Occupational Therapy Assistant

Category - Implementing Interventions

Seth is a 17-year-old male with a diagnosis of spastic quadriplegic cerebral palsy. He has come to your outpatient clinic for treatment of flexion contractures of both wrists. Seth still has active use of his fingers, and his hands can be passively ranged to about 20 degrees short of neutral. What type of splints does your OT department ask you to fabricate for Seth?
  1. Hard resting pan splints for use at night.
  2. Hard volar wrist splints for use during the day.
  3. Neoprene wrist-thumb splints for use during the day.
  4. Hard dorsal wrist splints for use during the day.
Explanation
Answer: B. The OT department asks you to fabricate hard volar wrist splints for Seth to use during the day. The hard splints will place a sustained stretch on the flexor muscles of the wrists and will position Seth’s hands in a functional position to allow him to use his fingers during activities.
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