Orthotic Intervention for the Hand and Upper Extremity: Splinting Principles and Process

 

Description:

 

Companion to the Fabrication Process Manual for Orthotic Intervention for the Hand and Upper Extremity, now published as a separate text. This comprehensive text is the perfect resource for use in the classroom, during labs, and in clinical practice for both occupational and physical therapists. Additionally, it is a great reference for those studying to become a Certified Hand Therapist (CHT). Orthotic Intervention for the Hand and Upper Extremity: Splinting Principles and Process superbly highlights anatomical and mechanical principles; discusses associated indications and precautions; and promotes clinical reasoning skills by presenting various patient examples, therefore allowing you to confidently utilize techniques in clinical practice. This updated third edition is divided into the following sections: fundamentals necessary for successful orthotic fabrication, additional intervention methods, and orthoses for specific diagnoses and patient populations. Now with a larger format for more generous pattern appreciation, as well as incorporated and revised evidence-based content from an expanded list of contributing authors, it remains the go-to resource for every level of usage.

 

 

Table of Contents:

 

SECTION 1 Fundamentals of Orthotic Fabrication

1 Concepts of Orthotic Fundamentals

INTRODUCTION

NOMENCLATURE: ORTHOSIS VERSUS SPLINT

DEFINITION

REGULATORY CHALLENGES OVER THE YEARS

OVERVIEW OF ORTHOSIS CLASSIFICATION

CHOOSING THE CORRECT L-CODE

CHALLENGES IN THE USE OF L-CODES

SUMMARY OF THE MODIFIED ORTHOSIS CLASSIFICATION SYSTEM

ARTICULAR AND NONARTICULAR ORTHOSES

LOCATION

JOINT(S) INVOLVED/TORQUE APPLICATION

DIRECTION

INTENT: IMMOBILIZATION, MOBILIZATION, AND RESTRICTION

DESIGN DESCRIPTORS

NON–MODIFIED ORTHOSIS CLASSIFICATION SYSTEM NOMENCLATURE

FUNCTION OF ORTHOSES AND OBJECTIVES FOR INTERVENTION

IMMOBILIZATION ORTHOSES

MOBILIZATION ORTHOSIS

RESTRICTION ORTHOSES

CONCLUSION

2 Anatomical Principles

INTRODUCTION

THE BONES AND JOINTS OF THE UPPER EXTREMITY

THE SHOULDER

THE ELBOW

THE FOREARM

THE WRIST

THE HAND

ORTHOTIC IMPLICATIONS

NERVES AND MUSCLES OF THE UPPER EXTREMITY

ORTHOTIC IMPLICATIONS

VASCULAR SUPPLY OF THE UPPER EXTREMITY

ORTHOTIC IMPLICATIONS

CONCLUSION

3 Tissue Healing

INTRODUCTION

STAGES OF WOUND HEALING

INFLAMMATORY STAGE

FIBROPLASIA AND PROLIFERATIVE STAGE

MATURATION AND REMODELING STAGE

EFFECT OF ORTHOSES ON TISSUE HEALING

TISSUE REMODELING

CLINICAL CONSIDERATIONS

CONDITIONS AND FACTORS THAT INFLUENCE TISSUE HEALING

AGE

LIFESTYLE FACTORS

MEDICAL CONDITIONS

MEDICAL TREATMENT AND COMPLICATIONS

