ASS TECH - SPINAL AND SHOE ORTHOSIS Flashcards
Positive effects of Spinal orthosis
Trunk support, motion control, and spinal realignment
can be accomplished by elevation of intercavitary pressure and the three point force system
trunk support
alteration of weight bearing mechanism of the spine
Spinal realignment
Decreased muscular activity secondary to reduced motion of the spine
Weakness and atrophy following reduced functional demands
The lateral ends of the pelvic band lie midway between the ____ and posteriorly, the middle section lies above the ___
lateral end: greater trochanter and iliac crest, and midtrochanteric line
posterior: above the inferior edge of the sacrum below the PSIS
LANDMARKS: Superior border - T9-T10 or 2.5cm below the IAS
lateral edges - lateral midline of the rib cage
Thoracic Band
Size of the subclavicular pad in cowhorns c sub-clavicular pad orthosis
2 inches
The superior border extends 1/2 in. below the clavicle when it sits
Cowhorns with sub-clavicular pads
Superior ends of LS and TLS posterior uprights
LS: 1 inch below the IAS
TLS: lateral to the scapular spines
It extends along the lateral midline of the torso (MTL and MAL)
Lateral Uprights
Landmarks of Interscapular band
- extends 2 inches medial to the mid axillary line
- distal third of the scapula c inferior edge 1 inch above the IAS
Superior and inferior ends of full-front abdominal support
Superior: 1/2 inch bellow the Xiphoid process
Inferior: 1/2 inch above the pubic symphysis c inferior border roughly follows the inguinal folds
This is added in full-front abdominal support if the pt is too tall, to avoid wrinkling of the abdominal support
Additional strap
Name the lumbosacral F-E control orthosis
Chairback
State the posteriorly and anteriorly directed force acting during trunk flexion and extension in Chairback orthosis
Trunk Flexion:
Posteriorly: Pelvic and thoracic straps
Anteriorly: Posterior uprights
Trunk Extension:
Posteriorly: Abdominal support
Anteriorly: Thoracic and pelvic band
Spinal orthosis same c chairback but with added lateral uprights
Knight - Lumbosacral F-E-L control orthosis
Spinal orthosis consists of pelvic and thoracic bands joined by lateral uprights. The pelvic band is stabilized by oblique lateral uprights
Williams - Lumbosacral E-L control orthosis
Spinal orthosis that maintains scapular retraction
Taylor - Thoracolumbosacral F-E control orthosis
Functions:
Restricts Flexion:
Posteriorly - axillary straps and pelvic strap
Anteriorly: posterior uprights
Restricts Extension:
Posteriorly: Abdominal support
Anteriorly: Interscapular band, posterior uprights, and pelvic band
Taylor - Thoracolumbar F-E control orthosis
Similar components c Taylor but has lateral uprights that restricts lateral rotation
Knight - Taylor (Thoracolumbosacral F-E-L control orthosis)
Thoracolumbosacral F-L-R control orthosis
Cowhorn
This orthosis is primarily for treating mild compression fracture of the lower thoracic and thoracolumbar regions and is not indicated for unstable and burst fracture
Jewett or Cash (Thoracolumbosacral F control orthosis) - Ant. hyperextension
Spinal orthosis that provides the maximum orthotic immobilization and control of the spine
Plastic body jacket
Parts of the shoe
Sole, Heel, Upper, and Reinforcements
It lies under the anatomic heel and rests below the hell bone/calcaneus
Heel
It is used to improve the balance of the shoe, to increase the height of the wearer, to alter the posture, or for cosmetic purposes
Heel
Less than 2.5 inches leg length discrepancy - internal or external
internal heel elevation
Greater than 2.5 inches leg length discrepancy - internal or external
external heel sole elevation