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Nope! It is confusing because often 'rehabilitation' is thought about as restoration of lost abilities, but that is not the case for the rehabilitative FOR. Instead, it's focus is on restoration of activity through adaptation/compensation!

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.

@@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 :)

@@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'

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!

Hi! That is a very broad topic with a lot of specialty knowledge that you won't need to know for an entry level exam - do you have specific concepts under that umbrella you need some help with?

@@OTOverEasy hi thanks for update. Yes I m confuse between shoulder fracture and humerus fracture healing procedure and their timeframes. I m taking my boards exams next week and it would be great help for me if you explain those. Thanks 😊

@@AneriShah-q9y A humerus fracture IS a kind of shoulder fracture, depending on where on the humerus it is. A good general rule of thumb for bone healing is 4-6 weeks the bone will be healed *pretty* good, and 6-8 weeks the bone will be healed more solidly. Shoulder rehab is part of the Certified Hand Therapist specialty, and you shouldn't be asked about it in detail on your boards exam. If you're only a week out now, don't worry about cramming things in detail! Review concepts you've already studied to help them be concrete- you know more than you think you do! Good luck when you take it :)

@@OTOverEasy thanks🙂

Thanks for the comment! It has been a while since I was studying myself, what sort of research terms/stats would be helpful? Like type 1 vs type 2 errors, types of validity, stuff like that?

@@OTOverEasy I'd say more like the types of levels of research (level 1: RCT, meta-analysis, systematic review... level 2..etc), p-value, z-score, standard deviation (how to interpret it). Thank you!

As always it will depend exactly on the client, but I would think on average you need to shift the axel towards the back for a LE amputees. Think about center of gravity- for someone with legs, their legs will be at the front of the chair and provide counter-weight to the rest of their body. Without legs, you lose that counter-weight, and are more likely to tip backwards; therefore, you want to move the axel backwards to account for the change in center of gravity. If you move it TOO far back then it's really hard to tip back at all and that will make it hard to lift over a curb. So you do want it backwards, just not so far back that it compromises ability to get on a curb.

@@OTOverEasy so helpful thanks!!

Hooray for you! Thank you so much for sharing, I'm so glad I could help. Congrats on all your hard work!

Hang in there friend! Remember you know more than you think you do. Good luck!

ooh, a tricky one! I struggled with this as well when I studied. I shall add it to the list!

@@OTOverEasy yes please!! all the FOR are so confusing

@@laurensonino7765 Planning to make my next video on FOR, should release in October!

Hey there! Can you give me examples of what you mean by different types of ramp? I'm not sure I recall having to study ramps beyond length vs height

@OTOverEasy Straight, L-shape, and switch back ramp..Also what space and height fit each..I know you have touch on them, but can you please dive in more?

@@adiatukoroma2544 These should all follow the same rules outlined in Wheelchairs (Part 2)! The slopes will be calculated the same way. For L shapes and switchbacks, at places where the ramp turns you would need the same minimum 5x5 foot space for the wheelchair to turn in. Don't worry too much about this, it is unlikely an exam would ask you about these types of ramp because they vary much more; just understand how to calculate slope!

Thank you so much​@@OTOverEasy

Hi there! You are correct that the wrist can be positioned in slight flexion with a DBS. One of the most referenced protocol books for hand therapy is the Indiana Protocol guide, and in there they recommend 20 degrees of wrist flexion, MCPs about 60-70. I stated neutral since it is only slight flexion, and I think being able to visualize a position is more important for an entry level exam than getting caught up in the exact numbers (remember - big picture!). The main thing to remember is you don't want the wrist to be in extension, because that puts increased tension on the healing flexor tendons and increases risk of gapping at the repair site. Good catch, hope this helps!

@@OTOverEasy Thank you so much!

Glad you found it helpful, good luck with your board exam - you've got this!!

@@OTOverEasy so a cushion question that you went over and the splint question you went over was most definitely on the test !

@@ericawilliams18 Hope you aced it!

A lil treat for staying till the end 😆

Oooh that's so exciting! I just recently posted a review of the brachial plexus, that would be good to check out. Hands is my specialty, so I'll definitely be adding more hand content in the future! Good luck with your placement :)

Hi! I have never heard these terms before. What do FTI/ETI stand for?

Hi! A great resource to read more about this is in the Journal of Hand Surgery, an article from 2021 titled "The Lumbricals are Not the Workhorse of Digital Extension and Do Not Relax Their Own Antagonist" :) Many Hand Therapy specific textbooks will also have this information!

Thank you! I am certainly trying to cover some gaps I've noticed left by other content creators. If you have a topic you'd like to see let me know! I am trying to put out a video once a month