ORTHOTIC APPLICATION FOR SPECIFIC TISSUES

SKIN

TENDON

PERIARTICULAR SOFT TISSUE

BONE AND CARTILAGE

NERVE

CONCLUSION

4 Mechanical Principles

INTRODUCTION

FORCE

TORQUE

LEVER SYSTEMS AND MECHANICAL ADVANTAGE

ANGLE OF APPLICATION

ELASTIC FORCE

FRICTION FORCE

STRESS

COMPRESSION

SHEAR

TENSILE

BENDING AND TORSION

CONCLUSION

5 Equipment and Materials

INTRODUCTION

ESSENTIAL EQUIPMENT

HEATING SOURCES

ORTHOTIC TOOLS

LOW-TEMPERATURE THERMOPLASTIC ORTHOTIC MATERIALS

HANDLING CHARACTERISTICS

PHYSICAL CHARACTERISTICS

CATEGORIES

ADDITIONAL EQUIPMENT

STRAPPING MATERIALS

LINING AND PADDING MATERIALS

COMPONENTS

CONCLUSION

6 Fabrication Process

INTRODUCTION

REFERRAL

EXAMINATION

SUBJECTIVE INFORMATION

SOCIAL AND VOCATIONAL HISTORY

OBJECTIVE INFORMATION

PROBLEM-SOLVING AND GOAL SETTING

PATIENT EDUCATION AND PRECAUTIONS

ORTHOSIS PRICING AND INSURANCE REIMBURSEMENT

ORTHOTIC FABRICATION PROCESS

PROCESS

CONCLUSION

SECTION 2 Optional Methods

7 Relative Motion Orthoses

INTRODUCTION

LITERATURE SUMMARY OF COMMON DIAGNOSES

ZONE IV-VII LONG EXTENSOR TENDON

ACUTE AND CHRONIC SAGITTAL BAND INJURY AND REPAIR

ACUTE AND CHRONIC BOUTONNIERE DEFORMITY

ACUTE BOUTONNIERE DEFORMITY

CHRONIC BOUTONNIERE DEFORMITY

PATIENT POPULATION AND DIAGNOSIS FOR BEST USE

FABRICATION CONCEPTS FOR RELATIVE MOTION ORTHOSES

DEGREE OF RELATIVE EXTENSION OR FLEXION

FINGERS INCLUDED IN THE ORTHOTIC DESIGN

ORTHOTIC MATERIAL SUGGESTIONS

STRAPPING OPTIONS

TROUGH DESIGN (SHALLOW OR DEEP)

INSTRUCTION FOR ORTHOTIC FABRICATION

EXERCISE CONSIDERATIONS

CONCLUSION

8 Upper Extremity Prosthetics

INTRODUCTION: WHAT IS PROSTHETIC REHABILITATION?

WHAT IS MEANT BY INTERPROFESSIONAL COLLABORATIVE PRACTICE?

SPECIALIZED CARE

WHY IS PROSTHETIC REHABILITATION IMPORTANT FOR THE THERAPIST TO UNDERSTAND?

POPULATION HEALTH

WHAT ARE THE CAUSES OF ACQUIRED LIMB LOSS AND CONGENITAL DIFFERENCE?

DOES THE LEVEL OF LOSS/DIFFERENCE HAVE AN IMPACT ON FUNCTION AND SATISFACTION?

JOINT DISARTICULATIONS

TRANSSECTIONAL LOSS

PHANTOM SENSATION AND PHANTOM PAIN

WHAT ARE THE COMPONENTS TO PROSTHETIC TECHNOLOGY AND WHAT IS THEIR FUNCTION?

PROSTHETIC TECHNOLOGY AND FUNCTIONAL ABILITY

THE SOCKET

THE LINERS

THE HARNESS

THE CABLE

THE TERMINAL DEVICE

ELBOW COMPONENTS

SHOULDER COMPONENTS

PROSTHETIC OPTIONS

NO PROSTHESIS

PASSIVE FUNCTIONAL AESTHETIC PROSTHESIS

ACTIVITY-SPECIFIC PROSTHESIS

CABLE DRIVE—BODY-POWERED PROSTHESIS

EXTERNALLY POWERED PROSTHESIS (MYOELECTRIC)

HYBRID PROSTHESIS

EMERGING TECHNOLOGIES

OSSEOINTEGRATION

TARGETED MUSCLE REINNERVATION

TRANSPLANTS OF HANDS

PARTIAL HAND OPTIONS

3D-PRINTED TECHNOLOGY/ADDITIVE MANUFACTURING

PROSTHOSIS

WHAT ARE THE PHASES OF CARE?

