Individuals who sustain damage to the radial nerve experience a significant loss in
functional use of the hand. Traditional orthoses have been effective in providing
assistance with wrist stabilization and finger/thumb MP extension. These authors adapted
a low profile orthosis to provide the necessary support while allowing radial and
ulnar deviation of the wrist, thus increasing functional use of the hand. – Victoria
Priganc, PhD, OTR, CHT, CLT, Practice Forum Editor
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References
- Radial nerve palsy.in: Wolfe S.W. Hotchkiss R.N. Pederson W.C. Kozin S.H. Green's Operative Hand Surgery. 6th ed. Churchill Livingstone, 2011: 1075-1092
- Splinting for radial nerve palsy.J Hand Ther. 1987; 1: 18-23
- Therapist's management of peripheral nerve injury.in: Skirven T.M. Osterman A.L. Fedorczyk J.M. Amadio P.C. Rehabilitation of the Hand and Upper Extremity. 6th ed. Elsevier Mosby, Philadelphia, PA2011: 619-633
- Splinting the hand with a peripheral-nerve injury.in: Mackin E.J. Callahan A.D. Skirven T.M. Schneider L.H. Osterman A.L. Rehabilitation of the Hand and Upper Extremity. 5th ed. Mosby, Inc, St. Louis, MO2002: 622-634
- Splinting and radial nerve palsy: a single-subject experiment.J Hand Ther. 2001; 14: 195-201
JHT Read for Credit
Quiz: #377
Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.
- #1.With the entire orthosis being worn, the patient cannot
- a.maintain wrist extension
- b.perform the Dart Thrower Motion
- c.ulnar or radial deviate
- d.effectively fist
- a.
- #2.The author advocates using
- a.dark colored material to minimize showing dirt and scuffing
- b.hypoallergenic cords between fingers
- c.a copper rivet to avoid rusting
- d.a damp paper towel to keep the two thermoplastic elements from sticking during fabrication
- a.
- #3.The primary purpose of the orthosis is to
- a.allow radial and ulnar deviation
- b.facilitate radial nerve recovery
- c.prevent overstretching of the wrist extensor muscles
- d.prevent overstretching of the MCP extensor muscles
- a.
- #4.The pivot point for the rivet is directly over the
- a.lunate
- b.capitate
- c.Lister’s tubercle
- d.2nd dorsal compartment
- a.
- #5.This creative orthosis is unfortunately both expensive and involves a lot of time consuming work to fabricate
- a.false
- b.true
- a.
When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.
Article info
Publication history
Published online: December 03, 2014
Identification
Copyright
© 2015 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.
