This course prepares the clinician to fabricate well-designed, well-fitting static progressive and dynamic splints to mobilize stiff joints and elongate contracted soft tissues of the hands. Theory of tissue remodeling and mechanical principles of splint design are presented. Selection of materials and conditions for which to fabricate the demonstrated splints are discussed. Design of splint patterns and fabrication of 5 splints to address common problems are demonstrated. Alternative designs and hardware are presented.
Following the broadcast, participants will have access to the recorded course video. They may choose to view the video where they have access to a splinting workstation, or view it at home, where they have access to a splinting pan or conventional electric skillet that can be used for splint fabrication. After demonstration of each splint, registrants may pause the video version and fabricate the splint on their own, then resume the video. Custom modifications to meet individual patient needs are discussed.
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- Review goals of mobilization splinting
- Description of adaptive shortening, scar formation processes,
- tissue remodeling theory
- Explain significant differences in the effect of high load brief stress and low load prolonged stress on scar tissue, soft tissue contracture and joint contracture
- Indications and contraindications for serial static, dynamic and static progressive splinting
- Review of translatory and rotational forces
- Importance of 90 degree angle of pull when applying mobilization forces
- Discussion of moment arms, first class levers and mechanical advantage
- Friction, compression and shear forces as they relate to mobilization splinting
- Target tissue assessment
- Torque angle curves and Modified Weeks Test
- Splint fabrication Steps
- Benefits of high- and low-profile splints
- Materials used for mobilization splinting
- Splint fabrication demonstrations of thumb IP flexion, MCP arthroplasty, finger MP flexion, finger composite flexion and PIP extension mobilization splints
- Patient education that contributes to effective splint outcomes
Course Goals & Objectives:
This course is intended to instruct the professional on well-designed, well-fitting static progressive and dynamic splints to mobilize stiff joints and elongate contracted soft tissues of the hands.
- Identify goals of mobilization Splinting
- List adaptive shortening, scar formation processes
- Recognize tissue remodeling theory
- Identify the effect of high load brief stress and low load prolonged stress on adaptively shortened tissue
- List 5 contraindications to mobilization (dynamic and static progressive) splinting
- List 2 reasons why one might choose a static progressive splint over a dynamic splint design
- Define translatory and rotational forces and torque
- Recognize how 90 degree angle, less than 90 degree angle and greater than 90 degree angle forces effect joints
- Identify how modifying the length of a splint's forearm cuff alters its mechanical advantage and effects pressure under the cuff
- List a benefit and a limitation of friction force in mobilization splinting
- Identify 2 ways to reduce compression and shearing forces on the skin under mobilization splints
- List the oblique retinacular and intrinsic tightness tests
- List 4 steps in fabrication of a mobilization splint
- List 2 advantages of high-profile splints over low-profile splints and 2 advantages of low-profile splints over high-profile splints
- Identify materials that can be used as line guides and traction sources
- Identify characteristics of splinting materials that make for comfortable, effective mobilization splints
- Recognize how one might attach dynamic and static lines to a splint base
- Identify how a static progressive thumb IP flexion splint might be fabricated
- Recognize how an MCP arthroplasty splint might be fabricated
- Identify how a dynamic finger flexion splint might be fabricated
- Identify how a dynamic finger PIP splint might be fabricated
- List 5 things that should be checked before a patient leaves the clinic with a splint
Criteria for Completion:
A score of 70% or more is considered passing. Scores of less than 70% indicate a failure to understand the material and the test will need to be taken again until a passing score has been achieved.
"Seminar-On-Demand" course are streamed on your web browser if the online version if purchased. Our SODs are optimized for the most current versions of Safari, Google Chrome or Mozilla Firefox. A current version of Adobe Flashplayer is also required when viewing on a desktop or laptop computer. All SOD courses are mobile ready.
Contact Hours: 4 contact hours in length (check your state’s approval status in the state specific course catalog for your profession).
Target Audience: Physical Therapist, Physical Therapist Assistant, Occupational Therapist and Occupational Therapist Assistant,
Instructional Level: Intermediate
Financial – Susan Mitchell is employed by Baton Rouge Orthopedic Clinic and receives a salary. She receives payment from HomeCEU for the presentation of this course.
Nonfinancial - no relevant nonfinancial relationship exists.
Content Disclosure: This course does not focus solely on any specific product or service
Cancellation Policy: For activity cancellation, returns, or complaint resolution, please contact Anne Osborn by email Anne@HomeCEU or by phone at 1.800.55.4CEUS (2387). We have a 100% satisfaction guarantee. Refunds will be issued for courses that have not been completed (exam not taken), or for any course that has been rejected by your board of approval. Webinar attendance must be canceled 24 hours before the scheduled start time.