PREOPERATIVE PHASE

AMPUTATION SURGERY AND DRESSING PHASE

ACUTE POSTSURGICAL PHASE

PREPROSTHETIC PHASE

PROSTHETIC PRESCRIPTION AND FABRICATION PHASE

PROSTHETIC TRAINING PHASE

COMMUNITY INTEGRATION, VOCATIONAL REHABILITATION, AND FOLLOW-UP PHASES

PSYCHOLOGICAL AND SOCIAL ISSUES OF CLIENTS WITH AMPUTATIONS

UPPER EXTREMITY PROSTHETIC INTERVENTION FOR CHILDREN

CONCLUSION

9 Prefabricated Orthoses

INTRODUCTION

CONSIDERATIONS FOR FITTING ORTHOSES

SPECIFICS OF THE DIAGNOSIS

PATIENT NEEDS AND PREFERENCES

TIME CONSTRAINTS

APPROPRIATENESS AND AVAILABILITY OF THE MATERIAL

EASE OF APPLICATION

COST-EFFECTIVENESS

EDUCATED DECISION-MAKING

BASIC CODING AND BILLING PRINCIPLES FOR PREFABRICATED ORTHOSES

PREFABRICATED ORTHOSES FOR THE UPPER EXTREMITY

SHOULDER AND UPPER ARM ORTHOSES

ELBOW AND FOREARM ORTHOSES

WRIST ORTHOSES

HAND FINGER ORTHOSES

FINGER ORTHOSES

SUPPLIES

OTHER DEVICES

CONTINUOUS PASSIVE MOTION MACHINES

STATIC PROGRESSIVE AND DYNAMIC DEVICES

PREFABRICATED ORTHOSES ADAPTATIONS

CONCLUSION

10 Casting

INTRODUCTION

INDICATIONS FOR USE

INDICATIONS FOR CASTING INCLUDE THE FOLLOWING:

CASTS CAN BE USED FOR VARIOUS PURPOSES, INCLUDING THE FOLLOWING:

SWOLLEN, PAINFUL PIP JOINTS

ACUTE, CLOSED CENTRAL SLIP AVULSION AND ZONE III EXTENSOR TENDON REPAIR

EXTRINSIC MUSCLE-TENDON UNIT TIGHTNESS

HARD END FEEL JOINT CONTRACTURES

MUSCLE-TENDON UNIT IMBALANCE

LENGTHENING LEVER ARMS

CHRONICALLY STIFF HAND

COMPLIANCE PROBLEMS

CASTING FOR CENTRAL NERVOUS SYSTEM DISORDERS

CNS CASTING MATERIALS

FABRICATION

PRECAUTIONS

CNS CAST REGIMEN

CASTING MATERIALS AND EQUIPMENT

PLASTER OF PARIS

FIBERGLASS (RIGID)

SOFT CASTING (SEMIRIGID)

