Gait deviations and orthotic recommendations LAB Flashcards
What is the rule of thumb for not covering the fibular head w/ an orthotic
2 finger rule (orthotic shouldnt be within 2 fingers of the fibular head)
what does PTG stand for
patient
task
goal
also: prioritize the goals
GMFCS level 1
child walks at home, school, and in community
climbs stairs w/o railing
can run
jumping, speed, and coordination are limited
GMFCS level II
Children walk in most settings and climb stairs HOLDING RAILING
may have difficulty w/ long distance or uneven terrain/inclines or in crowded areas
may walk with AD or use wheeled mobility over long distance
limited ability to run/jump
GMFCS Level III
Child walks using handheld mobility device in most indoor settings. They may climb stair holding onto railing with supervision/assistance
children using wheeled mobility over long distances and may self-propel over shorter distances
GMFCS Level IV
Children using mobility that requires physical assistance or power in most settings
may walk short distances at home with walker or physical assistance
outdoors the child is transported using powered mobility or pushed in manual wheelchair
GMFCS Level V
Children transported with manual wheelchair in all settings
A surestep AFO is designed for what diagnosis?
Downsyndrome
However not all children with downsyndrome get this orthotic
example: if they have knee hyper-ext then they might use a SMO w/ PLS extension
does a pt need a GRF AFO if they’re non-ambulatory?
No
what AFO is usually best for Duchenne’s muscular dystrophy
GRF AFO
What are the benefits and cons of overlappng joints on AFOs
Possible Indications: intimate fit
Simple and low maintenance
jt must follow anatomical motions for this to be appropriate
what kind of joint is best for dorsiflexion assist
Tamarack joints
what are the pros and cons to a tamarack joint
light weight, low profile
cons: will not resist excessive torsion
Winters gait classification 1:
Characterized by foot drop during swing
flat foot or forefoot drop during IC
Excessive hip and knee flexion during swing
Adequate DF during stance
Winters gait classification 2:
More constant PF throughout gait
Winters gait classification 3:
Progressing to Knee Hyperext and increased lumbar lordosis
Winters gait classification 4:
Most severe pattern, characterized by limited hip movement, and significantly increased lumbar lordosis
