Components: Video Quiz (identifying components/devices)

Static Dorsal Wrist Splint

Used for: fractures, contractures, post-op flexor tendon repair

Treatment goals: immobilize to help heal, retain/maintain ROM, stabilize, decrease joint activity

Plaster Dorsal Wrist Cock-Up

Used for: non-displaced/minimally displaced fractures, flexor tendon repair, trial before thermoplastic material made

Treatment goals: maintain functional position of the wrist, prevent wrist flexion or excessive extension, support palmar arch, provide rest to joints

Adjustable Foam Volar Wrist Cock-up

used for: thumb web space contracture, tendon repair, resting wrist position

treatment goals: prevent finger flexion, maintain functional position of hand, wrist in neutral or extension

Thermoplastic Volar Wrist Cock-up

Used for:

- Carpal Tunnel syndrome

- sprains/strains of wrist

- arthritis

- post-cast removal

- subluxation or dislocation of wrist

- base for dynamic splinting

Treatment Goals:

- stabilize and support wrist

- full use of fingers and thumb

Pre-Fabricated Canvas Wrist Splint (+ volar insert)

Used for:

- Carpal Tunnel syndrome

- Sprains/strains of the wrist

- arthritis

- post-cast removal

Treatment goals:

- stabilize and support the wrist

- full use of fingers and thumb

Thermoplastic Resting Pan Splint

Used for:

- burned hand

- restoring thumb webspace

- any condition requiring rest for joints of wrist and hand

Treatment Goals:

- keep wrist and hand in resting or functional position

- preserve webspace by preventing contractures

Pre-Fabricated Hand-based utensil assist

Used for: individuals unable to grasp utensils (SCI, CVA)

Treatment Goals: facilitate feeding independence and begin using involved extremity

Joint Jack

Used for: flexion contractures less than 35 degrees at PIP

Treatment goals: dynamic splint giving a light force over time at a 90 degree angle to the joint

Prefabricated PIP dynamic Extension Splint

used for:

- PIP joint flexion contractures

- boutonniere deformity

treatment goals:

- passively and dynamically facilitate PIP extension

DIP Dynamic Finger Splint

Used for:

- flexor injuries

- finger flexion contractures

- arthritis

- swan-neck deformity

Treatment goals:

- extend DIP joint to correct finger flexion contracture

Dynamic PIP Extension Splint (banana splint)

used for:

- PIP finger flexion contractures

- post-surgical repair of PIP joint

Treatment goals:

- provide extension force to correct PIP joint flexion contractures

- reduce edema

- aid in tissue remodeling

Canvas Ulnar Drift Splint

Used for:

- RA

- stroke

Treatment goals:

- prevent or slow progression of ulnar drift deformity at MCPs

Thermoplastic Dorsal Outrigger (one finger)

Used for:

- finger trauma primarily flexor tendon injury and repair

- intrinsic contractures

Treatment goals:

- increase passive PIP and DIP extension

- retain finger flexion abilities

Thermoplastic Dorsal Outrigger with Finger Slings

Used for:

- radial N injury

Treatment goals:

- retain neutral wrist

- support MCP extension

Thermoplastic CMC Support

Used for:

- CMC and MCP joint arthritis

- ligament injuries of the thumb

- following a CMC or MCP reconstruction

Treatment Goals:

- support CMC and MCP joint while allowing free wrist and IP motion

Thermoplastic Anti-Tone Splint

Used for:

- spasticity (CP, MS, CVA)

Treatment goals:

- flexor tone reduction

- prevent skin breakdown

- increase passive ROM via low grade prolonged stretch

Anti-tone Thermoplastic Volar Wrist Splint (type 1)

Used for:

- CVA

- MS

- CP

- arthritis

Treatment goals:

- flexor tone reduction

- prevent skin breakdown

- increase passive ROM

- keep fingers separated and wrist in neutral

Anti-tone Thermoplastic Volar Wrist Splint (type 2)

Used for:

- CVA

- MS

- CP

- arthritis

Treatment goals:

- flexor tone reduction

- prevent skin breakdown

- increase passive ROM

- keep fingers separated and wrist in neutral

Prefabricated adjustable wrist splint with thumb spica

Used for:

- CTS

- risk of web space contracture

- thumb injury

LSO neoprene Back Support

used for:

- back pain from long sitting/driving or heavy lifting

treatment goals:

- maintain lumbar lordosis

- provide warmth

- reduce pain

- support lumbar spine by reducing axial load

Low profile LSO for maternity or low back support

Used for:

- lumbar back pain during pregnancy

Treatment goals:

- reduce load on spine

- support lumbar spine

pre-fabricated Leather and Canvas SI belt

Used for:

- SI joint hypermobility/instability (ligamentous laxity)

Treatment goals:

- compressive stabilization of SIJ

Pre-fabricated TLSO (knight Taylor)

Used for:

- surgical or non-surgical management of stable thoracic or lumbar spine fractures

- post spinal fusion

Treatment goals:

- stabilize spine and trunk during healing

- prevent lateral bending

Skin breakdown -

Halo Cervical Stability Brace

Used for:

- C-spine fracture or dislocation

- severe upper c-spine injury

Treatment goals:

- reduce cervical movement while healing occurs

- stabilize c-spine

Hip Orthosis

Used for:

- hip fracture with weight bearing

- total hip replacement

Treatment goals:

