appropriate for Tony?
Yes, because having a burn is not a contraindication for a splint
No, because this patient received a skin graft and this is a contraindication for a splint
Which of the following is a purpose of using mobilization orthoses?
They are often more simple to make than other types of orthoses
They prevent deformities from occurring
They correct an existing deformity
They can substitute for the loss of AROM
Which of the following is true about correction orthoses?
They are first used to increase tone
They are first used to decrease an existing deformity
They are first used to prevent a deformity
They are first used to increase PROM
Which of the following are classifications of orthoses?
Static
Dynamic
Flexible
Modable
When assessing whether a client needs a dynamic splint, which of the following is true?
Assessments help determine baseline factors from which orthoses can be created
Assessments allow progress to be monitored
The splint should meet the patients' psychological and socioeconomic needs
Measures are essential to establish and monitor orthotic intervention & exercises
What is the best way to measure progress of dynamic orthosis?
Measure degree change
Ask whether the client likes the splint
Ask whether the client feels that the splint is working
Examine the splint for any signs of wear
Monique has been using a splint for several months. However, her OT has noticed that there hasn't been at least 10 degrees of change even though there should have been. What should the OT do?
Don't modify the splint and just give more time
Rework the splint
Talk to the patient about her wear schedule
Change the wear schedule
____ is the most effective means of improving passive mobility of stiffened joints
Orthotic interventions
Neoprene strap
Electrical stimulation
Paraffin Wax
Johnny injured his arm four days ago. Should he be fitted with a splint?
Yes, because early splinting is ideal
No, because putting on an orthosis within the first week of an injury is too early
Which of the following is true about dynamic orthosis?
They influence soft tissue remodeling
They influence the collagen formation process
They influence the rate of neuron firing
They influence the rate of neuron regrowth
There are 2 types of tissue deformation: Mechanical creep and Biological creep. Which of the following is true about mechanical creep?
It involves stretching
It includes a temporary longitudinal reorganization of collagen
Stretch occurs a little bit at a time
It involves the generation of new tissue through mitotic activity
There are 2 types of tissue deformation: Mechanical creep and Biological creep. Which of the following is true about biological creep?
It involves stretching
It includes a temporary longitudinal reorganization of collagen
Stretch occurs a little bit at a time
It involves the generation of new tissue through mitotic activity
___ is defined as stress that is applied to living tissue over a prolonged period of time and usually gives rise to biological creep.
Tension
Mechanical creep
Biomechanical creep
Tension creep
___ is defined as stress that occurs over a prolonged period of time to create cell proliferation.
Biomechanical creep
Tension
Tension creep
Gentle Tension
A forceful stretch over a short period of time can lead to which of the following?
Increased AROM
Cell damage
Increased inflammation
Scar formation
Which of the following are some of the basic rules, or principles, that apply to all phases of preparing a mobilization orthosis?
The splint should be comfortable
The splint should be durable
The splint should be cosmetically acceptable
The splint should be cheap
The splint should be recyclable
Close communication between the patient, physician and OT is vital. Which of the following are important for ensuring good communication?
Be sure to know the type of surgery the patient had
Be sure to know how long the dynamic splint will need to last
Understand that the patient may not understand what the doctor has fixed
Consider using pictures, or simplier language with patients
When using a splint to apply force, which of the following is true?
Force should be gentle because too much force can cause further injury to soft tissue structures
Force should be gentle because too much force can be painful and lead to scarring
Force should be intense so that progress can occur faster
Force should be prolonged so that ROM can be changed
When using a splint to apply force, which of the following is true?
Force should be prolonged so that loads can remain low
Force should be gentle because too much force can lead to inflammation
Force should be heavy so that progress can occur at a quicker rate
Which of the following is true about a low-profile and high-profile orthosis?
The low-profile orthosis needs to be checked at every visit, while the high-profile doesn't
The high-profile orthosis needs to be checked at every visit, while the low-profile doesn't
The high profile orthosis needs to be checked at every 10th visit, while the low-profile doesn't
The low profile orthosis needs to be checked at every 10th visit, while the low-profile doesn't
Which of the following are categories of orthoses?
