This document provides information on splinting and orthotics. It defines splints and orthoses and discusses their purposes, which include immobilization, control, support, and correction of deformities. The document outlines various classification systems for splints, including one developed by the American Society of Hand Therapists (ASHT) that categorizes splints based on their location, direction, purpose and other factors. Common materials used for splint fabrication like thermoplastics are also described. The principles of splint design, construction, fit and mechanics are covered. Specific types of splints for different injuries are discussed like resting hand splints and thumb spica splints.
Upper Limb Prosthetics - Dr Om Prakashmrinal joshi
This document provides information on upper limb prostheses. It discusses the history of prosthetics, levels of amputation, types of prosthetic systems (passive, body-powered, externally powered, hybrid), components (socket, suspension, control mechanisms, terminal devices), and considerations for prosthetic selection and use. The key points are that upper limb loss can be devastating, prosthetics can replace some hand functions but not sensation, and the appropriate prosthesis depends on the amputation level, expected use, and individual factors.
This document provides an overview of prosthesis for both lower and upper limb amputations. It discusses the key components and considerations for lower limb prosthetics including the socket, suspension, knee joints, shank, and ankle-foot assemblies. Different types of knee joints and feet are described, including the SACH foot and Jaipur foot. For upper limb prosthetics, it outlines the socket, suspension, arm section, elbow mechanism, wrist unit, terminal devices, and power transmission systems. The document also discusses pre-prosthetic preparation and fabrication process for lower limb prosthetics.
A KAFO is a leg brace that controls knee and ankle movement. It is more energy intensive than FOs or AFOs due to compensatory movements needed to swing the leg. There are three main types - conventional metal, thermoplastic shell, and thermosetting shell. The document describes the components, designs, and joints of KAFOs including indications, advantages, and disadvantages of each. The goal is to select the appropriate KAFO design based on the individual needs of the patient.
Recent Advances In Lower Limb ProsthesisAbey P Rajan
This document provides a review of literature on lower extremity amputation and prosthetics. It begins with an introduction that defines amputation and its most common causes. It then describes the different levels of lower limb amputation from partial foot to hip disarticulation. The document reviews the history and types of prosthetics for each level of amputation. It also discusses various prosthetic components like sockets, suspension systems, feet and knee units. Studies comparing outcomes of microprocessor prosthetics vs conventional designs are summarized. The review provides an overview of the state of knowledge on lower limb amputation and rehabilitation.
This document describes various types of lower limb prostheses. It discusses partial foot prostheses, Syme's prosthesis, transtibial prostheses, transfemoral prostheses, knee disarticulation, and hip disarticulation prostheses. For transtibial prostheses, it outlines the components which include the foot-ankle assembly, socket, shank, and suspension. It also describes the types and purposes of various prosthetic feet and knees. For transfemoral prostheses, it discusses the components of the prosthesis and types of sockets and suspension systems.
This document provides information on various types of hand orthosis including their objectives, indications, and principles. It describes static and dynamic orthosis used to immobilize, support, correct deformities, and facilitate motion of the wrist, fingers, and thumb. Examples include cock-up splints, gauntlet immobilization splints, and dynamic wrist extension splints. Biomechanical principles like three point pressure and stress distribution are discussed. Contraindications and importance of physical therapy evaluation and training are also summarized.
Upper Limb Prosthetics - Dr Om Prakashmrinal joshi
This document provides information on upper limb prostheses. It discusses the history of prosthetics, levels of amputation, types of prosthetic systems (passive, body-powered, externally powered, hybrid), components (socket, suspension, control mechanisms, terminal devices), and considerations for prosthetic selection and use. The key points are that upper limb loss can be devastating, prosthetics can replace some hand functions but not sensation, and the appropriate prosthesis depends on the amputation level, expected use, and individual factors.
This document provides an overview of prosthesis for both lower and upper limb amputations. It discusses the key components and considerations for lower limb prosthetics including the socket, suspension, knee joints, shank, and ankle-foot assemblies. Different types of knee joints and feet are described, including the SACH foot and Jaipur foot. For upper limb prosthetics, it outlines the socket, suspension, arm section, elbow mechanism, wrist unit, terminal devices, and power transmission systems. The document also discusses pre-prosthetic preparation and fabrication process for lower limb prosthetics.
A KAFO is a leg brace that controls knee and ankle movement. It is more energy intensive than FOs or AFOs due to compensatory movements needed to swing the leg. There are three main types - conventional metal, thermoplastic shell, and thermosetting shell. The document describes the components, designs, and joints of KAFOs including indications, advantages, and disadvantages of each. The goal is to select the appropriate KAFO design based on the individual needs of the patient.
Recent Advances In Lower Limb ProsthesisAbey P Rajan
This document provides a review of literature on lower extremity amputation and prosthetics. It begins with an introduction that defines amputation and its most common causes. It then describes the different levels of lower limb amputation from partial foot to hip disarticulation. The document reviews the history and types of prosthetics for each level of amputation. It also discusses various prosthetic components like sockets, suspension systems, feet and knee units. Studies comparing outcomes of microprocessor prosthetics vs conventional designs are summarized. The review provides an overview of the state of knowledge on lower limb amputation and rehabilitation.