DELTA-CAST® CONFORMABLE: FUNCTIONAL CAST THERAPY

DIGIT THERMOPLASTIC TAPES

CLINICAL EXAMPLE: SERIAL STATIC PIP JOINT EXTENSION ORTHOSIS

ACTIVATION OF QUICKCAST 2

MATERIALS AND METHODS

USING PLASTER OF PARIS

HELPFUL TECHNIQUES FOR FINGER CASTING

PRECAUTIONS FOR FINGER CASTING

CASTING REGIMEN

CLINICAL EXAMPLE: SERIAL STATIC POP STRETCHER FOR MODIFYING SCAR TISSUE

MATERIALS AND PREPARATION

METHOD

PRECAUTIONS FOR POP STRETCHER

STRETCHER REGIMEN

CONCLUSION

11 Orficast® and Orficast® More

INTRODUCTION

ORFICAST® AND ORFICAST® MORE

OVERVIEW OF USE

PRECAUTIONS/CONTRAINDICATIONS

CLIENT INSTRUCTIONS

EQUIPMENT REQUIRED

SUGGESTED PATIENT POPULATIONS/DIAGNOSES

COMMON CONDITIONS OF THE FINGERS

COMMON CONDITIONS OF THE THUMB

HAND-BASED ORTHOSES

FOREARM-BASED ORTHOSES WITH ORFICAST MORE

CREATIVE USES OF ORFICAST® MATERIALS

CHAPTER REVIEW QUESTIONS

RESOURCES

DISTRIBUTORS

12 Delta-Cast®

INTRODUCTION

OVERVIEW OF THE PROCESS

PRECAUTIONS/CONTRAINDICATIONS

BENEFITS OF FUNCTIONAL CAST THERAPY

SUGGESTED POPULATIONS/DIAGNOSES

INSTRUCTIONS IN APPLYING DELTA-CAST®

ZONES OF RIGIDITY

CASTING STATION SETUP

MATERIALS NEEDED

ADDITIONAL SUPPLIES

CARE OF ORTHOSIS/PATIENT INSTRUCTION

CREATIVE USES OF DELTA-CAST® CONFORMABLE IN HAND THERAPY

CONCLUSION

13 Taping Techniques

INTRODUCTION

TAPING MATERIALS

TAPING PRECAUTIONS

ATHLETIC TAPING

GENERAL PRINCIPLES

GOALS OF ATHLETIC TAPING

INDICATIONS FOR USE

TECHNIQUE

PRECAUTIONS

HELPFUL HINTS

CLINICAL EXAMPLES OF ATHLETIC TAPING

MCCONNELL TAPING

GENERAL PRINCIPLES

GOALS OF MCCONNELL TAPING

INDICATIONS FOR USE

TECHNIQUE

PRECAUTIONS

HELPFUL HINTS

CLINICAL EXAMPLES OF MCCONNELL TAPING

ELASTIC THERAPEUTIC TAPE

GENERAL PRINCIPLES

ELASTIC THERAPEUTIC TAPING—KINESIOLOGY TAPE

GENERAL PRINCIPLES

GOALS OF KINESIOLOGY TAPE

INDICATIONS FOR USE

PRODUCT VARIATIONS

PATIENT EDUCATION

PROPERTIES OF TAPE AND TECHNIQUE OF APPLICATION

PRECAUTIONS

HELPFUL HINTS

CLINICAL EXAMPLES OF KINESIO TAPING

ELASTIC THERAPEUTIC TAPING—BIOMECHANICAL TAPING/DYNAMIC TAPE

GENERAL PRINCIPLES

INDICATIONS FOR USE

GOALS/AIMS OF DYNAMIC TAPING

FUNDAMENTALS OF BIOMECHANICAL TAPING

POWER BANDS

TECHNIQUE AND APPLICATION

PRECAUTIONS/CONTRAINDICATIONS

HELPFUL HINTS

CLINICAL EXAMPLES OF DYNAMIC TAPING

WEBSITES

CONCLUSION

14 Neoprene Orthoses

INTRODUCTION

HISTORY OF NEOPRENE

CHARACTERISTICS OF NEOPRENE

DIRECTION OF STRETCH

MOBILIZATION FORCE

TYPES OF LAYERS

PRECAUTIONS AND CARE OF NEOPRENE

WHY CHOOSE A CUSTOM VERSUS PREFABRICATED NEOPRENE ORTHOSIS?

