Hand therapy splinting, upper extremity rehabilitation techniques, and common hand injury concepts tested on the NBCOT.
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- What is the difference between a static splint and a dynamic splint?
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A static splint has no moving parts and immobilizes a joint, while a dynamic splint uses moving components to apply a gentle force that assists motion
- What type of splint applies a low-load, prolonged stretch to gradually remodel tight tissue?
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A static progressive splint
- What splint is commonly used for carpal tunnel syndrome to reduce nighttime symptoms?
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A wrist cock-up splint that holds the wrist in a neutral position
- What condition is caused by compression of the median nerve at the wrist?
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Carpal tunnel syndrome
- What condition involves inflammation of the tendons on the thumb side of the wrist, causing pain with thumb and wrist motion?
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De Quervain's tenosynovitis
- What splint is commonly used to immobilize and rest the thumb in De Quervain's tenosynovitis?
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A thumb spica splint
- What condition causes a finger to catch or lock in flexion due to a nodule catching in the flexor tendon sheath?
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Trigger finger (stenosing tenosynovitis)
- What deformity involves a finger stuck in a flexed position at the distal interphalangeal joint due to a disrupted terminal extensor tendon?
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Mallet finger
- What splint is typically used to treat mallet finger, and in what position?
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A splint holding the distal interphalangeal joint in full extension (or slight hyperextension), worn continuously
- What deformity involves flexion at the proximal interphalangeal joint and hyperextension at the distal interphalangeal joint?
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Boutonniere deformity
- What deformity involves hyperextension at the proximal interphalangeal joint and flexion at the distal interphalangeal joint?
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Swan neck deformity
- What hand condition involves progressive thickening and contracture of the palmar fascia, pulling fingers into flexion?
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Dupuytren's contracture
- What degenerative condition at the base of the thumb commonly requires a thumb spica splint for symptom management?
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Carpometacarpal (CMC) joint arthritis of the thumb
- What is the purpose of the flexor tendon zone classification system in hand therapy?
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It identifies the anatomical location of a flexor tendon injury to guide surgical repair and rehabilitation protocol decisions
- What flexor tendon zone is known as 'no man's land' due to historically poor outcomes from tendon adhesions after repair?
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Zone II