Assistive Technology For Locomotion Flashcards
what are the two assistive technologies for locomotion?
ADs and LE orthotics
t/f: we want to know what the assistive technology is going to change when we prescribe them
true
we want to try and use what kind of ADs for as long as possible as you progress to the least restrictive device?
bilateral
what do we need to consider when making a prescription for assistive technologies?
the interaction bw fxnal performance and personal/environment factors and how they are going to effect gait speed, endurance, and balance
what 3 things do we want to be aware of with prescription of assistive technologies?
the pt fxn, prognosis, and ambulatory status
with d/c disposition home, home health, or outpatient, do we prescribe assistive technologies?
yes
with d/c disposition to IFR–> home or subacute–>home, do we prescribe assistive technologies?
sometimes
with d/c disposition to ECF and or with non-ambulatory pts, do we prescribe assistive technologies?
no
what are the reasons for orthotics?
limited DF (BIG ONE)
pt independence
stability
the PT exam for LE orthotics includes what?
a needs assessment for assistive technologies or other supportive devices
who is involved in the decision making team for LE orthotics?
the pt
the PT
the certified orthotist
the physician/physiatrist
what is the role of the pt in LE orthotics prescription?
know their expectations, compliance, co-morbidities, health condition, expected improvement, and resources
what is the role of the PT in the LE orthotics prescription?
they do the eval of gait and documentation of their current status and potential of the pt with an orthotic
what setting is the PT often more involved in the prescription of orthotics?
inpatient
what is the role of the certified orthotist in the prescription of orthotics?
they make the final determination in collaboration with the PT
expert in both materials and kinematics
what is the role of the physician/physiatrist in the prescription of orthotics?
they sign the prescription based upon the orthotist’s recommendation and provides oversight of the medical and rehab situation
what are the various types of LE orthoses?
HKAFO/HO
KAFO
AFO
what does the Rancho R.O.A.D.M.A.P stand for?
recommendations for orthotic assessment, decision-making, and prescription
t/f: the Racho R.O.A.D.M.A.P is widely used and accepted but has limitations for orthotic prescription
true
what is an AFO?
ankle foot orthotic
t/f: AFOs give mechanical advantage of crossing the ankle for increased control and stability of the jt
true
t/f: FOs change the angle of the foot w/relation to the floor in the sagittal and coronal places to effect change at the ankle or sometimes even at the knee
true
are FOs accommodative or corrective?
they can be either
what are the indications for AFOs?
muscle weakness/paralysis
some cases of genu recurvatum (<30 deg)
ligament laxity/damage (PTTD)
post-op (stability/limit motion)
OA
anatomical deformities (Charcot)