CREATIVE USES OF NEOPRENE

THUMB AND DIGITS

WRIST AND HAND

FOREARM

ELBOW

CREATIVE NEOPRENE STRAPPING WITH CUSTOM THERMOPLASTIC ORTHOSES

MOBILIZATION OPTIONS

ALTERNATE USES

CONCLUSION

SECTION 3 Orthotic Intervention for Specific Diagnoses and Populations

15 Stiffness

Introduction

PATHOLOGY OF JOINT STIFFNESS

ADAPTIVE SHORTENING

STRESS AND RESTORATION OF PASSIVE RANGE OF MOTION

OPTIMAL STRESS APPLICATION: DELIVERY APPROACH

LOW-LOAD, PROLONGED STRESS

CHARACTERISTICS OF APPROACHES IN ORTHOTIC INTERVENTION

DYNAMIC ORTHOSES

STATIC PROGRESSIVE ORTHOSES

SERIAL STATIC ORTHOSES

RELATIVE MOTION ORTHOSES

BLOCKING ORTHOSES

CASTING MOTION TO MOBILIZE STIFFNESS

INDICATIONS FOR ORTHOSIS APPROACH

CONTRAINDICATIONS TO ORTHOTIC INTERVENTION

COMMON CONTRAINDICATIONS INCLUDE THE FOLLOWING

CAUSES OF JOINT STIFFNESS

PRECIPITATING CONDITIONS FOR STIFFNESS

ORTHOSES TO ADDRESS INTRINSIC TIGHTNESS

ORTHOSES TO ADDRESS EXTRINSIC TIGHTNESS

ORTHOSES TO ADDRESS JOINT STIFFNESS

STIFFNESS AT SPECIFIC JOINTS

THE METACARPOPHALANGEAL JOINTS

THE THUMB METACARPOPHALANGEAL JOINT

THUMB CARPOMETACARPAL JOINT

PROXIMAL INTERPHALANGEAL JOINT

DISTAL INTERPHALANGEAL JOINT

WRIST JOINT

FOREARM

ELBOW JOINT

SHOULDER JOINT

OTHER CONDITIONS LEADING TO STIFFNESS

PSYCHOPATHOLOGY

BURN INJURY

FRACTURE

LIGAMENT INJURY OR DISLOCATION

INFECTION

DIABETES

PARALYSIS

CONCLUSION

16 Fractures

INTRODUCTION

FRACTURE DESCRIPTION AND TREATMENT

SCAPULA FRACTURES

FRACTURES OF THE CLAVICLE

HUMERAL FRACTURES

ELBOW FRACTURES

FOREARM FRACTURES

DISTAL RADIUS FRACTURES

CARPAL FRACTURES

METACARPAL FRACTURES

PHALANGEAL FRACTURES

PHALANGEAL FRACTURE/DISLOCATIONS

CONCLUSION

17 Arthritis

Introduction

GOALS FOR THE USE OF ORTHOSES

GOALS FOR THE USE OF ORTHOSES IN PATIENTS WITH ARTHRITIS

JOINT ASSESSMENT

COMPONENTS OF A NORMAL JOINT

JOINT DISEASE AND INFLAMMATION

OSTEOARTHRITIS

CHARACTERISTICS

GENERAL SIGNS AND SYMPTOMS

ORTHOTIC MANAGEMENT

MATERIAL SELECTION

THERMOPLASTICS

STRAPPING

PREFABRICATED ORTHOSES

PIP AND DIP JOINTS WITH OSTEOARTHRITIS

NONSURGICAL ORTHOTIC MANAGEMENT GUIDELINES

POSTSURGICAL ORTHOTIC MANAGEMENT GUIDELINES

THUMB WITH OSTEOARTHRITIS

CLINICAL EXAMINATION

PATHOMECHANICS OF FIRST CARPOMETACARPAL OSTEOARTHRITIS

NONSURGICAL ORTHOTIC MANAGEMENT GUIDELINES

POSTSURGICAL ORTHOTIC MANAGEMENT GUIDELINES

WRIST WITH OSTEOARTHRITIS

STT JOINT VERSUS FIRST CMC JOINT OSTEOARTHRITIS: WHAT IS THE DIFFERENCE?