Mobilization
Immobilization
Restriction
Torque transmission
Transitional
Fred recently had surgery to correct a tendon injury. Which of the following is the most appropriate type of splint for him?
A mobilization splint, because he needs to move his wrist within the first couple of days
A restriction splint, because he shouldn't move his wrist within the first couple of days
A torque transmission splint, because this will give him more ROM
A transitory splint, because he will most likely need a more involved splint later
Grant has a limb deformity and his OT wants to restrict his movement in that limb. Which of the following is the most appropriate splint for Grant?
A mobilization splint
A restriction splint
A torque transmission splint
An airplane splint
Which of the following are goals of using a mobilization orthosis?
Correct deformity
Substitute for loss
Provide controlled motion
Aid in wound healing after a surgical intervention
Which of the following is the best way to remodel tissue?
Provide quick reflex testing over a very short amount of time
Provide quick stretching during a very short amount of time
Provide tolerable force overtime
Provide tolerable pain overtime
Using a concept known as "low load, long duration", mobilization orthotics are more effective when worn for ____ periods of time using increased levels of force.
Short
Long
Equal
No
What is the general goal of using a dynamic orthosis?
Increase PROM by 10 degrees per week
Increase AROM by 20 degrees per week
Increase PROM by 50 degrees per week
Increase AROM by 10 degrees per day
Susan recently injured a tendon in her wrist, and her OT provided her with a dynamic orthosis. Which of the following are goals for a client with this type of injury?
Increase controlled PROM of tendons
Increase flow of nutrient rich synovial fluids to enhance healing
Prevent rupture of the tendon
Decrease flow of synovial fluids to decrease swelling
Decrease controlled PROM of tendons
Jack recently sustained a spinal cord injury. His OT wants to provide him with a dynamic orthosis to increase his wrist extension and finger flexion to generate pinch. Where was the level of his injury?
T5
C7
C2
C3
Which of the following is true about injured tendons that are allowed to receive early protected mobilization?
This will increase their tensile strength
This will decrease their tensile strength
Adhesion formation between tendons are minimized
Adhesion formation between tendons are maximized
3-5 mm of early mobilization is appropriate
Which of the following is true about tenodesis?
Patients can use this to pinch and/or grasp
It is affected by wrist extension or flexion
Moving the fingers in extension or flexion will cause the fingers to curl or grip when the wrist is extended
Moving the fingers in extension or flexion will cause the finger to curl or grip when the wrist is flexed
Which of the following is true about tenodesis?
Moving the fingers in extension or flexion will cause the fingers to straighten or release when the wrist is flexed
It does not allow patients to pinch
Patients are actively grasping and releasing
Wound healing occurs in different stages. During the _____ stage, tissues are healing and the fibroblasts begin collagen formation
Collagen state
Proliferative stage
Chronic stage
Collagen stage
Wound healing occurs in different stages. During the _____ stage, cells are realigned, then joint in response to stress. There is a hard end feel.
Collagen state
Proliferative stage
Chronic stage
Collagen stage
During wound healing, _____ remodels and reorganizes based on the amount of stress that is applied to the wound
Collagen
Nitrogen
Muscle
Bone
Which of the following are some anatomical considerations regarding dynamic splints?
Dynamic splints can help restore normal ROM
Dynamic splints can minimize the effect of inflammation
Dynamic splints can maximize the effect of inflammation
Dynamic splints do little to help restore normal ROM
Which of the following is true about early mobilization?
Early mobilization can result in inflammation increases
Early mobilization can result in a decrease in ROM
Soft tissue structures respond best to prolonged stress
Dynamic splints apply force to the tissues. Which of the following is true about this force?
The direction and magnitude of forces applied to joints or fingers is important
The direction and magnitude of forces applied to joints or fingers is unimportant
The direction of the pull should be at a 90 degree angle of the joint
The direction of the pull should be perpendicular to the axis
The direction of the pull should be at a 180 degree angle of the joint