This document describes various types of lower limb prostheses. It discusses partial foot prostheses, Syme's prosthesis, transtibial prostheses, transfemoral prostheses, knee disarticulation, and hip disarticulation prostheses. For transtibial prostheses, it outlines the components which include the foot-ankle assembly, socket, shank, and suspension. It also describes the types and purposes of various prosthetic feet and knees. For transfemoral prostheses, it discusses the components of the prosthesis and types of sockets and suspension systems.
This document provides information on various types of hand orthosis including their objectives, indications, and principles. It describes static and dynamic orthosis used to immobilize, support, correct deformities, and facilitate motion of the wrist, fingers, and thumb. Examples include cock-up splints, gauntlet immobilization splints, and dynamic wrist extension splints. Biomechanical principles like three point pressure and stress distribution are discussed. Contraindications and importance of physical therapy evaluation and training are also summarized.
This document discusses the physical examination of the shoulder, including assessment of range of motion and specific tests to evaluate for common shoulder pathologies. It begins by reviewing the anatomy of the shoulder joint and surrounding structures. Range of motion is assessed in all planes, including active and passive motion. Specific tests are described to evaluate the rotator cuff muscles, biceps tendon, and impingement. Conditions like tendonitis, bursitis, tears, and impingement can be identified by pain or weakness during particular range of motion activities against resistance. The physical examination provides insight into shoulder function and the source of any pain or limitations.
Prosthetic management of symes and partial foot amputationSmita Nayak
prosthetic management of partial foot and syme's amputation is a very challenging task. Now a days the availability of advanced technology some how fulfilling the need of the amputee but not the fully.
This document provides definitions and descriptions of various hip, knee, ankle, and foot orthoses. It describes a hip-knee-ankle-foot orthosis (HKAFO) as an orthosis that stabilizes or locks the hip, knee, and ankle. The typical HKAFO consists of two knee-ankle-foot orthoses linked above the hip with a pelvic band or lumbosacral orthosis. It also discusses indications, principles, components, and fabrication of HKAFOs as well as other orthoses like reciprocal gait orthoses and hip orthoses.
Orthosis are devices used to support weak joints and correct deformities. They work by applying three point pressure and distributing weight across a wide surface area. Common orthosis include ankle foot orthosis (AFO) which support the ankle and foot, knee ankle foot orthosis (KAFO) which stabilize the knee and lower leg, and hip knee ankle foot orthosis (HKAFO) which provide support from the hip to the foot. Orthosis are made of plastic or metal and their design depends on the joints needing support and the individual's condition.
This document discusses upper extremity orthotics for restoring mobility and quality of life. It covers common orthotic components for the shoulder, elbow, wrist, fingers and thumb. Static orthoses are used for positioning and prevention of deformities while functional orthoses provide assistance for tasks using internal or external power sources. Fracture/post-operative orthoses provide compression and positioning for proper healing. The document reviews specific orthotic designs for various conditions like carpal tunnel syndrome.
At the end of the lecture, the students should be able to:
Discuss the theoretical basis of the neurodevelopmental approaches
Discuss the concepts and principles underlying the Bobath approach
Discuss the concepts and principles underlying the Brunnstrom approach
The document discusses various types of wheelchairs, including attendant propelled chairs, manual chairs, power mobility devices, mobility scooters, single-arm drive wheelchairs, reclining wheelchairs, standing wheelchairs, and smart wheelchairs. It covers the characteristics and uses of each type. Guidelines for wheelchair measurements, components, skills training, and assessments are also presented. Laws regarding accessibility for people with disabilities are summarized.
This document defines orthotics as external devices that apply forces to the body to control motion or maintain proper positioning. It classifies orthotics by region of the body and function. The principles of orthotics include using forces like rigidity or springs to limit or assist movement according to Jordan's three point system. Orthotics are made of materials like plastic, metal, or leather and are used temporarily or permanently to relieve pain, correct deformities, protect injuries, and improve function. Contraindications include infections and devices that limit normal motion or interfere with clothing. Disadvantages can include skin problems, weakness, increased adjacent joint motion, and dependence.
The document discusses different types of walkers and their features. Walkers provide stability and allow weight to be borne through the upper extremities. Variations include wheeled walkers, folding mechanisms, handles, platforms, and seats. Proper fitting and gait training are important for safe walker use. Different gait patterns like full, partial, and non-weight bearing are described.
The document discusses different types of prostheses used to replace missing limbs. It describes exoskeletal and endoskeletal prosthetic designs, and covers the basic components and classifications of prostheses. Myoelectric prostheses that use muscle signals and various types of feet - including SACH, Jaipur and dynamic response feet - are explained. The document provides details on prostheses for transtibial and transfemoral amputations, including PTB and quadrilateral socket designs and considerations for bilateral transfemoral amputees.
The document discusses wheelchairs and their components. It describes the basic parts of a wheelchair including the frame, tires, wheels, brakes, casters, push rims, footrests, backrests, armrests, seats, cushions, and anti-tip bars. It explains that wheelchairs come in different sizes for adults, children, and infants. The appropriate wheelchair must be prescribed based on the individual's needs and circumstances to provide maximum comfort.
Lower Limb Orthotics - Dr Rajendra Sharmamrinal joshi
This document provides information on lower limb orthotics. It defines an orthosis and describes their clinical objectives in treating conditions like pain, deformities, abnormal range of motion, etc. It discusses different types of orthoses like foot, ankle-foot, knee-ankle-foot orthoses. Principles of bracing like distributing forces over large areas and applying forces to control joints are covered. Characteristics of an ideal orthosis in terms of function, comfort, cost are outlined. The document also discusses shoes, foot orthoses, ankle-foot orthoses made of plastic, metal and patellar tendon bearing designs.