NONSURGICAL ORTHOTIC MANAGEMENT GUIDELINES

POSTSURGICAL ORTHOTIC MANAGEMENT GUIDELINES

ELBOW WITH OSTEOARTHRITIS

NONSURGICAL ORTHOTIC MANAGEMENT GUIDELINES

POSTSURGICAL ORTHOTIC MANAGEMENT GUIDELINES

RHEUMATOID ARTHRITIS

CHARACTERISTICS

GENERAL SIGNS AND SYMPTOMS

PATHOMECHANICS OF DEFORMITIES IN RHEUMATOID ARTHRITIS

NONSURGICAL ORTHOTIC MANAGEMENT GUIDELINES

ELBOW WITH RHEUMATOID ARTHRITIS

NONSURGICAL ORTHOTIC MANAGEMENT GUIDELINES OF THE ELBOW

POSTSURGICAL ORTHOTIC MANAGEMENT GUIDELINES OF THE ELBOW

WRIST WITH RHEUMATOID ARTHRITIS

NONSURGICAL ORTHOTIC MANAGEMENT GUIDELINES FOR THE WRIST

POSTSURGICAL ORTHOTIC MANAGEMENT GUIDELINES FOR THE WRIST

THUMB WITH RHEUMATOID ARTHRITIS

NONSURGICAL ORTHOTIC MANAGEMENT GUIDELINES

POSTSURGICAL ORTHOTIC MANAGEMENT GUIDELINES FOR THE THUMB

DIGIT MCP JOINTS WITH RHEUMATOID ARTHRITIS

NONSURGICAL ORTHOTIC MANAGEMENT GUIDELINES

POSTSURGICAL ORTHOTIC MANAGEMENT GUIDELINES

PIP AND DIP JOINTS WITH RHEUMATOID ARTHRITIS

SWAN-NECK DEFORMITY

NONSURGICAL ORTHOTIC MANAGEMENT GUIDELINES

POSTSURGICAL ORTHOTIC MANAGEMENT GUIDELINES

BOUTONNIERE DEFORMITY

NONSURGICAL ORTHOTIC MANAGEMENT GUIDELINES

POSTSURGICAL ORTHOTIC MANAGEMENT GUIDELINES

CONCLUSION

18 Extensor Tendon Injuries

Introduction

EXTENSOR TENDONS: ANATOMY AND FUNCTION

MCP JOINT EXTENSION

IP JOINTS

EXTENSOR TENDONS: THUMB

EXTENSOR TENDON EXCURSION

WOUND HEALING

INFLAMMATORY PHASE

FIBROBLASTIC PHASE

REMODELING/MATURATION PHASE

EXTENSOR TENDON SURGICAL REPAIR

POSTOPERATIVE TREATMENT

THERAPY EVALUATION

IMPORTANT INFORMATION TO GATHER

FACTORS THAT MAY HINDER ATTENDANCE TO THERAPY

FACTORS INFLUENCING PROGNOSIS

CLINICAL DECISION-MAKING

SCAR REMODELING

EXTENSOR TENDON PROTOCOLS: USING CLINICAL JUDGMENT

IMMOBILIZATION

EARLY MOBILIZATION PROTOCOLS

ZONES OF INJURY AND TREATMENT BY ZONE

ZONES I AND II

ZONES III AND IV

ZONES V TO VII

ZONES VII AND VIII

THUMB EXTENSOR TENDONS

ZONE TI

ZONE TII

ZONES TIII AND TIV

ZONE TV

SPECIAL CONSIDERATIONS

CONCLUSION

19 Flexor Tendon Injuries

Introduction

ANATOMY OF THE FLEXOR TENDON SYSTEM

EXTRINSIC TENDONS

SYNOVIAL SHEATHS

PULLEY SYSTEM

FLEXOR TENDON ZONES

TENDON REPAIR, HEALING, AND NUTRITION

SURGICAL REPAIR

TENDON HEALING

TENDON NUTRITION

WOUND HEALING

FUNDAMENTAL CONCEPTS

EXCURSION AND FORCE

FORCE

SYNERGISTIC MOTION

WORK OF FLEXION

INITIATION OF THERAPY

INITIAL EVALUATION

POSTOPERATIVE ORTHOSIS

REHABILITATION REGIMENS

IMMOBILIZATION

EARLY PASSIVE FLEXION

PLACE AND HOLD

TRUE ACTIVE FLEXION

FLEXOR POLLICIS LONGUS REHABILITATION

THERAPY PROGRESSION AND OUTCOMES

STRICKLAND PERCENTAGE

PYRAMID OF PROGRESSIVE FORCE

COMPLICATIONS

GAPPING AND RUPTURE

ADHESIONS

FLEXION CONTRACTURES

QUADRIGA

ORTHOSES TO ADDRESS POSTOPERATIVE COMPLICATIONS

SCAR REMODELING

CONCLUSION

20 Peripheral Nerve Injuries

Introduction

DEFINITION

NERVE ANATOMY

NERVE INJURY CLASSIFICATION

FIRST-DEGREE INJURY (NEURAPRAXIA)

