Occupational Therapy Assistant

Category - Implementing Interventions

Mia, an 8-year-old student, underwent flexor tendon transfer surgery on her thumb two weeks ago. She has been immobilized up to this point, but her immobilizer and stitches are now removed. What type of splint does your OT department ask you to fabricate for Mia?
  1. A full-thumb post splint to continue to immobilize Mia’s thumb.
  2. A half-thumb post with a flexion outrigger to facilitate passive flexion.
  3. A half-thumb post to allow active range of motion at the interphalangeal (IP) joint.
  4. A cone splint to position Mia’s thumb in opposition.
Explanation
Answer: C. Your OT department asks you to fabricate a half-thumb post to allow active range of motion at the IP joint. Mia may begin gentle range of motion at this joint, but it is too soon after surgery to allow full range of motion of the thumb or the sustained passive range of motion that an outrigger would provide.
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