A highly structured, goal-oriented, individualized intervention program designed to return the employee to work. Our Work Hardening programs are multidisciplinary in nature and utilize real or simulated work activities designed to restore physical, behavioral and vocational functions.
This document discusses the physiotherapy management of femoral shaft fractures. It defines a femoral shaft fracture and notes they are usually caused by high-energy trauma. The treatment goals of orthopaedic and rehabilitation management are to restore alignment, stability, range of motion, muscle strength, and a normal gait pattern. Surgical treatment methods include intramedullary nail fixation, open reduction and internal plate fixation, external fixation, and skeletal traction. Rehabilitation focuses on regaining knee and hip range of motion and quadriceps and hamstring strength over 12-16 weeks.
Upper limb prostheses are designed to replace missing limbs and restore function. A successful prosthesis is comfortable, easy to use, lightweight, durable, cosmetically pleasing, and mechanically sound. Prosthesis type depends on amputation level, expected use, patient factors, and resources. Terminal devices can be passive hooks/hands or myoelectric hands. Wrists, elbows, and shoulders provide anatomical movement. Suspension systems secure the prosthesis comfortably. Control mechanisms may be body-powered cables or electric switches/signals. Prosthesis components and design vary according to the amputation level and length of residual limb.
The document discusses upper limb orthosis, devices used to modify the structural and functional characteristics of the upper limb. It covers the objectives of upper limb orthosis including protection, correction, and assistance. It also discusses the classification, biomechanics, principles, and assessment of upper limb orthosis and provides descriptions and examples of specific upper limb orthoses including shoulder orthoses, arm slings, arm abduction orthoses, elbow/forearm/wrist orthoses, and elbow or wrist mobilization orthoses.
Upper Limb Orthotics - Dr Sanjay Wadhwamrinal joshi
This document summarizes a presentation on upper limb orthotics. It begins by defining orthotics as externally applied devices that modify the neuro-musculoskeletal system. It then discusses objectives of orthotics like support and correction. Various upper limb conditions that may require orthotics are listed, along with types of orthotics. Design features, examples of specific orthotics, and evidence-based research on orthotics effectiveness are also summarized. The presentation aims to provide an overview of upper limb orthotics for rehabilitation purposes.
This document provides an overview of wheelchairs. It discusses the history and types of manual and powered wheelchairs. Key details include the various components of wheelchairs like frames, seats, armrests and how to properly measure and set them up. Indications for wheelchair usage and factors to consider when prescribing one are also outlined. Complications from long-term usage are mentioned.
A special HKAFO, which uses a mechanical linkage to couple flexion of one hip with extension of the other, which enables a reciprocal step-over-step gait.
Also allow swing through and swing to gaits
The document discusses various mobility aids used to assist patients with walking or mobility impairment. It describes different types of mobility aids including crutches, walkers, canes, parallel bars and wheelchairs. Crutches are discussed in detail, outlining types like axillary, elbow, forearm crutches. Gait patterns with crutches like 4-point, 3-point and 2-point are explained. The selection, fitting and use of mobility aids is covered to help improve patients' balance, reduce pain and increase mobility.
This document provides information on upper limb orthotic devices. It begins with definitions and principles, including that orthotics are externally applied devices that modify the neuromuscular-skeletal system through protection, correction, and functional assistance. Biomechanical considerations of the hand are described, including grasp types and functional hand positioning. Classification systems for orthotics are outlined, including non-articulating, static, dynamic, and adaptive devices. Diagnostic categories that may require orthotics include musculoskeletal, fractures, and neuromuscular conditions. Materials and fabrication methods are also discussed.
upeer limb ortosis is now a day use very fraquently. this ppt provide general guidelines and information on common parts of the orthosis and some recent advances.
This document discusses the physical examination of the shoulder, including assessment of range of motion and specific tests to evaluate for common shoulder pathologies. It begins by reviewing the anatomy of the shoulder joint and surrounding structures. Range of motion is assessed in all planes, including active and passive motion. Specific tests are described to evaluate the rotator cuff muscles, biceps tendon, and impingement. Conditions like tendonitis, bursitis, tears, and impingement can be identified by pain or weakness during particular range of motion activities against resistance. The physical examination provides insight into shoulder function and the source of any pain or limitations.
Prosthetic management of symes and partial foot amputationSmita Nayak
prosthetic management of partial foot and syme's amputation is a very challenging task. Now a days the availability of advanced technology some how fulfilling the need of the amputee but not the fully.
This document provides definitions and descriptions of various hip, knee, ankle, and foot orthoses. It describes a hip-knee-ankle-foot orthosis (HKAFO) as an orthosis that stabilizes or locks the hip, knee, and ankle. The typical HKAFO consists of two knee-ankle-foot orthoses linked above the hip with a pelvic band or lumbosacral orthosis. It also discusses indications, principles, components, and fabrication of HKAFOs as well as other orthoses like reciprocal gait orthoses and hip orthoses.
Orthosis are devices used to support weak joints and correct deformities. They work by applying three point pressure and distributing weight across a wide surface area. Common orthosis include ankle foot orthosis (AFO) which support the ankle and foot, knee ankle foot orthosis (KAFO) which stabilize the knee and lower leg, and hip knee ankle foot orthosis (HKAFO) which provide support from the hip to the foot. Orthosis are made of plastic or metal and their design depends on the joints needing support and the individual's condition.