SECOND-DEGREE INJURY (AXONOTMESIS)

THIRD-DEGREE INJURY (AXONOTMESIS OR NEUROTMESIS)

FOURTH-DEGREE INJURY (NEUROTMESIS)

FIFTH-DEGREE INJURY (NEUROTMESIS)

SIXTH-DEGREE INJURY (MIXED INJURY)

NERVE REPAIRS AND RECONSTRUCTION

INTRODUCTION OF NERVE RECONSTRUCTION

DEFINITIONS RELATED TO PERIPHERAL NERVE REPAIR

NERVE HEALING

NERVE GRAFTING

NERVE CONDUITS

NERVE ALLOGRAFT

NERVE TRANSFERS

NERVE INNERVATIONS AND PATHOLOGY

PERIPHERAL NERVE PATHOLOGY

MEDIAN NERVE INJURIES

ULNAR NERVE INJURIES

RADIAL NERVE INJURIES

DIGITAL NERVE LACERATIONS

BRACHIAL PLEXUS INJURY

PSYCHOSOCIAL IMPACT OF PERIPHERAL NERVE INJURIES

GENERAL PRINCIPLES OF ORTHOTIC INTERVENTION FOR PERIPHERAL NERVE INJURIES

GOALS IN MANAGING THE UPPER EXTREMITY PERIPHERAL NERVE INJURY

CONSIDERATIONS AND PRECAUTIONS FOR ORTHOTIC INTERVENTION

MATERIAL SELECTION

COMPONENT SELECTION

STRAPPING SELECTION

OTHER MANAGEMENT OPTIONS

CONCLUSION

21 Tendon and Nerve Transfers

INTRODUCTION

TENDON TRANSFERS

SELECTION OF TENDON TRANSFERS

PREOPERATIVE CONSIDERATIONS

POSTOPERATIVE CONSIDERATIONS

ROLE OF ORTHOSES

NERVE TRANSFERS

ADVANTAGES OF NERVE TRANSFERS

CHALLENGES OF NERVE TRANSFERS

DIFFERENCE BETWEEN TENDON AND NERVE TRANSFERS

SUCCESSFUL MOTOR REEDUCATION—NERVE TRANSFERS

ROLE OF ORTHOSES

POSTOPERATIVE CONSIDERATIONS

FREE FUNCTIONAL MUSCLE TRANSFERS

ROLE OF ORTHOSES

CONCLUSION

22 The Athlete

Introduction

GENERAL ORTHOTIC CONSIDERATIONS

PHASES OF REHABILITATION

MATERIAL SELECTION

STRAPPING SELECTION

ORTHOSIS OPTIONS

SPORT-SPECIFIC INJURIES

FRACTURES

SPRAINS, LIGAMENTOUS INJURIES, DISLOCATIONS

TENDON INJURIES

NERVE INJURIES

SPORT-SPECIFIC INFORMATION

BALL AND THROWING SPORTS

CYCLE AND WHEELED SPORTS

IMPACT SPORTS

CLUB SPORTS

ADVENTURE AND GRAPPLING SPORTS

WATER SPORTS

CONCLUSION

23 Adult Neurologic Dysfunction

Introduction

COMMON ADULT NEUROLOGIC CONDITIONS

CONSIDERATIONS FOR ORTHOTIC INTERVENTION

CEREBROVASCULAR ACCIDENT

TRAUMATIC BRAIN INJURY

SPINAL CORD INJURY

MULTIPLE SCLEROSIS

CLINICAL REASONING ON THE USE OF ORTHOSES IN ADULT NEUROLOGIC CONDITIONS

MANAGING CONTRACTURES CAUSED BY SPASTICITY

DESIGNS OF ORTHOSES

PROVIDING JOINT SUPPORT

CONSTRAINING EXTRANEOUS MOVEMENT JOINT SUPPORT

PROMOTING NEUROMUSCULAR REEDUCATION

SAEBOFLEX® (SAEBO, INC)

