comp re-rake Flashcards
peroneus longus
superficial peroneal nerve (L5-S2)
PF/eversion
inserts onto the medial cuneifrom/lateral 1st metatarsal
peroneus brevis
N: superficial peroneal nerve (L5-S2)
A: PF/eversion
I: 5th metatarsal
Peroneus tertius
N: deep peroneal nerve (L4-L5)
A: DF/eversion
I: 5th metatarsal
Tibialis anterior
N: Deep Peroneal nerve (L4-L5)
A: DF, inversion
I: medial cuneiform, 1st metatarsal
Tibialis posterior
N: Tibial (L4-S2)
A: PF, inversion
I: navicular and medial cuneiform
Flexor halluces longus
N: Tibial (L4-S2)
A: flexion of big toe, PF
I: distal phalanx of hallux
Flexor halluces brevis
N: medial plantar nerve (S2-S3)
A: flex hallux
I: base of proximal hallux
flexor digitorum longus
N: Tibial (L4-S2)
A: flexion of the 4 small digits
I: base of the distal phalanx
flexor digitorum brevis
N: medial plantar nerve (S2-S3)
I: phalanges of toes 2-5
A: flexion of the 4 smaller digits
Extensor halluces longus
N: Deep Peroneal nerve (L4-L5)
A: big toe extension, DF
I: dorsal side of the base of the distal phalanx of big toe
extensor digitorum longus
N: Deep Peroneal nerve (L4-L5)
A: extension of toes and DF
I: middle and distal phalanges of lateral 4 digits
soleus and gastroc nerve innervation
tibial L4-S2
UCBL: semirigid foot orthosis
semirigid evice used to control flexible flat foot
-controls calcaneous by providing force on the sustentaculum tali, provides medial arch support and forefoot control
-high medial trimline, encompass navicular, squared heel, aggressive medial arch
material: metal leather
more durable
good for people who lack skin sensation, but weighs more and cosmetic component
material: polymers/carbon fiber
lighter weight
more fragile
less noticeable
can cause too much pressure and heat
all solid AFOs (4)
floor reaction design
posterior leaf spring
solid ankle AFO
crow walker
floor reaction design
solid AFO
creates knee extension moment at midstance
For patients with weak quads or crouched gait
posterior leaf spring design
solid AFO
allows for wt-activated DF and then energy storage and return to aid with push off
For patients with foot drop, peroneal palsy, quad weakness
*only good for patients with minimal coronal instability (inversion/eversion)
solid ankle AFO
provides maximal sagittal control (DF/PF)
for patients with ankle fusions, OA, LE weakness
crow walker
a solid AFO
max contact and circumferential support, helps offload deformities
for patients with charcot disease and foot ulcers/wounds
articulated AFOs
plastic joints
metal joints
PF stops
free motion AFO
DF assist
plastic joint options (AFOs)
DF assist joints
oklahoma joints
metal joint options (AFOs)
-contain pins and springs
anterior pin: DF stop
posterior pin: PF stop
anterior spring: PF assist
posterior spring: DF assist
What are PF stops (AFOs) used for?
to restrict PF and prevent excessive knee extension!
- would require a posterior pin to stop PF
- improves toe clearance, affects knee moment, good for patients with tone,
Free motion AFO
full DF/PF motion available
ex: tamarack and oklahoma
For patients with posterior tibial tendong dysfunction , varus, valgus instability
DF assist AFO
assisted full DF
ex: tamarack, metal joints
For patients with foot drop, CVA patient with minimal tone
PF stop AFO –>oklahoma
For people with foot drop, high tone PF/inversion, genu recurvatum
What is the purpose of the foot plate?
It reduces hypertonicity by applying constant pressure to PFs and invertors.
KAFOs (4)
- free motion knee joint
- ring lock knee joint
- bail/cable locking joints
- posterior offset
free motion knee joint
-180 degree knee extension stop
For patients with genurecurvatum, genu varum/valgum
Ring lock knee joint
Ring locks in extension
For patients with poor quads and weak LE
bail/cable locking joints
use of metal band posterior to knee to unlock
use of cable system and trigger to unlock knee
For patients with poor quads, weak LE, able to operate locking mechanism
posterior offset
- moves weight anterior to knee center
- intended to improve stance phase stability
- can have a free, ring lock, or bail lock
- For patients with poor quads, weak LE, able to operate locks
referral pattern organ: upper left shoulder
lung and diaphragm
referral pattern organ: upper right shoulder
liver and gall bladder
referral pattern organ: lower cervical
heart (also near heart and L UE)
referral pattern organ: mid thoracic
stomach
referral pattern organ: left lower thoracic
pancreas
referral pattern organ: right thoracic
liver and gallbladder
referral pattern organ: low back
kidney -flank pain
referral pattern organ: right lower quadrant
appendix
stages of motor control
mobility stability controlled mobility static dynamic skill