- prevent dislocation

- immobilize during healing

Custom HKAFO

Used for:

- short leg from variety of diagnoses

Treatment goals:

- reduce axial load

- add length to leg

- distribute forces through hips and abdomen

Components:

- with lever release lock

- shoe lift

Femoral Fracture Orthosis

Indications:

- femoral fracture

treatment goals:

- stabilize and protect LE while allowing some motion

prefabricated adjustable knee brace

used for:

- mild to moderate ligament strains/sprains

- meniscal injuries

- lateral and medial ligament instability and tears

- hyperextension or chronic instability problems

- post-ligament repair

treatment goals:

- provide support and stability and ROM for the knee

pre-fabricated functional knee orthosis with mechanical knee

Used for:

- mild to moderate ligament sprains

- meniscal injury

- lateral and medial ligament instability or tears

- hyperextension or chronic instability problems

- post-ligament repair

Treatment goals:

- provide support and stability and ROM for the knee

pre-fabricated functional knee orthosis with extension lock

Used for:

- mild to moderate ligament sprains

- meniscal injury

- lateral and medial ligament instability or tears

- hyperextension or chronic instability problems

- post-ligament repair

Treatment goals:

- provide support/stability and ROM control for knee

- maintain knee in extension

Thermoplastic AFO with PF block

Used for:

- Foot drop or toe drag during gait

Treatment goals:

- prevent PF and foot drop

- hinged to allow for DF during gait

posterior leaf spring AFO with Calf-Cut out

used for:

- foot drop/toe drag during gait

Treatment goals:

- prevent PF during gait

Ankle Aircast

Indications:

- acute ankle sprains

- chronic instability

- injury prevention

- step down from post-surgical

Treatment goals:

- reduce all motion in all planes of the ankle

- mild compression for swelling

pre-fabricated lace-up AFO with Velcro support

functional

Used for:

- acute ankle sprains

- chronic instability

- injury prevention

- step down from post-surgical boot

Treatment goals:

- provide stability by restricting extreme end ranges of motion

- more functional

Prefabricated AFO with Stainless Steel uprights, DF assist, Leather Cuff

Indications: chronic foot drop or toe drag

- stroke

- SCI

treatment goals

- normalize gait by preventing PF and assisting with DF via spring loaded (klenzak) hinge

AFO with ROM locking mechanism

Indications:

- stress fractures

- soft tissue injuries

- moderate to severe ankle sprains

- syndesmosis sprains

- post ORIF/surgical stabilization after tendon/ligament repair

Treatment goals:

- therapist adjusted limitations of ROM allows restrictions to be followed and proper positioning during healing time

custom KAFO with metal uprights, knee cage, permanent shoe, and mechanical knee/cable

Used for:

- paraplegia or other LE paralysis (polio, stroke, SCI)

- genu recurvatum

- strong spasticity

- protection during post-op healing or wound healing

Treatment goals:

- stops hyperextension

- helps patient get into normal extension

- protect during healing

molded bivalved KAFO patellar tendon weight bearing with flexed ankle

Used for:

- Charcot joint

- painful ankle

Treatment goals:

- limit ankle motion

- support ankle and knee

reciprocating gait orthosis with free motion hip joint mechanism (knee joints, attached to solid AFO)

Used for:

- children with bilateral leg weakness from spinal lesions or deformities

Treatment goals

- add stability to joints of LE and allow reciprocal gait pattern

- trunk extension of one side initiates hip flexion contralaterally

Pediatric Standing frame with plastic molded body jacket, metal uprights, solid KAFO

used for:

- SCI

- CP

- spasticity

treatment goals:

- support and provide upright functional position for patient play

HKAFO with leather thoracic support (TLSO), leather thigh bands, leather knee cage, metal uprights

Used for:

- CP

- TBI,

- CNS injury causing spasticity

Treatment goals:

- prevent contractures

- support during spastic episodes

- support and stabilize all LE joints during gait

Milwaukee Brace (CTLSO)

Used for:

- scoliosis and kyphosis

Treatment goals:

- minimize progression not correct curve

TLSO for scoliosis with rib hump cut-out

Indications:

- children or young adults with scoliosis or kyphosis

Treatment goals:

- prevent further curvature/abnormal movement of the spine as child grows

Charleston Bending Brace

used for:

- child with scoliosis

Treatment goals:

- maintain and prevent progression of spinal curve

Counter Rotation Brace

Indications:

- child with increased tibial torsion (IR/ER)

- genu valgum (knock knee)

- post surgical splinting or maintenance of congenital foot deformities

Treatment goals:

- allow freedom of movement while preventing habitual sleeping and sitting deformities

Klenzac Springloaded DF Assist

Knee Drop Ring Lock

Hip Drop Ring Lock

Dorsal Outrigger

Metal Uprights

Hinges

advantage: can prevent unwanted ROM or set to optimal range for healing

Knee Cages

Split Stirrups

advantage: can change diff shoes out

Disadvantage: weaker and break easily

- ulnar styloid

- radial styloid

- olecranon process

- medial/lateral epicondyle

Upper Extremity skin breakdown sites

- occiput

- mandible

- clavicle

- inferior angle of scapula

- iliac crest

- sacrum

- pubis

head and trunk sites of breakdown

- greater trochanter

- tibial tubercle

- fibular head

- malleoli

- calcaneous

- metatarsal heads

LE skin breakdown sites