Splints (Part 1)- Basic Principles

[@Suja40]

Your videos are amazing!! All the topics covered are the ones I really needed! I passed the exam and these videos made it easier.. thank you again :)

[@chanakarp3853]

Your videos were SO helpful in simplifying UE conditions/splints...and studying for the NBCOT so thank you so much!!! 🙌🙌

[@siddhidhumal7998]

Please keep going. Make part 2. You are amazing

[@rovieestabaya2645]

Diagnosis with the correct splinting: Carpal tunnel, Mallet finger, gamekeepers, Boxer’s fracture, dorsal hand burn, swan neck deformity, and dequervains ! Thank you and looking forward for the video

[@DrBilalian]

agreed~

[@marioc.1768]

An ulnar gutter splint can be used for Boxer's fracture; these are brilliant suggestions!

[@rachelbrown8631]

This was SO helpful! Currently studying for the NBCOT and always get confused and overwhelmed when learning about splints. I struggle the most remembering the splints and timelines for specific splints to use for nerve injuries in the UE, that would be super helpful! Also splints for tendon repairs (flexor vs extensor tendons).

[@GARBG4563]

I AGREE.

[@marioc.1768]

What a big help, thank you! A video focused on various types of splints and possible reasons why they are used; these questions are, in fact, unique as per the wording, yet, the degrees and positions make everything confusing.

[@Alx-s7q]

I'm OT student from Taiwan. Your explanation is really clear and helpful, thanks a lot.

[@stephanie9228]

Patiently waiting for part 2 🙏🏾

[@tumeliasmiles]

I loved this! Super detailed and easy to follow. I was wondering if you could do different types of splints like splints for tendon tears and femur fractures but explained like how you did here. That would be awesome (:

[@ceciliaburt3817]

These videos are so helpful as I study for my MSK OT exam

[@ebrark.5555]

It's really great topic! Loved this series, hope you'll keep on sharing videos. I am an OT from Turkey. OT is here for 10-12 years (education) You know OT is new profession in a lot of countries. So if you share videos about fundamental and essential topics of OT( I mean that OTs absolutely know), it will help OTs. By the way, I didn' see your videos about Wheelchair and Vocational Rehab. I will watch them later. Thank you very much!🌸 Could you keep on sharing videos, please? They're so useful and valuable. 😊

[@hannahshoemaker933]

This video was super helpful to me! I have always struggled with splints and this made it more clear! I hope you will do more videos!

[@anckenienaber4821]

This was a really useful video - please make more :)

[@maciefletcher9256]

LOVED this thank you! Part two, part two!!

[@lexybooswag]

Thank you for this! Your video was very helpful!

[@stephanie9228]

Can't wait for part 2

[@BlakeBraman]

love your videos! I am coming across different surgeries and splints that are commonly used (periods of time immobilization or movement is needed) and a lot about a dynamic outrigger?? still confused on that!

[@OTOverEasy]

A dynamic outrigger is a splint that sits on the back of the hand, and has a pulley system that extends off the back to include either one finger or multiple pulleys for multiple fingers. The patient will be able to actively flex the fingers, and then the outrigger pulley system will passively pull them back into extension. Mostly I hear about them being used after MCP joint replacements, or for radial palsy (but most patients will prefer a low profile splint instead of a bulky outrigger). As a hand therapist, I have never been asked to make a dynamic outrigger and you probably don't need to know much about them for an entry level OT test. I would just look up a picture, and know that for a generalist OT the most common use would be for radial palsy!

[@otily1868]

Love your videos!!!

[@zaireegomez4937]

It was great explanation !!!!! Thank you !!

[@tm0330_]

Thank you so much!!!!!!!

[@margotro7728]

I’ve just been diagnosed, what I wonder is how its going to progress with psoriatic arthritis?

[@noa20000-b]

Thank u ❤️ I needed this

[@chinedu1219]

I had surgery for excision of cervical rib causing clawing of my hand and atrophy, post surgery and my therapist recommended a cock up splint and after watching a bunch of videos on clawing and what's needed, I feel like I don't need that kind of splint since I don't have wrist drop. Please what kind of splint do I need.

[@Jane-fs2td]

Would you say that the static progressive splint is kind of like braces, where the splint can be readjusted at each appointment to allow for increased ROM?

[@OTOverEasy]

With a static progressive splint, the patient should be able to adjust themselves at home. The goal would be to increase ROM by applying a long-duration, low-load stretch. So, the patient would put on the splint, and then increase the tension until they feel a light stretch and hold it there. That way, as their joint starts to loosen up, they can then increase the tension again themselves to increase the stretch. It is a serial static splint that would need to be adjusted by the therapist; that is a splint that does not move, but is remolded (or replaced/remade) as needed. Braces would be an example of a serial static, not static progressive.

[@Jane-fs2td]

@@OTOverEasy Okay, that makes much more sense. So, the key word here is progressive. My question is, wouldn't that make the static progressive splint dynamic in nature, though? But then referring back to what you said about considering the purpose of the splint, the dynamic splint would allow for function where there is a lack thereof in a client. For example, A person with a radial wrist drop splint may benefit most from a radial nerve palsy splint which allows for movement with just extra support. Thank you so much for these videos though, I am taking my NBCOT COTA exam soon, so these really helped with understanding splints :)

[@OTOverEasy]

@@Jane-fs2td You are so welcome! Think of the difference between dynamic and static progressive like this - when the patient has the brace on and set up, are they supposed to move in it or not? In a dynamic splint, we want them to move. They can pull one direction, and then the splint will 'reset' them when they release. In a static progressive splint, they are not supposed to move once it's set up, they are supposed to just leave it in place and let it stretch them. You are correct in that a static progressive splint does have a moving (dynamic) component, but only during set up- for the main duration of wear, it will not be moving, hence 'static'

[@innamonts]

Thank you so much!

[@damorfresh4268]

Hello, my name is Victor and I am preparing for my NBCOT Exam. Please, which material is used, or should be used for Short Spica Orthosis. Is it self adherent material or highly drapable material?

[@OTOverEasy]

Did you come across a question that asks this specifically? If so, I'd argue it's not a good exam question because there is not really a right or wrong! Every therapist has different preferences for the materials they use. High drape and self-adherent are not mutually exclusive either. You would likely want a material with good drape to wrap well around the thumb, and I personally also need self adherent with the pattern I use to seal it closed!

[@bolboreta18]

Good evening, Beka. I watched your videos and I found them great, thank you so much for your efforts and care. I would like to know how are you doing and how can I keep in contact with you. I mean, do you have nother channel or site, etc? Or and you not interested anymore? I hope you are fine. Thank you so much.

[@darrelllancaster9554]

👏 thank you for the tutorial. 🩹 🎃🦇

[@ManjeetKaur-zs5vf]

Thanks 🙏

[@shawnaadeline3822]

ᑭᖇOᗰOᔕᗰ 😑