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Introduction to Splinting- E-Book

Introduction to Splinting- E-Book

Brenda M. Coppard | Helene Lohman


Additional Information

Book Details


The third edition of Introduction to Splinting: A Clinical Reasoning and Problem-Solving Approach helps readers master the basic theory, principles, and techniques of splinting needed for clinical practice. Using a combination textbook/workbook format, it integrates theory and technical knowledge with hands-on learning features that equip readers with essential clinical knowledge, critical thinking skills, and problem-solving skills associated with splinting.  This title includes additional digital media when purchased in print format. For this digital book edition, media content may not be included.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Disclaimer ES2
Introduction to Splinting: A Clinical Reasoning and Problem-Solving Approach iii
Copyright Page iv
Table of Contents xiii
Dedication v
Contributors vii
Preface ix
Acknowledgments xi
Unit One: Splinting Foundations 1
Chapter 1. Foundations of Splinting 3
Definition of a Splint 3
Historical Synopsis of Splinting 4
Splintmakers 4
Occupational Therapy Theories, Models, and Frame-of-Reference Approaches for Splinting 4
Splint Categorization 7
Splint Designs 8
Evidence-Based Practice and Splinting 10
Chapter 2. Occupation-Based Splinting 15
Client-Centered versus Occupation-Based Approaches 16
Occupation-Based Splint Design and Fabrication 16
The Influence of Occupational Desires on Splint Design and Selection 19
Evidence to Support Preservation of Occupational Engagement and Participation 21
Utilizing an Occupation-Based Approach to Splinting 22
Splint Design Options to Promote Occupational Engagement and Participation 25
Summary 25
Chapter 3. Splinting Processes, Tools, and Techniques 29
Thermoplastic Splinting Materials 29
Thermoplastic Material Content and Properties 30
Process: Making the Splint 32
Prefabricated Splints 41
Splint Workroom or Cart 47
Documentation and Reassessment 48
Physical Agent Modalities 48
Superficial Agents 48
Vendors 50
Chapter 4. Anatomic and Biomechanical Principles Related to Splinting 53
Basic Anatomical Review for Splinting 53
Shoulder Joint 54
Elbow Joint 55
Wrist Joint 55
Finger and Thumb Joints 57
Extrinsic Muscles of the Hand 59
Intrinsic Muscles of the Hand and Wrist 60
Arches of the Hand 61
Anatomic Landmarks of the Hand 62
Grasp and Prehensile Patterns 63
Biomechanical Principles of Splinting 66
Contour 70
Mechanics of Skin and Soft Tissue 70
Summary 73
Chapter 5. Clinical Examination for Splinting 75
Clinical Examination 75
Splinting Precautions 88
Splint Care 91
Summary 91
Chapter 6. Clinical Reasoning for Splint Fabrication 95
Clinical Reasoning Models 96
Clinical Reasoning Throughout the Treatment Process 96
Splinting Approach and Design Considerations 102
Clinical Reasoning Considerations for Designing and Planning the Splint 102
Post-fabrication Monitoring 103
Evaluation and Adjustment of Splints 104
Splint-Wearing Schedule Factors 105
Discontinuation of a Splint 105
Cost and Reimbursement Issues 106
Splinting Error and Client Safety Issues 108
Unit Two: Splinting for Conditions and Populations 117
Chapter 7. Splints Acting on the Wrist 119
Volar, Dorsal, Ulnar, and Circumferential Wrist Immobilization Splints 122
Features of the Wrist Immobilization Splint 122
Diagnostic Indications 124
Fabrication of a Wrist Immobilization Splint 133
Prefabricated Splints 149
Impact on Occupations 149
Summary 151
Chapter 8. Thumb Immobilization Splints 156
Functional and Anatomic Considerations for Splinting the Thumb 157
Features of the Thumb Immobilization Splint 157
Diagnostic Indications 159
Fabrication of a Thumb Immobilization Splint 170
Fabrication of a Hand-Based Thumb Immobilization Splint 173
Impact on Occupations 176
Prefabricated Splints 176
Summary 177
Chapter 9. Hand Immobilization Splints 188
