NBCOT Splints Uses and Diagnoses Flashcards

Study Notes

Brachial Plexus Injuries

Brachial plexus (C5-T1) injuries lead to whole upper extremity involvement.
Flail arm splint provides stability at the shoulder and elbow for functional hand positioning.

Erb's Palsy

Injury to the 5th and 6th brachial plexus roots.
Elbow lock splint stabilizes the elbow, allowing hand positioning closer to or away from the body.

Radial Nerve Palsy

Dynamic extension splint is used to assist with arm function.

Median Nerve Injury

Dorsal blocking splint with wrist at 30 degrees is necessary, includes 90 degrees elbow positioning for high lesions.
Features include a C-bar and opponens to support hand function.

Ulnar Nerve Injury

MCP flexion blocking splint is designed to prevent hyperextension of the fingers.

Spinal Cord Injury (C6-C7)

Tenodesis splint is utilized to facilitate grasp function through wrist positioning.

DeQuervain's Disease

A thumb spica splint is used, encompassing the wrist while leaving the IP joint free.

Swan Neck Deformity

Silver rings or buttonhole splint is applied to prevent hyperextension of the PIP joint.

Boutonniere Deformity

Silver rings or a dynamic PIP extension splint helps avoid flexion of the PIP joint.

Skier's Thumb

Hand-based thumb splint supports the thumb to allow for healing.

CMC Arthritis

A hand-based thumb splint, functional (C-shaped) or safe splint, is selected based on the stage of arthritis.

Flaccidity

Resting splint is employed to support the affected limbs.

Spasticity

Spasticity splint, featuring fingers and thumb in abduction, or a cone splint is used for management.

Muscle Weakness

Balanced forearm orthosis (BFO) and deltoid sling/overhead suspension slings assist individuals with conditions like ALS, SCI, or Guillain-Barre.
These mount to wheelchairs and require shoulder or trunk movement.

Carpal Tunnel Syndrome

A wrist cock-up splint in a neutral position with minimal ulnar deviation is prescribed; wrist flexion activities should be avoided.

Pronator Teres Syndrome

An elbow splint at 90 degrees with the forearm in a neutral position is implemented for treatment.

Cubital Tunnel Syndrome

Elbow splint at 30 degrees prevents extreme flexion, particularly during sleep.

Kleinert Protocol

Involves active digit extension with passive flexion using rubber band traction; a dorsal block splint is utilized.

Duran Protocol

Focuses on passive flexion and extension of digits, also using a dorsal block splint.

Long Opponens Splint

Prevents both radial and ulnar deviations of the hand.

Bilateral Soft Elbow Splints

Fix elbows at 20-30 degrees of flexion to maintain position.

Wrist Cock-Up Splint

Allows full MCP flexion while maintaining the wrist and hand in a functional position; beneficial for acute rheumatoid arthritis and carpal tunnel syndrome.

Volar Cock-Up Splints

Immobilize the wrist in a functional position without directly addressing thumb function.

Resting Hand Splint

Static orthosis immobilizes the wrist, fingers, and thumb, maintaining MCPs and IPs stretched to minimize joint contractures.

Night Resting Splints

Maintain correct wrist, finger, and thumb positioning yet do not facilitate functional use.

Dupuytren's Disease

Extension splint is employed to treat the condition effectively.

Lateral/Medial Epicondylitis

Conservative treatment includes the use of elbow straps and wrist splints, alongside ice, deep friction massage, and stretching to promote recovery.

Description

This quiz features flashcards focused on splints used for various diagnoses relevant to the NBCOT certification exam. Each card includes definitions and functions of splints, particularly for conditions related to brachial plexus injuries. Enhance your understanding of splint applications and their therapeutic roles in upper extremity injuries.

NBCOT Splints Uses and Diagnoses Flashcards

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Questions and Answers

What is a brachial plexus injury?

What is the purpose of an Erb's palsy splint?

What type of splint is used for radial nerve palsy?

What does a dorsal blocking splint with wrist at 30 degrees assist with?

What is the function of a MCP flexion blocking splint?

What is a tenodesis splint used for?

What is the purpose of a thumb spica splint?

What type of splint is used to prevent hyperextension of the PIP joint?

What is a hand-based thumb splint used for?

What type of splint is a resting splint?

What does an extension splint assist with in Dupuytren's disease?

Which of the following is a feature of a balanced forearm orthosis (BFO)?

A wrist cock-up splint is used to position the wrist in __________.

A night resting splint addresses functional use of the hand.

What kind of treatment is recommended for lateral/medial epicondylitis?