This document discusses upper extremity orthotics for restoring mobility and quality of life. It covers common orthotic components for the shoulder, elbow, wrist, fingers and thumb. Static orthoses are used for positioning and prevention of deformities while functional orthoses provide assistance for tasks using internal or external power sources. Fracture/post-operative orthoses provide compression and positioning for proper healing. The document reviews specific orthotic designs for various conditions like carpal tunnel syndrome.
At the end of the lecture, the students should be able to:
Discuss the theoretical basis of the neurodevelopmental approaches
Discuss the concepts and principles underlying the Bobath approach
Discuss the concepts and principles underlying the Brunnstrom approach
The document discusses various types of wheelchairs, including attendant propelled chairs, manual chairs, power mobility devices, mobility scooters, single-arm drive wheelchairs, reclining wheelchairs, standing wheelchairs, and smart wheelchairs. It covers the characteristics and uses of each type. Guidelines for wheelchair measurements, components, skills training, and assessments are also presented. Laws regarding accessibility for people with disabilities are summarized.
This document defines orthotics as external devices that apply forces to the body to control motion or maintain proper positioning. It classifies orthotics by region of the body and function. The principles of orthotics include using forces like rigidity or springs to limit or assist movement according to Jordan's three point system. Orthotics are made of materials like plastic, metal, or leather and are used temporarily or permanently to relieve pain, correct deformities, protect injuries, and improve function. Contraindications include infections and devices that limit normal motion or interfere with clothing. Disadvantages can include skin problems, weakness, increased adjacent joint motion, and dependence.
The document discusses different types of walkers and their features. Walkers provide stability and allow weight to be borne through the upper extremities. Variations include wheeled walkers, folding mechanisms, handles, platforms, and seats. Proper fitting and gait training are important for safe walker use. Different gait patterns like full, partial, and non-weight bearing are described.
The document discusses different types of prostheses used to replace missing limbs. It describes exoskeletal and endoskeletal prosthetic designs, and covers the basic components and classifications of prostheses. Myoelectric prostheses that use muscle signals and various types of feet - including SACH, Jaipur and dynamic response feet - are explained. The document provides details on prostheses for transtibial and transfemoral amputations, including PTB and quadrilateral socket designs and considerations for bilateral transfemoral amputees.
The document discusses wheelchairs and their components. It describes the basic parts of a wheelchair including the frame, tires, wheels, brakes, casters, push rims, footrests, backrests, armrests, seats, cushions, and anti-tip bars. It explains that wheelchairs come in different sizes for adults, children, and infants. The appropriate wheelchair must be prescribed based on the individual's needs and circumstances to provide maximum comfort.
Lower Limb Orthotics - Dr Rajendra Sharmamrinal joshi
This document provides information on lower limb orthotics. It defines an orthosis and describes their clinical objectives in treating conditions like pain, deformities, abnormal range of motion, etc. It discusses different types of orthoses like foot, ankle-foot, knee-ankle-foot orthoses. Principles of bracing like distributing forces over large areas and applying forces to control joints are covered. Characteristics of an ideal orthosis in terms of function, comfort, cost are outlined. The document also discusses shoes, foot orthoses, ankle-foot orthoses made of plastic, metal and patellar tendon bearing designs.
A highly structured, goal-oriented, individualized intervention program designed to return the employee to work. Our Work Hardening programs are multidisciplinary in nature and utilize real or simulated work activities designed to restore physical, behavioral and vocational functions.
This document discusses the physiotherapy management of femoral shaft fractures. It defines a femoral shaft fracture and notes they are usually caused by high-energy trauma. The treatment goals of orthopaedic and rehabilitation management are to restore alignment, stability, range of motion, muscle strength, and a normal gait pattern. Surgical treatment methods include intramedullary nail fixation, open reduction and internal plate fixation, external fixation, and skeletal traction. Rehabilitation focuses on regaining knee and hip range of motion and quadriceps and hamstring strength over 12-16 weeks.
Upper limb prostheses are designed to replace missing limbs and restore function. A successful prosthesis is comfortable, easy to use, lightweight, durable, cosmetically pleasing, and mechanically sound. Prosthesis type depends on amputation level, expected use, patient factors, and resources. Terminal devices can be passive hooks/hands or myoelectric hands. Wrists, elbows, and shoulders provide anatomical movement. Suspension systems secure the prosthesis comfortably. Control mechanisms may be body-powered cables or electric switches/signals. Prosthesis components and design vary according to the amputation level and length of residual limb.
The document discusses upper limb orthosis, devices used to modify the structural and functional characteristics of the upper limb. It covers the objectives of upper limb orthosis including protection, correction, and assistance. It also discusses the classification, biomechanics, principles, and assessment of upper limb orthosis and provides descriptions and examples of specific upper limb orthoses including shoulder orthoses, arm slings, arm abduction orthoses, elbow/forearm/wrist orthoses, and elbow or wrist mobilization orthoses.
