(A) A wrist extension immobilization splint is modified to hold a utensil for a client who does not have active grip. (B) A hand-based utensil holder is.

Slides:



Advertisements
Similar presentations
Deformities of the wrist and hand. A. Mallet finger deformity. B
Advertisements

(Modified from Hanley NA, Arlt W
Acute irritant contact dermatitis on the hand due to an industrial solvent There is massive blistering on the palm. Source: Eczema/Dermatitis, Fitzpatrick's.
Radial nerve palsy creates an inability to extend the wrist and fingers. A) Wrist drop occurs with radial nerve palsy. B) With use of a wrist extension.
Shoe lasts. Running shoes that have curved lasts (a) provide more support for patients who have high arches. Semicurved lasts (b) work well for patients.
An above-knee artificial leg invented by Ambroise Paré (mid-16th century). (From Paré A: Oeuvres Complétes, Paris, 1840, with permission from the National.
A widely displaced fracture of the distal radius
A-D: PA, oblique, lateral, and scaphoid views of the right wrist show a subtle fracture through the scaphoid waist. The fracture is seen best on the scaphoid.
Pathophysiology of esophageal reflux disease
Virtual integration involves contractual links between HMOs and physician groups, hospitals, and other provider units. Source: How Health Care Is Organized—II:
Used to activate the long toe flexors, extensors, and foot intrinsic musculature. This exercise will also help to improve the tendon-gliding ability of.
Astronauts on the space station exercise with straps holding them down on specialized treadmill surfaces. Photo courtesy of NASA. Source: The Biomechanics.
Nine patterns of inflammatory skin disease. (See also Table 8–1.)
Diagnostic algorithm for normocytic anemia.
Using the prosthesis as an assisting hand
A 39-year-old woman sustained a traumatic shoulder dislocation with a lower brachial plexus injury. She was initially treated with upper arm immobilization.
Internal hemorrhoids. (Used, with permission, from John Cello, MD.)
Midsagittal section through the brain of a patient with a brain stem tumor. Histologic findings showed the tumor to be an ependymoma. Source: Discussion.
Flexion abduction external rotation (FABER) test (Patrick Test).
The fraction of drug absorbed using the Wagner–Nelson method may be used to distinguish between the first-order drug absorption rate of a conventional.
The fraction of drug absorbed using the Wagner–Nelson method may be used to distinguish between the first-order drug absorption rate of a conventional.
Rodin, “The Kiss” (545 x 800). Accessed at
Dry (atrophic) age-related macular degeneration with patchy focal atrophy (A) and extensive confluent atrophy (B). Source: Disorders of the Eyes & Lids,
An adolescent with a peripherally inserted central venous catheter (PICC line) in the right upper extremity. Source: Pediatric Acute-Care Hospital, Meeting.
Dynamic stabilization—stationary run with a posterior weight shift.
Illustration of ways regression lines can differ
A (Left) Variety of off-the-shelf lower extremity braces
A standard epidural order form.
In this Tai Chi form, the participant shifts the body-weight toward one leg while moving the arms. Source: Exercise for Impaired Balance, Therapeutic Exercise:
Example of orthoplast resting ankle splint fabricated to protect free flap at medial malleolus and maintain ankle range of motion. Source: Integumentary.
Splints. A. Thumb spica. B. Volar splint (proximal forearm to metacarpal heads). C. Safe position splint for metacarpal fractures (10 degrees wrist extension,
Paralysis or weakness of all extremities, plus all bulbar musculature: Corticobulbar and corticospinal tracts bilaterally Source: CEREBROVASCULAR DISEASES,
Prostate cancer mortality as a factor of Gleason score and age at diagnosis in men managed conservatively. (Adapted, with permission, from Albertsen PC.
A four-point force system is used in a knee brace to prevent knee hyperextension and anterior tibial translation. (AP, anterior to posterior force; PA,
Mallet finger (a) Mechanism of deformity—rupture or avulsion (b) Stack splint. A dorsal splint is preferred for early return to sport because it will permit.
A Pavlik harness is used to treat infants with developmental dysplasia of the hip. Source: Orthoses for Paraplegia or Hip Impairments, Prosthetics & Orthotics.
Internal hemorrhoids. (Used, with permission, from John Cello, MD.)
Hierarchy of clinical evidence
A. Use of athletic tape to make an extension block for the wrist. B
Thumb spica splint for ulnar collateral ligament injury and De Quervain’s tenosynovitis. Source: Orthotics, CURRENT Diagnosis & Treatment: Physical Medicine.
The straight leg knee immobilizer brace
Epigastric hernia. Note closeness to ­midline and the presence in upper abdomen. The herniation is through the linea alba. Source: Hernias & Other Lesions.
Small bowel obstruction
Combat application tourniquet (CAT), by Composite Resources
Splints used to treat fixed flexion deformity (a) Neoprene finger sleeve provides gentle extension also addresses chronic oedema (b) Static progressive.
Follicular cysts. (A) Clinical presentation of follicular cysts
(A) Parts of a low quarter shoe with a Blucher lace stay
Number of uninsured persons in the United States, 1980 to 2014 (U. S
Sensory distribution in the hand
Static wrist and hand splints: (A) a resting splint to prevent contracture formation during healing, (B) functional wrist hand splints, and (C) a thumb.
(Reproduced, with permission, from Fulop M, et al
When you perform the 1st CMC grind test, compress the joint and rotate thumb metacarpal. It’s the same motion you would use when using a mortar and pestle.
The throat styles for shoes with laces are (A) Blucher, (B) Bal or Balmoral, and (C) “open-to-the-toe” or surgical. Blucher shoes are preferred for use.
The end of lateral rotation ROM of the glenohumeral joint
Functional organization of the cerebellum
Color Doppler of right kidney—longitudinal views
Graph of interaction for study of insulin sensitivity
The “windshield wiper test” (passive internal and external hip rotation in 90 degrees of flexion). Pain and stiffness suggest hip joint arthritis. Source:
(Used with permission from Lichtman's Atlas of Hematology, www
(A) N-K Exercise Unit with torque arm and interchangeable weights provides constant external resistance. (Courtesy of N-K Products Company, Soquel, CA.);
Hip Fracture. Patients with hip fractures often present with the affected extremity shortened, externally rotated, and abducted. Note the rotation and.
Clinical and pathologic effects of hepatocellular failure, which commonly results from conditions associated with acute or chronic necrosis of liver cells.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Presentation transcript:

(A) A wrist extension immobilization splint is modified to hold a utensil for a client who does not have active grip. (B) A hand-based utensil holder is sufficient for an individual who does not need external wrist support. Source: Orthoses for Upper Extremity Impairments, Prosthetics & Orthotics in Clinical Practice Citation: May BJ, Lockard MA. Prosthetics & Orthotics in Clinical Practice; 2011 Available at: https://fadavispt.mhmedical.com/DownloadImage.aspx?image=/data/books/1865/ch_fig-18-03.png&sec=140945024&BookID=1865&ChapterSecID=140945001&imagename= Accessed: January 05, 2018 Copyright © 2018 McGraw-Hill Education. All rights reserved