Podcast
Questions and Answers
What is the purpose of orthosis adjustment?
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?
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?
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?
What is the role of the outrigger in orthosis adjustment?
What is the primary purpose of exercises in orthosis adjustment?
What is the primary purpose of exercises in orthosis adjustment?
By what week can composite flexion exercises be initiated if there is no extension lag?
By what week can composite flexion exercises be initiated if there is no extension lag?
What is the condition necessary for composite flexion exercises to be initiated by the 5th week?
What is the condition necessary for composite flexion exercises to be initiated by the 5th week?
What type of exercises can be initiated by the 5th week if there is no extension lag?
What type of exercises can be initiated by the 5th week if there is no extension lag?
What is the benefit of initiating composite flexion exercises by the 5th week?
What is the benefit of initiating composite flexion exercises by the 5th week?
What should happen before initiating composite flexion exercises?
What should happen before initiating composite flexion exercises?
Where should emphasis be placed on supporting the PIP?
Where should emphasis be placed on supporting the PIP?
In which orthosis is emphasis placed on supporting the PIP?
In which orthosis is emphasis placed on supporting the PIP?
What is the position of the PIP during DIP flexion?
What is the position of the PIP during DIP flexion?
What is the purpose of supporting the PIP?
What is the purpose of supporting the PIP?
What is the condition being supported during DIP flexion?
What is the condition being supported during DIP flexion?
What is the recommended duration for full-time splinting?
What is the recommended duration for full-time splinting?
What is the alternative to full-time splinting?
What is the alternative to full-time splinting?
What is the main concern when hyperextension occurs?
What is the main concern when hyperextension occurs?
What is the primary goal of splinting?
What is the primary goal of splinting?
What is the recommended approach to hyperextension?
What is the recommended approach to hyperextension?
Why is it necessary to monitor the degree of extension lag?
Why is it necessary to monitor the degree of extension lag?
When should light use of the hand be initiated?
When should light use of the hand be initiated?
What is the primary goal of monitoring extension lag?
What is the primary goal of monitoring extension lag?
At what stage should strengthening exercises be initiated?
At what stage should strengthening exercises be initiated?
What is the optimal timeframe for progressing from light hand use to strengthening?
What is the optimal timeframe for progressing from light hand use to strengthening?
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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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