Equipment, Devices, and Therapeutic Modalities Part One Flashcards
someone with pes planus would use
scaphoid pad
initial body suport percentage for body weight support system
40% body weight
what motions does a solid AFO allow
all motions limited
in sitting, where is the pressure with a PPT
sacrum (sacral sitting)
purpose of a metal anterior stop besides limits DF
prevents knee buckling or excessive knee flexion
a metatarsal bar would be used for someone with
metatarsalgia
ways to measure crutches appropriately
subtract 16 inches from patient’s height
measure from 2 inches below axilla to apoint 6 inches in front and 2 inches lateral to the foot
what percentage of body weight support is contraindicated and why
over 55%
it interferes with achieving foot flat during stepping
on stairs, where should the PT be
below the patient and toward the involved side
examples of people who would use crutches
THR
balance problems
what motion does floor reaction orthosis resist
knee flexion
purpose of projections with wheelchairs
to assist patients with poor hand grip in propulsion
heel spurs or plantar fasciitis would use what type of orthosis
heel insert
how to descend stairs with crutches
AD and bad leg go down first
good leg follows
what muscles help to elevate the body to decrease amount of weight bearing for ambulatory aids
lower trap
pec major
lats
purpose of the Jewett TLSO
limits trunk flexion and encourages hyperextension of the spine
someone with metatarsalgia would use what type of insert
metatarsal pad
metatarsal bar
rocker bar
during walking, where should the PT stand
slightly behind and to the involved side
purpose of the Boston Orthosis
scoiliosis 40 degrees or less
spondylolisthetsis
severe trunk weakness (muscular dystrophy)
purpose of a metal posterior stop
limits plantarflexion
the Craig-Scott KAFO is for people with
paraplegia
purpose of medial/lateral sole wedges
fixed lateral forefoot valgus or varus
how to ascend stairs with crutches
good leg first
AD and bad leg follow together up
a rocker bar is used for
metatarsalgia
weak PF
purpose of SAFE foot
allows for walking on moderately uneven terrain because of the greater range of mediolateral motion permitted in the rear foot
SACH foot - what motions are allowed
PF
small amount of mediolateral and transverse motion
in order for patients to use ambulatory aids, patients must be able to…
elevate the body by using their UEs
for sit-to-stand transfers, where should the PT stand
to one side and slightly behind the patient
difference between a tilt-in-space and reclining back wheelchair
TIS - maintains 90 degrees between angle of seat and back
reclining - does not maintain 90
what are drive wheels in wheelchairs
large rear wheels used to propel the wheelchair
who would use a Thomas Heel
pronation
flexible pes varus
what is a hemicorprectomy
amputation of both lower limbs and pelvis below L4-L5
what motions does a free motion ankle joint provide
DF
PF
(with medial and lateral stability)
Thomas Heel AKA
medial heel wedge
if ambulatory aids are to be used for a long period of time, what group of muscles should be strengthened
shoulder depressors
is a cane held on the good side or bad side
good side
a metatarsal pad would be used for someone with
metatarsalgia
scaphoid pad is used for
pes planus
ideal length for transfemoral amputation
35-60% of femoral length spared
parameters for pressure-relief in general
every 15-20 minutes (3-4x/hour)
who would use a lateral heel wedge
excessive pes varus (supination)
genu varum
degrees of elbow flexion for crutches
20-30 degrees of flexion
heel insert is used for people with
plantar fasciitis
heel spurts
what type of quad cane can be used on the stairs
small-based quad cane (large-based cane cannot)
two scoliotic orthoses
Milwaukee
Boston
when is the Jewett used
compression fractures of the spine
the best wheelchair for pressure relief
tilt in space
two types of tires for wheelchairs and their differences
pneumatic (air filled) - smoother ride with increased shock absorption
rubber - more durable and require low maintenance
how to measure crutches if patient is in supine
from axilla to a point 6-8 inches lateral to the heel
weight bearing status for people with crutches (in general)
PWB
a medial sole wedge shifts weight in what direction
laterally