Upper Limb Orthotics - Dr Sanjay Wadhwamrinal joshi
This document summarizes a presentation on upper limb orthotics. It begins by defining orthotics as externally applied devices that modify the neuro-musculoskeletal system. It then discusses objectives of orthotics like support and correction. Various upper limb conditions that may require orthotics are listed, along with types of orthotics. Design features, examples of specific orthotics, and evidence-based research on orthotics effectiveness are also summarized. The presentation aims to provide an overview of upper limb orthotics for rehabilitation purposes.
This document provides an overview of wheelchairs. It discusses the history and types of manual and powered wheelchairs. Key details include the various components of wheelchairs like frames, seats, armrests and how to properly measure and set them up. Indications for wheelchair usage and factors to consider when prescribing one are also outlined. Complications from long-term usage are mentioned.
A special HKAFO, which uses a mechanical linkage to couple flexion of one hip with extension of the other, which enables a reciprocal step-over-step gait.
Also allow swing through and swing to gaits
The document discusses various mobility aids used to assist patients with walking or mobility impairment. It describes different types of mobility aids including crutches, walkers, canes, parallel bars and wheelchairs. Crutches are discussed in detail, outlining types like axillary, elbow, forearm crutches. Gait patterns with crutches like 4-point, 3-point and 2-point are explained. The selection, fitting and use of mobility aids is covered to help improve patients' balance, reduce pain and increase mobility.
This document provides information on upper limb orthotic devices. It begins with definitions and principles, including that orthotics are externally applied devices that modify the neuromuscular-skeletal system through protection, correction, and functional assistance. Biomechanical considerations of the hand are described, including grasp types and functional hand positioning. Classification systems for orthotics are outlined, including non-articulating, static, dynamic, and adaptive devices. Diagnostic categories that may require orthotics include musculoskeletal, fractures, and neuromuscular conditions. Materials and fabrication methods are also discussed.
upeer limb ortosis is now a day use very fraquently. this ppt provide general guidelines and information on common parts of the orthosis and some recent advances.
1587222660-upper-limb-orthoses.pdf. In detailedRahulSingh3901
Upper limb orthoses include static and dynamic splints used to immobilize or facilitate movement of the hand, wrist, elbow and shoulder. Static splints are fabricated from thermoplastics to immobilize areas and position limbs, while dynamic splints incorporate elastic bands or springs to passively stretch tissues and prevent contractures. Proper splint selection depends on the injury, including fractures, nerve injuries or contractures, and specific splints are designed to address conditions like carpal tunnel syndrome or radial nerve palsy. Dynamic splints require careful adjustment of tensions to provide adequate stretching without pain.
This document provides an overview of prosthetics and orthotics. It defines prosthetics as the replacement of missing body parts and orthotics as devices that support, align, or correct deformities of movable body parts. The document describes various types of prosthetics and orthotics for the upper and lower limbs, including components, materials, and designs. It also discusses indications and functions for different orthotic devices used in the cervical, thoracic, and lumbar spine regions.
This document provides information about stiff elbow, including its definition, causes, anatomy, classification systems, clinical evaluation, treatment options, and postoperative care. It defines stiff elbow as flexion less than 120 degrees and loss of extension greater than 30 degrees. Trauma is a common cause. The elbow is a highly constrained synovial hinge joint prone to stiffness. Treatment options include nonsurgical modalities like splinting or manipulation, as well as surgical options like contracture release, arthroscopic release, or total elbow arthroplasty in severe cases. The goals of treatment are to provide a pain-free, functional, and stable elbow.
This document discusses upper limb prosthetics. It describes the characteristics of a successful prosthesis, considerations when choosing a prosthesis, reasons for upper limb amputations, amputation levels, types of prosthetics including cosmetic, functional, body-powered, externally powered and myoelectric prosthetics. It provides details on the typical components of an upper limb body-powered prosthesis including the socket, suspension, control cables, terminal devices and any intervening joint components. It outlines the timelines for amputation and prosthetic fitting.
This document defines traction as the application of pulling force to parts of the body. It discusses the principles of traction and counter-traction and describes different types of traction including fixed, sliding, skin and skeletal traction. Potential disadvantages of traction like prolonged hospital stay and complications like pin site infection are outlined. Specific traction systems and their uses as well as factors to monitor during traction are also summarized.
This document discusses the treatment of severe injuries to the upper extremities, known as mangled extremity injuries. The goals of treatment are to preserve life, tissue, function, and reconstruct the extremity and restore the patient's function. Key principles include a multidisciplinary team approach, careful evaluation, a reconstructive plan tailored to the patient's needs, debridement of all non-viable tissue, rigid skeletal fixation, soft tissue coverage, and rehabilitation. Various classification scoring systems exist to evaluate injury severity.
This document discusses rehabilitation and prosthetics for upper extremity amputees. It covers:
1. Exercises that should be started after amputation to improve range of motion, strength, and endurance, and avoid contractures.
2. Techniques for performing daily activities like bathing and dressing without a prosthesis by changing hand dominance or using the mouth/feet.
3. The main components of prosthetics including the socket, harness, mechanical elbow, and different terminal devices.
4. Advances in prosthetics technology including myoelectric hands, targeted muscle reinnervation, and future considerations like osseointegration.
The Graston Technique uses six stainless steel instruments to release soft tissue restrictions like scar tissue and adhesions. It was developed by an athlete who experimented with tool shapes to mimic manual therapy on his own knee injury. The technique involves examining the tissue, warming up, applying the instruments, stretching, strengthening, and cryotherapy. Research shows it may increase range of motion and tissue strength. While it requires training and has limitations, it fits into a comprehensive rehabilitation approach when indications allow and precautions are followed.
