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A COTA® is working in home health with a patient who has bulbar onset of Amyotrophic Lateral Sclerosis. The patient is progressively declining in motor function. He presents with bilateral wrist drop and tightness in the long flexors. He wants to continue working on his computer and perform grooming with less hand and wrist pain. The OTR® has the COTA® fit the patient with custom wrist-hand-finger orthoses (WHFO) in neutral during activities as well as volar pan splints in a semi-rigid thermoplastic at rest. What would be the primary biomechanical purpose for the orthotics? Marked as spam
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Answer: d) Addresses both the wrist and fingers. The wrist orthoses prevent compression of the median nerve when set in a neutral position. The pan supporting fingers in passive extension reduces pain and prevents further contractures. The WHFO allow the patient to feel his face during grooming. A) The purpose of a long forearm-based radial gutter splint for tenosynovitis. B) The purpose of a cone splint. C) The purpose of a finger gutter splint to treat fractures or avulsion injuries. Marked as spam
 Posted by admin (Questions: 108, Answers: 97) Answered on February 7, 2019 11:36 am
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