oops! Splinting CAN be done (static, dynamic) if it's pain free. No PROM. Vacariu, G. (2002). Complex regional pain syndrome. Disability and rehabilitation, 24(8), 435-442. Dommerholt, J. (2004). Complex regional pain syndrome-2: physical therapy management. Journal of bodywork and movement therapies, 8(4), 241-248.
@@OTDUDE thanks for your help clarifying this. I'm still a bit confused about CRPS tx. If PROM is contraindicated, I would think that CPM (continuous passive motion) would also be contraindicated. **Edit: just read your comment below. CPM and PROM both contraindicated!
@@benjaminfeldman1244 I had the question this commenter had but now your comment has thrown me, online it looks like some sources are saying CPM can be used especially maybe after surgery or when rehab movements are not possible but I am confused because that is PROM...
Wow this was extremely helpful. Taking my NBCOT test this weekend and this helped me put all the UE conditions and splinting together to understand fully. Appreciate your video’s keep it up. The pictures are really nice to understand the content more.
Quick clarification of the Sign of Benediction (SOB). It signifies a more proximal median nerve injury. The SOB can be seen when asking the patient to make a fist. The median nerve innervates the FDS and the RADIAL 1/2 of the FDP. Damage results in an inability to make a fist, but some slight flexion of digits 4 and 5 is seen due to the intact ULNAR nerve (innervates the ulnar 1/2 of the FDP).
Hi OT dude! Thanks for your great content to help OT students and practitioners. Back when I was a student, I followed OT Miri and somehow she had to redo some of her videos because she mentioned the NBCOT. I think she had to change to just OT exam to avoid problems. It is none of my business but just don’t want you having problems with NBCOT in the future! You might want to look into that, just in case. Keep up the good content though.
Dude! Where have you been all my life. Definitely would have gotten better grades during the course if you were around back then. Nevertheless, this will definitely help me pass NBCOT so you thank you so much.
Quick question about CRPS! You said big contraindication is no passive range of motion but then as one of the treatment option is continuous passive motion. Can you explain why we would use the CPM machine?
Such great information and tips to remember! Thank you! :) Quick question-if someone had a scapular or clavicle fracture and is NWB, could they still use that UE to eat/bring food to mouth? Or, does that really just depend upon the doctors orders too?
Good question! It would depend on the orders but self feeding likely won't even be specifically mentioned. Let's do an activity analysis for feeding: I would think it would be okay as eating can be done with minimal scapular and clavicle ROM for food that's in front of you on a plate/bowl. Some protocols call for early mobilization of those joints anyways to prevent frozen shoulder. And I wouldn't consider self feeding to be a weight bearing activity that exerts forces on those proximal bones. Sure they act as stabilizers, but food is so light anyways. It really comes more from elbow and wrist like biceps for elbow flexion and wrist radial/ulnar deviation.
For CRPS you mention splinting as an intervention for pain control, but later mention "no splints and no casting". Should splinting be used for CRPS?
oops! Splinting CAN be done (static, dynamic) if it's pain free. No PROM.
Vacariu, G. (2002). Complex regional pain syndrome. Disability and rehabilitation, 24(8), 435-442.
Dommerholt, J. (2004). Complex regional pain syndrome-2: physical therapy management. Journal of bodywork and movement therapies, 8(4), 241-248.
@@OTDUDE Thank you!
@@OTDUDE thanks for your help clarifying this. I'm still a bit confused about CRPS tx. If PROM is contraindicated, I would think that CPM (continuous passive motion) would also be contraindicated.
**Edit: just read your comment below. CPM and PROM both contraindicated!
@@benjaminfeldman1244 I had the question this commenter had but now your comment has thrown me, online it looks like some sources are saying CPM can be used especially maybe after surgery or when rehab movements are not possible but I am confused because that is PROM...
Nice! OT Dude puts out a comprehensive UE review (much of which we didn't learn in school) just 2 days before my NBCOT exam. Thanks OT Dude!
So howd you do?
Thank you for your time, energy, effort, and generousity, O.T. Dude.
Thank you so much for your videos! I love the pacing and your little tricks!!!
One of the best videos for OT ever, I just started a per diem acute care position, and your videos are good
Thank you for putting this content together! I really appreciate your teaching style and the comprehensive review you compiled.
You're welcome! Thanks for the feedback Noah.
Wow this was extremely helpful. Taking my NBCOT test this weekend and this helped me put all the UE conditions and splinting together to understand fully. Appreciate your video’s keep it up. The pictures are really nice to understand the content more.
Quick clarification of the Sign of Benediction (SOB). It signifies a more proximal median nerve injury.
The SOB can be seen when asking the patient to make a fist. The median nerve innervates the FDS and the RADIAL 1/2 of the FDP. Damage results in an inability to make a fist, but some slight flexion of digits 4 and 5 is seen due to the intact ULNAR nerve (innervates the ulnar 1/2 of the FDP).
Love love LOVE the level of detail! Hard to find in other resources. Thank you!!
You're welcome!
I'm about to shadow a CHT for my level 2 fieldwork and this was so helpful! Thank you OT dude for this video!
You're welcome - good luck!
Hi OT dude! Thanks for your great content to help OT students and practitioners. Back when I was a student, I followed OT Miri and somehow she had to redo some of her videos because she mentioned the NBCOT. I think she had to change to just OT exam to avoid problems. It is none of my business but just don’t want you having problems with NBCOT in the future! You might want to look into that, just in case. Keep up the good content though.
You're welcome! Thanks for the heads up! I am aware of the situation. Have a good one!
Dude! Where have you been all my life. Definitely would have gotten better grades during the course if you were around back then. Nevertheless, this will definitely help me pass NBCOT so you thank you so much.
Thanks! I never thought about making content back then, but I'm glad I started. Good luck studying for that 👍
Thanks for all these videos Jeff!
Quick question about CRPS! You said big contraindication is no passive range of motion but then as one of the treatment option is continuous passive motion. Can you explain why we would use the CPM machine?
Very helpful & great pictures & explanations. #thanks
Fantastic! Thank you
The little things you do to help us remember.. you should teach!
Thank you. Your content is great 👍
If using a splint for wrist pain, how long typically would one wear this?
Thank you sir for your help
Can you or anyone please tell what’s the difference between high and low profile dynamic extension splint? Basically what’s high and low profile?
TIA
Such great information and tips to remember! Thank you! :) Quick question-if someone had a scapular or clavicle fracture and is NWB, could they still use that UE to eat/bring food to mouth? Or, does that really just depend upon the doctors orders too?
Good question! It would depend on the orders but self feeding likely won't even be specifically mentioned. Let's do an activity analysis for feeding: I would think it would be okay as eating can be done with minimal scapular and clavicle ROM for food that's in front of you on a plate/bowl. Some protocols call for early mobilization of those joints anyways to prevent frozen shoulder. And I wouldn't consider self feeding to be a weight bearing activity that exerts forces on those proximal bones. Sure they act as stabilizers, but food is so light anyways. It really comes more from elbow and wrist like biceps for elbow flexion and wrist radial/ulnar deviation.
@@OTDUDE Very helpful and that makes sense too! Thank you so much!
Hey OT Dude, great video! Where is the link for the quiz?
www.otdude.com/academy/nbcot-exam-prep/lesson/orthopedics/topic/upper-extremity-conditions/quiz/upper-extremity-splints-matching-game/
Question: You mentioned no PROM for CRPS. But a CPM machine is ok?
Oops - should be no PROM and no CPM as it's passive range as well. But the big picture and most important is to avoid painful interventions.