This document discusses the management of hand injuries and associated infections. Some key points:
- Hand injuries are common, usually affecting young males, and are often caused by domestic or work-related accidents. Proper treatment is important to prevent stiffness.
- Evaluation of hand injuries involves assessing wound characteristics, neurovascular status, and underlying bone or tendon injuries. Management principles aim to preserve the hand and restore function.
- Treatment depends on wound type but typically involves debridement, irrigation, splinting, antibiotics, and reconstruction of tendons, nerves or bone as needed. Complications can include infection, stiffness if not managed properly.
- Specific injuries like bites, foreign bodies, fingertip injuries
This document provides information on the pre-operative and post-operative physiotherapy management of total hip replacement. It discusses the history, principles, indications, techniques, and implants of hip replacement surgery. It outlines the pre-op teaching and post-op care including positioning, early ambulation, exercise guidelines, and health education. Potential complications, alternative management options, and typical excellent prognosis are also summarized. The document serves as a comprehensive reference for physiotherapists on the physiotherapy approach to hip replacement.
An orthosis is an externally applied device used to support the body, correct alignment, protect injuries, or assist motion. Occupational therapists play an important role in orthotic intervention by understanding orthotic goals, designs, and fitting to promote function. Common orthoses include those for the foot, ankle, knee, and upper limb to improve mobility and rehabilitation outcomes. Custom orthoses are fitted by orthotists/prosthetists while prefabricated devices may be fitted by other practitioners.
This document discusses upper limb orthoses and prosthetics. It describes various types of static and dynamic orthoses used to support, immobilize, or restore function to the shoulder, elbow, wrist, hand, and fingers after injury or impairment. Static orthoses help prevent deformities while dynamic orthoses can provide assisted motion. Body-powered and myoelectric prosthetics can replace missing limbs. Considerations for prosthetics include comfort, function, appearance, and cost.
This document discusses spinal orthosis and cervical orthosis. It provides an overview of the principles and indications for orthotic devices. Specifically, it outlines the functions of orthosis in relieving pain, immobilizing joints, reducing weight bearing, preventing and correcting deformities, and improving function. It also describes different types of cervical orthosis including soft collars, Philadelphia collars, and halo vests. The key objectives of spinal orthosis are to control spinal position, apply corrective forces, and aid stability.
This document provides information about total hip replacement surgery. It discusses the history, principles, indications, contraindications, implants, surgical techniques, postoperative nursing management, health education, exercise guidelines, and potential complications. Total hip replacement involves replacing both the acetabulum and femoral head to relieve pain and restore joint function. Postoperative care focuses on preventing dislocation, thromboembolism, and infection while promoting early ambulation and exercise.
Modern orthotic devices play a vital role in rehabilitation by improving function, restricting or enforcing motion, or increasing support. An orthosis is a mechanical device fitted to the body to maintain it in an anatomical or functional position. Orthoses utilize forces like rigidity or springs to limit or assist movement and correct deformities using a three-point system of counter forces. They are classified based on their function, region, and specific condition or injury and made of materials like plastic, metal, or carbon fiber considering strength, weight, and comfort.
This document discusses the management of traumatic amputations in the emergency department. It provides details on initial assessment, handling of amputated parts, criteria for replantation versus amputation, and various scoring systems used to predict outcomes. Key points include controlling bleeding, administering antibiotics and tetanus prophylaxis, placing amputated parts in saline-moistened bags on ice, and consulting plastic/vascular surgeons for possible replantation depending on the level of injury and time since amputation. Scoring systems aim to guide the decision for limb salvage versus amputation based on factors like soft tissue, bone, nerve and vascular injuries.
The document discusses amputation, including definitions, indications, common causes, types of amputation, levels of amputation for lower limbs, complications, and goals of physiotherapy. It defines amputation and disarticulation. Common causes include trauma, peripheral vascular insufficiency, malignant tumors, nerve injuries/infections, congenital anomalies, and extreme heat/cold. Types include closed and open amputation. Levels for lower limbs range from hip disarticulation to toe amputation. Complications include hematomas, infections, necrosis, and phantom sensation. Physiotherapy aims to achieve independence and mobility, preventing contractures postoperatively.
This document discusses the assessment and management of extensor tendon injuries. It begins by describing the anatomy of the extensor tendon system. It then discusses the classification of extensor tendon injuries by zone. Zone I injuries, known as mallet fingers, involve disruption of the extensor tendon over the distal interphalangeal joint, often from forced flexion. Zone I injuries are generally treated conservatively with immobilization. Surgical repair is recommended for open injuries or injuries to higher zones. The document provides guidance on examination, repair techniques, and post-operative mobilization for different types of extensor tendon injuries.
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
Sectional dentures for microstomia patients.pptxSatvikaPrasad
Microstomia, characterized by an abnormally small oral aperture, presents significant challenges in prosthodontic treatment, including limited access for examination, difficulties in impression making, and challenges with prosthesis insertion and removal. To manage these issues, customized impression techniques using sectional trays and elastomeric materials are employed. Prostheses may be designed in segments or with flexible materials to facilitate handling. Minimally invasive procedures and the use of digital technologies can enhance patient comfort. Education and training for patients on prosthesis care and maintenance are crucial for compliance. Regular follow-up and a multidisciplinary approach, involving collaboration with other specialists, ensure comprehensive care and improved quality of life for microstomia patients.