Premolded Hand Splints 188
Precut Splint Kits 188
Customized Splints 190
Purpose of the Resting Hand Splint 190
Resting Hand Splint Positioning 191
Diagnostic Indications 192
Splint-Wearing Schedule 197
Fabrication of a Resting Hand Splint 197
Chapter 10. Elbow Immobilization Splints 213
Anatomic and Biomechanical Considerations 213
Clinical Indications and Common Diagnoses 213
Features of the Elbow Immobilization Splint 218
Indications for Anterior Elbow Splinting 218
Chapter 11. Mobilization Splints: Dynamic, Serial-Static, and Static Progressive Splinting 235
Implications of Mobilization Splints 235
Biomechanics of Dynamic Splinting 237
Features of a Mobilization Splint 239
Technical Tips for Dynamic Splinting 240
Precautions for Dynamic Splinting 252
Chapter 12. Splinting for the Fingers 258
Functional and Anatomic Considerations for Splinting the Fingers 258
Diagnostic Indications 259
Precautions for Finger Splints 263
Occupation-Based Splinting 263
Examples of Occupation-Based Finger Splinting 264
Fabrication of a Dorsal-Volar Mallet Splint 269
Fabrication of a PIP Gutter Splint 270
Fabrication of a PIP Hyperextension Block (Swan-Neck Splint) 271
Conclusions, Evidence-Based Practice Information Chart 274
Chapter 13. Splinting for Nerve Injuries 279
Peripheral Nerve Anatomy 279
Nerve Injury Classification 280
Nerve Repair 281
Operative Procedures for Nerve Repair 281
Purposes for Splinting Nerve Injuries 281
Upper Extremity Compression Neuropathies 282
Locations of Nerve Lesions 283
Substitutions 283
Prognosis 283
Radial Nerve Injuries 284
Radial Nerve Injury Splint Intervention 286
Ulnar Nerve Injuries 290
Ulnar Nerve Injury Splint Interventions 292
Median Nerve Lesions 295
Splinting Interventions for Median Nerve Injuries 296
Summary 298
Chapter 14. Antispasticity Splinting 308
Forearm Platform Position 309
Finger and Thumb Position 310
Cones 310
Hard-Cone Splint Construction for the Wrist and Hand 312
Static and Dynamic Prolonged Stretch 319
Material Properties 319
Chapter 15. Splinting on Older Adults 330
Influence of Different Treatment Settings on Splint Design 331
Age-Related Changes, Medical Conditions, and Splint Provision 332
Medications and Side Effects 340
Purposes of Splints for Older Adults 340
Splinting Process for an Older Adult 342
Chapter 16. Pediatric Splinting 353
Diagnostic Indications 354
Assessment 355
Overview of the Splinting Process 357
Resting Hand Splint 361
Weight-Bearing Splint 368
Wrist Splints 369
Thumb Splints 370
Thermoplastic Thumb Splint 370
Soft Thumb Splints 374
Prefabricated Soft Thumb Splints 375
Serpentine Splint 376
Evidence-Based Research 377
Summary 377
Unit Three: Topics Related to Splinting 385
Chapter 17. Lower Extremity Orthotics 387
Role of the Occupational Therapist 387
Definition and Historical Perspective 388
Purpose and Basic Function 388
General Applications 388
Basic Biomechanical Principles 388
Orthotic Design Principles 391
Foot Orthoses 395
Ankle/Foot Orthoses 396
Knee Orthoses 398
Knee/Ankle/Foot Orthoses 405
Hip Orthoses 409
Hip/Knee/Ankle/Foot Orthoses 411
Designing the Orthosis 413
Occupational Performance 413
Summary 413
Chapter 18. Upper Extremity Prosthetics 420
Amputation Levels and the Impact on Function 421
Causes of Upper Extremity Amputations 421
The Team Members 422
Prosthetic Options 423
Prosthetic Rehabilitation 429
Phases of Rehabilitation 429
Psychosocial Insights from Clients with Amputations 432
Upper Extremity Prosthetic Intervention for Children 432
Marketing Strategies and Recommendations 432
Chapter 19. Ethical Issues Related to Splinting 436
Ethics and Health Care 436
Sources of Moral Guidance 437
Classic Approaches to Ethics 439
Application to Complex Cases 441
Contribution of Ethics to Clinical Practice 444
Glossary 447
Appendix A: Answers to Quizzes, Laboratory Exercises, and Case Studies 452
Appendix B: Forms 463
Appendix C: Grading Sheets 489
Appendix D: Web Resources and Vendors 505
Index 507