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Occupational Therapy · NBCOT

OTA: Hand Therapy and Upper Extremity Rehabilitation

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?
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?
A static progressive splint
What splint is commonly used for carpal tunnel syndrome to reduce nighttime symptoms?
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?
Carpal tunnel syndrome
What condition involves inflammation of the tendons on the thumb side of the wrist, causing pain with thumb and wrist motion?
De Quervain's tenosynovitis
What splint is commonly used to immobilize and rest the thumb in De Quervain's tenosynovitis?
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?
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?
Mallet finger
What splint is typically used to treat mallet finger, and in what position?
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?
Boutonniere deformity
What deformity involves hyperextension at the proximal interphalangeal joint and flexion at the distal interphalangeal joint?
Swan neck deformity
What hand condition involves progressive thickening and contracture of the palmar fascia, pulling fingers into flexion?
Dupuytren's contracture
What degenerative condition at the base of the thumb commonly requires a thumb spica splint for symptom management?
Carpometacarpal (CMC) joint arthritis of the thumb
What is the purpose of the flexor tendon zone classification system in hand therapy?
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?
Zone II

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