Deck 19: Orthosis: Fabrication and Management

Question 1

An OT practitioner is planning to incorporate serial casting into the treatment for an individual with spastic cerebral palsy. This intervention will most likely do which of the following?

A) Inhibit tone
B) Increase joint stiffness
C) Immobilize joints
D) Cause some pain

Answer 1

Inhibit tone

Question 2

An OT practitioner is utilizing serial casting with a client after a TBI. The client's elbow joint is put into a stretch and casted. This process is repeated every few days to promote tissue growth and elongation. What precautions must be followed?

A) Heterotopic ossification
B) Contracture management
C) Edema
D) Skin checks and circulation

Answer 2

Skin checks and circulation

Question 3

An OT practitioner is making a volar wrist orthosis. He has traced the client's hand, noted the thumb web space and palmar creases, and connected those points. What should the OT practitioner do next?

A) Trace the pattern onto thermoplastic material.
B) Cut the pattern and place it on the client.
C) Heat the thermoplastic material in preparation for cutting.
D) Create the orthosis.

Answer 3

Cut the pattern and place it on the client.

Question 4

An OT practitioner is fabricating an orthosis for an individual who has rheumatoid arthritis. The primary purpose of this orthosis is most likely for which of the following?

A) To position against deformity
B) To relieve pressure on affected nerves
C) To compensate for lack of motion
D) To improve strength and endurance

Question 5

An OT practitioner is preparing the beginning of a dynamic orthosis and is considering the type of thermoplastic material to be used. The OT practitioner wants material that will be able to withstand repeated use over time. Which property is the OT practitioner most likely considering?

A) Adherence
B) Memory
C) Rigidity
D) Drape

Question 6

An OT practitioner is fabricating a resting hand orthosis for a client who has experienced a burn. What measurement would be used to place the client's fingers in the intrinsic plus position?

A) Wrist between 20° and 40° with joints MCP joints at 30° to 70° with IP joints extended
B) Wrist between 30° and 50° with MCP joints at 40° to 80° with IP joints extended
C) Wrist between 10° and 30° with MCP joints at 20° to 60° with IP joints extended
D) Wrist in neutral and MCP and IP joints fully extended

Question 7

An OT practitioner has completed a custom molded orthosis. Which billing code will the OT practitioner utilize for this procedure?

A) DEMERC
B) CPT code
C) HCPCS code
D) "L" code

Question 8

An OT practitioner is preparing an orthosis for a client who has edema in her upper extremity. In terms of strapping materials, what should the OT practitioner consider for distribution of pressure?

A) Neoprene strapping
B) Wide strapping
C) Circumferential strapping
D) Rigid strapping

Question 9

An OT practitioner has completed fabrication and fitting for a resting hand orthosis. Which billing code will the OT practitioner utilize for this procedure?

A) "L" code
B) CPT code
C) HCPCS code
D) "G" codes only

Question 10

An OT practitioner is designing a splint for an individual with carpal tunnel syndrome. The purpose of this splint is to provide positioning to relieve pressure on the nerves in the carpal tunnel. Which type of splint will most likely fit this need?

A) Static progressive
B) Static
C) Dynamic
D) Prefabricated

Question 11

A client presents with cubital tunnel syndrome and also has poor skin integrity. Which type of orthosis might be indicated for this individual?

A) Soft orthosis
B) Rigid orthosis
C) Perforated orthosis
D) Progressive orthosis

Question 12

A client presents with carpal tunnel syndrome and requires an orthosis to promote positioning for relief of pressure to the nerves. Which type of splint would most likely be made for this client?

A) Volar wrist
B) Ulnar gutter
C) Thumb spica
D) Resting hand