Human Development in Orthotic Care

Question 1

Pediatric (0-16 yrs) Considerations

Answer 1

Limited communication.
Rapid Growth.
Frequent visits/modifications.
No standard timetable for growth.
Growth spurts.
Need collaborative team, more careful observation.

Question 2

Adult (16-65 yrs) Considerations

Answer 2

Range of needs.
Ability to don/doff independently.
Compliance.
Patient education.
Physical/Intellectual disabilities
Communication is most important factor.

Question 3

Elderly / Geriatric (65+ yrs) Considerations

Answer 3

Can come with a complex medical history/set of issues.
Visual and Hearing impairments.
Loss of skin turgor (unable to withstand pressure)
Diabetes/Vascular insufficiency.
Sedentary lifestyle (pressure areas)
Thoracic Kyphosis
Flat foot deformities
Hand strength for donning/doffing
Light weight orthoses
Living situation/help at home.

Question 4

Types of Pediatric Orthoses

Answer 4

Sport, preventative sport, post-injury, postoperative, functional support, chronic/severe impairments (spina bifida, CP, muscular dystrophy)