ASS TECH - SPINAL AND SHOE ORTHOSIS Flashcards

1
Q

Positive effects of Spinal orthosis

A

Trunk support, motion control, and spinal realignment

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2
Q

can be accomplished by elevation of intercavitary pressure and the three point force system

A

trunk support

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3
Q

alteration of weight bearing mechanism of the spine

A

Spinal realignment

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4
Q

Decreased muscular activity secondary to reduced motion of the spine

A

Weakness and atrophy following reduced functional demands

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5
Q

The lateral ends of the pelvic band lie midway between the ____ and posteriorly, the middle section lies above the ___

A

lateral end: greater trochanter and iliac crest, and midtrochanteric line
posterior: above the inferior edge of the sacrum below the PSIS

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6
Q

LANDMARKS: Superior border - T9-T10 or 2.5cm below the IAS
lateral edges - lateral midline of the rib cage

A

Thoracic Band

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7
Q

Size of the subclavicular pad in cowhorns c sub-clavicular pad orthosis

A

2 inches

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8
Q

The superior border extends 1/2 in. below the clavicle when it sits

A

Cowhorns with sub-clavicular pads

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9
Q

Superior ends of LS and TLS posterior uprights

A

LS: 1 inch below the IAS
TLS: lateral to the scapular spines

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10
Q

It extends along the lateral midline of the torso (MTL and MAL)

A

Lateral Uprights

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11
Q

Landmarks of Interscapular band

A
  • extends 2 inches medial to the mid axillary line
  • distal third of the scapula c inferior edge 1 inch above the IAS
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12
Q

Superior and inferior ends of full-front abdominal support

A

Superior: 1/2 inch bellow the Xiphoid process
Inferior: 1/2 inch above the pubic symphysis c inferior border roughly follows the inguinal folds

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13
Q

This is added in full-front abdominal support if the pt is too tall, to avoid wrinkling of the abdominal support

A

Additional strap

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14
Q

Name the lumbosacral F-E control orthosis

A

Chairback

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15
Q

State the posteriorly and anteriorly directed force acting during trunk flexion and extension in Chairback orthosis

A

Trunk Flexion:
Posteriorly: Pelvic and thoracic straps
Anteriorly: Posterior uprights
Trunk Extension:
Posteriorly: Abdominal support
Anteriorly: Thoracic and pelvic band

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16
Q

Spinal orthosis same c chairback but with added lateral uprights

A

Knight - Lumbosacral F-E-L control orthosis

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17
Q

Spinal orthosis consists of pelvic and thoracic bands joined by lateral uprights. The pelvic band is stabilized by oblique lateral uprights

A

Williams - Lumbosacral E-L control orthosis

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18
Q

Spinal orthosis that maintains scapular retraction

A

Taylor - Thoracolumbosacral F-E control orthosis

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19
Q

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

A

Taylor - Thoracolumbar F-E control orthosis

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20
Q

Similar components c Taylor but has lateral uprights that restricts lateral rotation

A

Knight - Taylor (Thoracolumbosacral F-E-L control orthosis)

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21
Q

Thoracolumbosacral F-L-R control orthosis

A

Cowhorn

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22
Q

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

A

Jewett or Cash (Thoracolumbosacral F control orthosis) - Ant. hyperextension

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23
Q

Spinal orthosis that provides the maximum orthotic immobilization and control of the spine

A

Plastic body jacket

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24
Q

Parts of the shoe

A

Sole, Heel, Upper, and Reinforcements

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25
Q

It lies under the anatomic heel and rests below the hell bone/calcaneus

A

Heel

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26
Q

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

A

Heel

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27
Q

Less than 2.5 inches leg length discrepancy - internal or external

A

internal heel elevation

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28
Q

Greater than 2.5 inches leg length discrepancy - internal or external

A

external heel sole elevation

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29
Q

Inclination in posterior heel

A

Pitch

30
Q

forward extension of the heel that increases the BOS

A

Breast

31
Q

Types of heel heights (indicate the measurements)

A

Spring - 1/8’’
Oxford - 6/8’’ - 8/8’’
Military - 10/8’’
Cuban - 12/8’’

32
Q

Sole that comes in contact with the floor

A

outer sole

33
Q

Sole that lies under the foot and has a contact with the foot

A

inner sole

34
Q

End portion of the shoe that is slightly elevated

A

Toe-spring

35
Q

Parts of the uppers

A

Eyelets, Lace stay, Tongue, and, Throat

36
Q

This is where eyelets are located

A

Lace stay

37
Q

Located at the lace stay

A

Eyelets

38
Q

End of lace

A

Aglets

39
Q

Throat styles

A

Blucher, Bal/Balmoral, and Lace-to-toe

40
Q

It helps keep the feet inside the shoe

A

Closure

41
Q

Zippers and Elastic Webbing Insert

A

Non-adjustable closures

42
Q

Elastic shoe laces, velcro flaps, and cotton laces

A

adjustable closures

43
Q

Posterior portion above the sole and can be modified

A

Quarters

44
Q

Type of Quarters that does not restrict ankle motions

A

Low Quarters

45
Q

Types of Quarters that resists back-and-forth sliding

A

High Quarters

46
Q

It guards the dorsum of the foot against trauma and falling objects

A

Toe box

47
Q

It preserves the shape of the vamp

A

Toe box

48
Q

A leather that preserves the shape of foot on heel

A

Counter

49
Q

Model over which the shoe is made

A

Lasts

50
Q

Type of Lasts used for younger children

A

Straight Last

51
Q

Type of Last for orthopedic purposes

A

Regular Last

52
Q

Type of shoe Internal Modification that permits the pt to transfer the orthosis from shoe to shoe

A

Shoe inserts

53
Q

Inserts that reduces impact shock and shear, thus protecting painful or insensitive feet.

A

Tapered Heels

54
Q

Shoe internal modification that limits longitudinal arch and prevents pes planus

A

Tapered Heels

55
Q

These inserts are positioned medial and plantar to the longitudinal arch

A

Scaphoid pads

56
Q

Internal modification that controls hindfoot valgus and limits subtalar motion

A

UCBL

57
Q

Convex component that may be incorporated in an insert

A

Metatarsal pad

58
Q

A flat strip of firm material placed posterior to the metatarsal heads

A

Metatarsal bar

59
Q

At late stance, this external modification transfers stress from the metatarsophalangeal joints to the metatarsal shafts

A

Metatarsal bar

60
Q

Convex transverse band affixed to the sole proximal tot he metatarsal heads. It reduces the distances the wearer must travel during stance phase

A

Rocker bar

61
Q

Frequently prescribed external modification

A

Heel Wedge

62
Q

External modification that alters the alignment of the rearfoot

A

Heel wedge

63
Q

Not intended to correct deformity but only to control motion

A

Flare

64
Q

It prevents collapse of foot

A

Flare

65
Q

This external modification is indicated for Post-traumatic subtalar instability or in-pts c hindfoot contractures

A

Flare

66
Q

External modification that prevents ankle sprain

A

Flare

67
Q

External modification that produce inversion of the forefoot

A

Thomas heel

68
Q

True of False: the closer the modification is to the foot, the less effective it is

A

false

69
Q

Test that pushes down on the shoe. The breakpoint should be firm but not providing significant resistance

A

Flex test

70
Q

Test that involves twisting the shoe in opposite direction

A

Torsion test