Additional Information
Book Details
Abstract
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 |