SAEBOREACH® (SAEBO, INC)

SAEBOSTRETCH® (SAEBO, INC)

SAEBOGLOVE® (SAEBO, INC)

H200 HAND REHABILITATION SYSTEM® (BIONESS, INC.)

NEURO-INTEGRATIVE FUNCTIONAL REHABILITATION AND HABILITATION (NEURO-IFRAH®)

ALTERNATIVE ORTHOTIC DEVICES

CONCLUSION

24 The Pediatric Patient

Introduction

PURPOSES OF ORTHOSES FOR THE PEDIATRIC PATIENT

PLANNING ORTHOTIC INTERVENTION FOR THE CHILD

PROPER SELECTION/DESIGN FOR PEDIATRIC PATIENTS

SELECTION OF PREFABRICATED ORTHOSES FOR THE PEDIATRIC PATIENT

FABRICATION OF CUSTOM ORTHOSES FOR THE PEDIATRIC PATIENT

CHALLENGES OF ORTHOSIS PROVISION FOR A PEDIATRIC PATIENT

PREVENTING SELF-REMOVAL

ADDRESSING PRIMITIVE REFLEXES AND ABNORMAL TONE

SPECIAL CONSIDERATIONS FOR THE FRAGILE INFANT

TYPICAL SESSION OF ORTHOTIC FABRICATION FOR A PEDIATRIC PATIENT

PEDIATRIC PREFABRICATED ORTHOSES SUPPLIERS

CONCLUSION

25 Burns

Introduction

BURN INJURY CONSIDERATIONS

BURN WOUND SEVERITY

BASIC BURN ORTHOSES

WOUND HEALING PHASES

BIOMECHANICAL PRINCIPLES

IMPLICATIONS FOR ORTHOTIC INTERVENTION

GENERAL CONSIDERATIONS

MATERIAL SELECTION

STRAPPING SELECTION

CONCLUSION

26 The Musician

INTRODUCTION

EVALUATION AND TREATMENT APPROACH

ASSESSMENT

TREATMENT

INDICATIONS FOR ORTHOTIC INTERVENTION

ORTHOTIC FABRICATION

CONCLUSION

27 Hand and Upper Extremity Transplantation

INTRODUCTION

HAND TRANSPLANTATION

GENERAL CONSIDERATIONS

PATIENT SELECTION

LEVELS OF TRANSPLANTATION

DISTAL FOREARM TRANSPLANTATIONS

PROXIMAL AND MID-FOREARM TRANSPLANTATIONS

GENERAL THERAPY TIMELINE

ORTHOTIC CONSIDERATIONS

MONITORING REJECTION

PSYCHOLOGICAL CONSIDERATIONS

PSYCHOLOGICAL REGRESSION

CORTICAL REORGANIZATION

MOTOR RE-EDUCATION

SENSORY RE-EDUCATION

REHABILITATION: PROXIMAL AND MID-FOREARM LEVEL TRANSPLANTATION

EARLY PHASE

INTERMEDIATE PHASE

LATE PHASE

DISTAL FOREARM TRANSPLANTATION

EARLY PHASE

INTERMEDIATE PHASE

LATE PHASE

CONCLUSION

Index

 

An aparitie	30 April 2021
Autor	MaryLynn Jacobs, Noelle M. Austin MS, PT, CHT
Dimensiuni	9781975140953
Editura	LWW
Format	Paperback
ISBN	9781975140953
Limba	Engleza
Nr pag	720