Ch 6 - Prosthetic and Orthotics: LE Orthoses for Pressure Redistribution Flashcards
Where does a Patellar Tendon bearing Orthosis reduce weight bearing?
Mid or distal tibia, ankle, and foot
Where does an Ischial weight-bearing Orthosis reduce weight bearing?
Relieve weight from the femur or knee
Describe a Patten-bottom Orthosis.
Uses uprights with no ankle joint that terminate in a floor pad distal to the shoe so the foot is freely suspended in midair
What are the rationales for Efficacy of Tone-Reducing Orthoses?
- Inhibition of reflexes
- Pressure over muscle insertions
- Active and static prolonged stretch
- Orthokinetics
How can an AFO reduce tone in ankle?
Pressure on either side of tendo-calcaneus and insertion of gastroc-soleus muscle groups
Describe passive field materials that produce inhibitory effect.
Cool, rigid, and smooth
Describe active field materials that produce facilitatory effect.
Warm, expansive, and textured
Where is the active field stimulation in AFO?
Over anterior tibialis to encourage dorsiflexion
Where is the passive field inhibition in AFO?
Over gastrocnemius to reduce spastic plantar flexion