As Mumbai's premier kidney transplant and donation center, L H Hiranandani Hospital Powai is not just a medical facility; it's a beacon of hope where cutting-edge science meets compassionate care, transforming lives and redefining the standards of kidney health in India.
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Splinting
1. INTRODUCTION
Splint and Orthosis
Mosby's Medical Dictionary (1994) defines
a splint as:
Splint is an orthopedic device for
immobilization, control, or support of any
part of the body.
Orthosis is a force system designed to
control, correct, or compensate for a bone
deformity,
Greek orthosis, meaning “straightening,”
2. CONTINUE
Third International Dictionary defines splint
as “a rigid or flexible material (as wood,
metal, plaster, fabric, or adhesive tape)
used to protect, immobilize, or restrict
motion in a part.
Brace refers to “an appliance that gives
support to movable parts (as a joint or a
fractured bone), to weak muscles (as in
paralysis), or to strained ligaments (as of
the lower back).”
4. CLASSIFICATION OF SPLINT
Descriptive Classification System
American Society of Hand Therapist
Descriptive Classification System
A descriptive classification:
Purpose of splint: immobilizing splint
External configuration: bar splint, spring splint
Mechanical characteristic: dynamic and static
Anatomic part: wrist, finger, thumb
How/why/where: CMC mobilization splint
5. ASHT
Wrist cock-up splint=wrist control splint=wrist
support splint
Inconsistent terminology of splint prevent easy
communication
Same splint or similar splint may use for different
purpose and different name(moberg).
Survey done by American hand therapist in 1986
Meeting in 1991 along with world wise hand
therapist.
Publication of ASHT in book format 1992
Function is more essential elements than style and
design of the splint therefore the focus of
classification was on function of splint and
anatomical part upon which they act
6. ASHT is a comprehensive method which
cater nearly all important aspect of splinting
nomenclature such as anatomical site,
movement and design
This system describes splint through six
predefined division that guide and
progressively refine splints technical name
from broad concept to individual splint
specification.
Articular/non-articular, location, direction,
purpose, type, and total number of joint.
7. First division divides into two groups
a) Those affects articular structure and
b) Those affect anatomic segments or structure
but do not affects joint motion.
Articular- three point pressure systems to
affect a joint or joints by immobilizing,
mobilizing, restricting, or transmitting torque,
and non-articular- two point pressure.
Eg. Humerus splint(non-A)
Elbow splint( A )
17. MATERIALS AND
TOOLS
Thermoplastic material
Thermoplastic: low temperature
thermoplastic and high temperature
thermoplastic
Low thermoplastic are those commonly
used to fabricate splint.
When it is heated become pliable and then
harden to its original rigidity after cooling.
18. low temperature thermoplastic: a low
temperature thermoplastic used for
fabrication of splints, braces and adaptive
equipment. Plastics which require no more
than 80°C (180°F) to become workable may
be termed low-temperature thermoplastics.
Adv- easy to handle, provide excellent
strength and rigidity, does not leave
fingerprint, edge trim and roll easily, elastic
memory,
Disadv- does not help in severe tightness
precisely.
19. Cool- 4- 6 minutes
1.6mm for 30 seconds at 70°C-75°C gives 1
minute working time
2.4mm for 1 minute at 70°C-75°C gives 2 to 3
minutes working time
3.2mm for 1 minute at 70°C-75°C gives 4 to 6
minutes working time
Chemical name: polyform: Minimum
resistance to stretch, Natural drape with
minimum handling. Ideal splinting material for
dynamic outrigger bases, lightweight paediaric
splints; thumb, finger, wrist and hand based
20. High temperature thermoplastic: High-temperature
(polypropylene) thermoplastics require higher
temperature (100°C) to mold, but they are ideal for
high stress activities.
Adv- slightly elastic when heated.
has high impact of strength.
Disadv- can not drape directly on pt
does not fit in contour area
Temperature- 93-107 degree
Note:
Selection: based on diagnosis, preference, and
availability, cost.
Note: one kind of thermoplastic is not the best choice
for every type or size of splint.
21. PROPERTY
Memory- ability to return its preheated shape
and size when its heated
Drapability or Conformability- degree to ease a
heated material conforms or able to mold well
and produce an intimate fit.
plasticity:- its materials resistance to stretch and
ability to return its original shape and size after
stretch.
Bonding- ability of a material to adhere self
Other like flexibility, durability, rigidilty.
Perforation- density range 1-42%.
Size- 1.6(1/16), 2.4(3/32), 3.2(1/8), 4.2(3/16) mm
22. TOOLS USED
scissor
heat gun
Hot bath( splint pan)
Hole punch
Plier
Hand drill
Others : paper, pencil or marker,
stockinette, towel and liquid hand soap.
24. BIOMECHANICAL
The fitting and fabrication of splint require
accurate application of external forces to
the upper extremity.
Increase area of force application
Mechanical advantage
Use of optimal rotational force
Control reaction effects of secondary joint
Shearing and friction force
26. DESIGN
PRINCIPLES
1. Most important consideration in the splint
design is that exact function expected for
specific patient.
integration of the principles of fit, mechanics,
construction.
