Orthosis and Range of Motion Exercises

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Questions and Answers

What is the purpose of orthosis adjustment?

To increase tension on the outrigger

To monitor tension on the outrigger (correct)

To decrease IP PROM

To reduce extension to neutral

What is the goal of maintaining extension to neutral?

To achieve full extension

To maintain a neutral position (correct)

To achieve full flexion

To reduce PROM

What is the primary focus of controlled IP PROM?

To improve muscle strength

To decrease pain

To control the pace of movement (correct)

To increase range of motion

What is the role of the outrigger in orthosis adjustment?

To monitor tension on the joint Signup and view all the answers

What is the primary purpose of exercises in orthosis adjustment?

To maintain extension to neutral Signup and view all the answers

By what week can composite flexion exercises be initiated if there is no extension lag?

5th week Signup and view all the answers

What is the condition necessary for composite flexion exercises to be initiated by the 5th week?

If there is no extension lag Signup and view all the answers

What type of exercises can be initiated by the 5th week if there is no extension lag?

Composite flexion exercises Signup and view all the answers

What is the benefit of initiating composite flexion exercises by the 5th week?

Improved range of motion Signup and view all the answers

What should happen before initiating composite flexion exercises?

Extension lag should be absent Signup and view all the answers

Where should emphasis be placed on supporting the PIP?

During DIP flexion Signup and view all the answers

In which orthosis is emphasis placed on supporting the PIP?

Orthosis 2 Signup and view all the answers

What is the position of the PIP during DIP flexion?

Neutral Signup and view all the answers

What is the purpose of supporting the PIP?

To provide stability during DIP flexion Signup and view all the answers

What is the condition being supported during DIP flexion?

Neutral PIP Signup and view all the answers

What is the recommended duration for full-time splinting?

Six weeks Signup and view all the answers

What is the alternative to full-time splinting?

Part-time splinting for four to six weeks Signup and view all the answers

What is the main concern when hyperextension occurs?

Skin necrosis Signup and view all the answers

What is the primary goal of splinting?

To prevent further injury Signup and view all the answers

What is the recommended approach to hyperextension?

Avoid hyperextension, which may cause skin necrosis Signup and view all the answers

Why is it necessary to monitor the degree of extension lag?

To track the progression of activities Signup and view all the answers

When should light use of the hand be initiated?

At 2 weeks Signup and view all the answers

What is the primary goal of monitoring extension lag?

To track the progression of hand use Signup and view all the answers

At what stage should strengthening exercises be initiated?

At 8 weeks Signup and view all the answers

What is the optimal timeframe for progressing from light hand use to strengthening?

3-5 weeks Signup and view all the answers

Study Notes

Orthosis Adjustment and Monitoring

Adjust orthosis to monitor tension on the outrigger to maintain extension to neutral
Importance of controlled IP PROM (passive range of motion) for optimal results

Splinting Protocols

Full-time splinting required for six weeks
Part-time splinting option for four to six weeks
Crucial to avoid hyperextension to prevent skin necrosis

Supporting the PIP Joint

Emphasis on supporting the PIP (proximal interphalangeal) joint at neutral in orthosis 2 during DIP (distal interphalangeal) flexion
Importance of maintaining neutral position to prevent complications

Exercise Initiation and Progression

Composite flexion exercises can be initiated by the 5th week if there is no extension lag
Closely monitor the degree of extension lag as activities and hand use are progressed
Begin light use of the hand and progress to strengthening at 8 weeks

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Description

This quiz covers exercises in orthosis adjustment, including monitoring tension and maintaining extension, as well as controlled IP PROM. Test your knowledge of these exercises and their applications.