@OTOverEasy Straight, L-shape, and switch back ramp..Also what space and height fit each..I know you have touch on them, but can you please dive in more?
@@adiatukoroma2544 These should all follow the same rules outlined in Wheelchairs (Part 2)! The slopes will be calculated the same way. For L shapes and switchbacks, at places where the ramp turns you would need the same minimum 5x5 foot space for the wheelchair to turn in. Don't worry too much about this, it is unlikely an exam would ask you about these types of ramp because they vary much more; just understand how to calculate slope!
Hi! Your videos are so helpful and I have enjoyed watching while studying. I had a question about to positioning for the dorsal blocking splint. In other study material, I have seen that the dorsal splint is supposed to place the wrist in about 20-30 degrees of flexion and the MCPs in 50-70 degrees of flexion. Is that true? I heard you mention neutral but I am seeing different answers everywhere.
Hi there! You are correct that the wrist can be positioned in slight flexion with a DBS. One of the most referenced protocol books for hand therapy is the Indiana Protocol guide, and in there they recommend 20 degrees of wrist flexion, MCPs about 60-70. I stated neutral since it is only slight flexion, and I think being able to visualize a position is more important for an entry level exam than getting caught up in the exact numbers (remember - big picture!). The main thing to remember is you don't want the wrist to be in extension, because that puts increased tension on the healing flexor tendons and increases risk of gapping at the repair site. Good catch, hope this helps!
Excuse me I don’t mean to be rude or putting anyone down but as someone with a high functioning special needs who has some physical issues and sensory processing disorder how do you get people to take me seriously at my job or when doing a stage because today at my camp they were treating me and few other high functioning people like babies I feel like I am in limo all the time
I have my COTA exam scheduled for August 6 and these videos have helped tremendously! I always want to pull my hair out when studying hand therapy but watching this series has seriously helped! Thank you so much!
I just wanna let you know. You made the light bulb go off in my head when it came to splinting opposite because of the skin. No other video explained it that simple yet so effective!! Thank you for making my studying make sense and helping me remember (:
Oooh that's so exciting! I just recently posted a review of the brachial plexus, that would be good to check out. Hands is my specialty, so I'll definitely be adding more hand content in the future! Good luck with your placement :)
very interesting knowledge about the interossei and lumbrical relationship for mcp flexion and pip extension. Would you mind sharing where this information came from? That would be greatly appreciated, thank you!
Hi! A great resource to read more about this is in the Journal of Hand Surgery, an article from 2021 titled "The Lumbricals are Not the Workhorse of Digital Extension and Do Not Relax Their Own Antagonist" :) Many Hand Therapy specific textbooks will also have this information!
I'm not sure if you're up for making more videos, but there is a scarcity of specific type OT related videos (wheelchair, orthoses etc). I found yours to be great study material for these topics and I'm super thankful for your comprehensive review and content. You're doing such great work. ❤
Thank you! I am certainly trying to cover some gaps I've noticed left by other content creators. If you have a topic you'd like to see let me know! I am trying to put out a video once a month
I damaged some fingers and went to a & e, did a x-ray, in mid February and nothing broke. It was swollen badly(still swollen a bit now & bruised) I couldn't straighten any of my fingers for quite a few weeks & my hand was like in a claw position, so stiffened up, have managed to straighten them all except my middle finger is bent especially in the middle joint of it. Extremely painful, had to litterly beg my doctor for physio and to see a hand specialist as not healed nearly 3 months later. On the waiting list now, I am sitting here now watching this as I've just made my own splint to put on two fingers, don't know if thats the right thing to do, but I'm trying to straighten it 😞 I think it might be the tendons torn etc, according to a multosketal person who works at the doctor's it's not. Should it of maybe gone in a splint to begin with do you think to help straighten all my fingers then my hand wouldn't stiffened up in a horrible position
Hi! I can't really assess you or offer GREAT advice without being able to examine your hand in person, so I am glad you are getting in with a hand specialist! What was your initial injury, was it cut, crushed, something else? Are you unable to move your fingers using their own strength at all, or is it just joint stiffness stopping you (so unable to straighten even when using the other hand)?
@@OTOverEasy thank you, I slammed my hand really hard when I fell over on my hard wooden flooring. Some of my other fingers won't bend properly even when I do it with my other hand, but I've managed to straighten them ones now, it's mostly my big one which was always worse, its bent at the middle joint part when I try and straighten it so won't straighten, and can't bend it at all when using my other hand to try. It still has a bit of swelling/bruising, didn't realise swelling could last that long as did it nearly 3 months ago. Thanks for your advice
@@MissingDogsUK. Swelling can last a long long time in fingers! Some of my patients will still have swelling 6+ months after an injury in their hand. Sounds like your joints are stiff to passive resistance; even if you didn't break any bones, you may have injured some of the soft tissue (which wouldn't show on an x-ray!). I wouldn't splint your finger/s 100% of the time, or they may get even more stiff. However, splinting intermittently throughout the day to provide stretch to try to straighten them out may help. Good luck!
@@OTOverEasy thank you, I did put it in a splint over night but really hurt the next morning so am just going to not use one atm, was just trying to straighten it a bit, as I've just got my hand specialist appointment through and it's not till June, thank you for your advice. I'm in the UK and sometimes our doctors aren't great or trying to get a doctor's appointment is quite difficult. That's why I was adamant that I needed to see a hand specialist or physio etc as it's still bent 3 months later so I need to see someone who may be able to help. Thanks again
I got a bad case of wrist drop 7 weeks ago from radial nerve compression while sleeping. Since then it has almost come back to normal. At 6 weeks my doctors & physio were very impressed with my recovery.
Another mnemonic to help for any plant lovers out there, think of "hardening off" a plant that has been inside over the winter to prepare it for being fulltime outside in the summer. You need to "work it" for a few hours a day, gradually increasing the time frame, during the late Spring before it is ready for its full-time role of being a fully functioning summer loving plant.
Please keep up these amazing tutorial videos! You definitely have a talent for presenting material in a fun yet still very informative way! Thank you!!
Your videos are LIFE!! I was first drawn to your bubbly personality, but you absolutely make everything so easy to understand rather than memorizing info. This video is soo good! THANK YOU
Hi . Thnk u so much fr this video. Fr non biology students. This video helped me so much. Thnk u fr clear explanation. Tq fr drawing ur hand and explanation in detail. Keep Rocking always.
I’m studying for my NBCOT exam, and I’ve found all of your videos very helpful! You have a natural talent for teaching-and your humor always keeps me entertained. 😂 Thank you so much for creating content!
Could you go more into detail regarding the difference between and occupational therapist role in vocational evaluations and a vocational rehabilitation specialist (VR services)
Hey there! I'm afraid I really don't know much about VR specialists, so I wouldn't be able to say what the main differences are between them and OTs. I perform FCEs, but outside of that work rehab is not my specialty!
Hmm school system is definitely not my forte, but I can certainly see if I can bring together good enough info to be worth sharing. I shall put it on my list!
