COTA Exam
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| show | prevents movements and often promotes functional position, prevents deformity |
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| Dynamic Splint | assists an individual with movements and may include pulleys, springs, screws, hooks, elastics, and other outriggers to assist in desired motions | show |
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| Splinting for Hygiene | show | splints are frequently fabricated to protect palm and prevent skin breakdown |
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| Splinting for Protection | may be used after a surgical procedure or to prevent a child or adolescent from self-abuse or interferring behavior | show 🗑
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| Compliance | provide child and caregiver with education regarding purpose of splint and goals, provide written, verbal, and pictoral instructions, use positive reinforcement for following splinting protocol | show |
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| Skin Integrity | skin breakdown can lead to pressure sores (decubitus ulcers), which can develop relatively quickly when the skin is compromised | show |
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| Decubitus Ulcers | show | Stage 3: involves damage to the epidermis, dermis, and deeper tissue Stage 4: extends down to muscle and bone | moisture, impaired sensory perception, low levels of physical activity, decreased mobility, inadequate nutrition, and poor overall skin care may increase the likelihood of decubitus ulcers
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| Cerebral Palsy Hemiplegia (involvement on one side of the body) | functional splints that facilitate proper positions of arms, such as wrist/hand immobilization splints, Joe Cool splints, and thumb abduction splints | show 🗑
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| Cerebral Palsy Quadriplegia (all four extremities involved) | show |
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| show | functional splints that promote stability in weak joints for increased function, such as wrist/hand immobilization splints and ring splints |
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| Rett Syndrome | splints designed to protect clients from self-abusive behaviors such as elbow sleeve | show 🗑
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| show | splints designed to protect clients from frequent fractures due to decreased stability and structure of the bones, such as nonarticular humerus splints and wrist/hand immobilization splints for infants |
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| show | functional splints fabricated to promote engagement in functional activities and prevent further contractures, such as wrist/hand immobilization splints, neoprene splints, and elbow extension mobilization splints |
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| Brachial Plexus Palsy | functional splints fabricated to inhibit stretching and facilitate protection of the muscles and nerves such as wrist/hand immobilization splints, neoprene splints, and shoulder abduction immobilization splints | show |
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| Juvenile Rheumatoid Arthritis | to promote ROM for engagement in functional activities and for protection and to decrease deformities, such as wrist/hand immobilization splints, ring splints, neoprene wrist splints, MP joint extension mobilization splints, and Dynasplints | show 🗑
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| show | the OT receives the referral and assesses the need for and determines the type of splint to be used. The role of the COTA is to be determined by their experience. The ultimate responsibility falls on the OTR | factors to consider: anatomical structures, abnormal tone, time frames for healing, swelling, compliance, sensory factors, cognition and developmental age, latex allergies and precautions, home environment |
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| Fabrication Tips | the type of material that the OTR decides to use will depend on the client's age, muscle tone, level of cooperation, and level of pain | show |
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| show | devices that immobilize, restrain, or support a part of the body | a splint is often temporary, where an orthotic device is usually more permanent |
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| Splinting for Position | show |
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Created by:
serugh
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