1. General principles: based on individual's
characteristics
Consider individual patients factors, length of
time the splint will be used, simplicity and
cosmetic appearance, allowing optimal
function, ease of application and removal,
27. 2. Specific principles: pathological situation
which allow the therapist to create a splint
to ensure optimal functional benefits for
the patients.
Based on specific personal, and medical
consideration, primary joint should be
identified, purpose of splint should be
reviewed like restriction, immobilization.
Self help device, area of loss or less
sensation, anatomical variation,
28. CONSTRUCTION
PRINCIPLES
It is related to selecting equipment, method to
the materials used will help to ensure the
durability, cosmesis, comfort, and usefulness,
splint corner should be rounded, edge
smoothed, joint surface should be stabilized,
strap and pad should be secured, well finished,
ventilation may be provided if it is necessary.
Construction splint divided into 5-phase;
1.transfer of pattern to material, 2. heating of
the materials, 3. cutting the materials, 4. joining
the separate part and 5. finishing
29. FOR IN SPLINTING
Biomechanical: using biomechanical of kinetics
and force acting on body.
Sensorimotor: in case of CNS damage to facilitate
or inhibit normal motor response.
Rehabilitative: focuses on abilities rather than
disabilities.
Its depends on the purpose.
1.To immobilize the joint (Biomechanical),
2. To assist in writing ability in patient with
muscle imbalance of Palmar prehension
(rehabilitative)
30. CONSIDERATION FOR CHILD AND
ADULTS
1/16 inch thickness good for children
Maintaining splint position is a common problem
For stability purpose need to include extra joint
Difficult to follow the principles of design and
construction
Stockinette should be during fabrication of splint
Colorful strap can be used
Child’s skin is more sensitive than adult
Child experience process of maturation and
neurological development
31.
32. INTRODUCTION: HAND AND WRIST
Series of complex, delicately balanced
joints
Function is integral to every act of daily
living
Most active portion of the upper extremity
35. Muscles /Tendons
Volar and dorsal wrist
Volar and dorsal hand
dorsal interossei
Palmar interossei
Nerves - 3
Median
Ulnar
Radial
Arteries - 2
36. CLINICAL EXAMINATION
Age
Handedness
What exacerbates
What improves
Duration
Chief complaint
Occupation
Previous injury
Previous surgery
37. EXAMINATIONS
Inspection
Palpation
Surgical scar
skin
Muscle power
Range of Motion
Neurologic Exam
D/T/R
Hand posture
Sensation
Vascular status
Wound
nerve
Cognition and perceptual abilities
38. FEATURES AND PURPOSE OF SPLINT
Resting hand splint: a resting hand splint is
a static splint that immobilize the fingers,
thumb, and wrist.
Indication:
Functional position
Inflammation
Burn
Crush injury
Features; F/A trough, pan, thumb trough,
and C bar.
- Support the hand, 2/3rd of F/A, thumb 40-45
palmar abduction, fingers position can vary
a/c to purpose of the splint.
39. PROPER FITTING
More than 1 inch in each side
Material that has enough strength and rigidity
Make sure splint supports hand
Position should be as per purpose, should not
be more than 5 degree ulnar deviation
Strap proximal to PIP and across the proximal
and distal F/A
Arches and contour should be maintained
C bar works as per indication
Thumb trough should be long enough
40. PRECAUTIONS
Pressure area
Prevent infection (clean and dry properly if
open wound exist)
In ICU therapist should follow up at least
once regarding fit
41. THUMB SPICA SPLINTS
Also called thumb immobilization splint
Purpose: immobilize, protect, rest.
Indication: scaphoid fracture, radial or uknar
collateral ligaments strain, median nerve injury,
quervain’s tenosynovitis.
Features:
Static, wrist can be included or can not, thumb
post, c bar and opponens bar, position of thumb
can vary from palmar abduction to radial
abduction
42. PROPER FIT AND PRECAUTION
Monitor joint position by measuring during and
after fabrication
Allows IP movement
Precaution:
Do not disturb IP joint flexion
It should be supportive not the constrictive
Make sure thumb position is around 45 degree
palmar abduction
43.
44. COSTING
Direct costing
Material cost(per inch, or per square inch)
Therapist time(in fitting, fabrication, and
explanation of the splint)
Strap materials
Padding materials
Fasteners
Stockinet
Revets
Cooling spray
Indirect costing:
Nondisposable supplies( scissors, time, rent,
electricity,
45. CHECKOU
T
General consideration
Is the splint on the patient correctly fit
Does the splint needlessly immobilize a joint
Does this splint actually accomplish the
function for which it was made
After 30 minutes, whether the patients get
redness and do this disappear within 15-20
mins
Is the splint cosmetically acceptable for the
patients
any pressure point
Are the edges, insides etc. padded or
46. CHECKOUT FOR PROPER
FIT
Pressure point and friction should checked
Check for comfort ability and safety
Longitudinal and transverse arch should be
maintained
Obliquity of MP should be maintained
Fingers should be in the appropriate position to
maintain function.
Thumb should be in the functional position
Wrist should be neutral or 15-30 degree extended
Splint should not restrict the motion of any
uninvolved joint
Fingers and thumb piece should be long enough to
give adequate support
47. PRECAUTI
ON
Splint is a foreign body use to apply to the
living tissue
Client must taught to monitor the status of
their splinted extremities
Presence of pain, reddened areas,
blisters, swelling, rashes, or the problem
associated with splint must be reported to
the therapist
Do not expose to the warm and hot water
or any hot materials