Kim Written Study guide Flashcards
What is the most common Plagio presentation?
Left Flattening
What condition is gower’s sign associated with?
Duschenes muscular Dyst
Legg Calve Perthes
Femoral head necrosis
Spondylosis
Fx of the pars
What do you do when your patient develops Charcot Foot symptoms?
Refer to MD. Look for redness, warmth, may have no pain, deformed foot
Who do you bill when patient is in hospital?
the hospital not medicare
How many CEUs does a practitioner need every 5 years?
CP/CO-75
CPO- 100
How does someone with Guilian Barre recover if LE is affected?
Descending, (hips -> knees -> feet)
When turning a conventional AFO into a dorsiflexion assist AFO, how would you set up double action ankle joint
Springs in the posterior channel will produce dorsiflexion assist in double action ankle joint
A patient is seen in clinic with flaccid ankle plantarflexors and dorsiflexors. Choose appropriate double action joint configurations
pins in the anterior and posterior channels or springs in the posterior channels and pins in the anterior channels, both these configurations will provide anterior and posterior support for flaccid ankle plantarflexors and dorsiflexors
The patient is seen in clinic with flaccid ankle plantarflexors and dorsiflexors. The patient also buckles at the knee during loading response/heel strike. You have choose to recommend a conventional with double action ankle joint. What would be the most appropriate configuration of the ankle joints
Springs in the posterior channels and pins in the anteriors channels. By having springs in the posterior channels and pins in anterior channels you will provide adequate anterior posterior support to the lower leg muscular imbalance but the posterior springs will allow controlled plantarflexsion during loading response whereby keeping the ground reaction forces anterior to the knee joint to decrease knee buckling
Wheres the pressure:
If KAFO mechanical knee joint too proximal or too distal, when sitting?
too proximal- posterior thigh
too distal- anterior thigh
Which muscle most closely duplicates the function of the anterior tibialis?
Extensor hallucis longus
one action of the peroneus longus is to
plantarflex the first ray
What muscle weakness causes Trendelenburg gait?
weak glut med
At initial contact where is the GRF at ankle, knee, hip
Posterior to ankle
Anterior to knee, hip
What is IRD presentation
the forefoot in a position of adduction, supination, and plantarflexion.
The calcaneus is sustained in a position of varus and dorsiflexion
What is ERD presentation
the midtarsal joint is abducted, pronated, and dorsiflexed against the plantarflexed and everted hindfoot.
Y-ligament
can be used in place of weak hip extensors for sagittal plane stability
Which joint controls iv/ev?
subtalor
Blount’s disease
tibial bowing/varus
KAFO at night
The hip joint is ______ in relation to the greater trochantor
proximal/superior
When treating a hip dislocation what do you first need to know
the direction of the dislocation
When the tibial nerve is affected, what gait dev should you expect?
dec step length on contralateral side
what AFO mod should you have when the PFs are weak?
DF stop
What nerve is the tibialis posterior innervated by?
Tibial
What is constitutes a full gait cycle?
heel strike to heel strike on same side
To relieve pressure on a hyperext TLSO what should you do?
Change the sternal pad to pectoral pads
Halo Anterior Pin Placement
Just superior to the first 1/3 of eyebrow
A patient is seen in clinic. She presents with severe chronic bilateral posterior tibialis tendon dysfunction “PTTD”. She has worn custom UCBL’s in the past but they were ineffective. What would be the most appropriate recommendation given her presentation and past
A articulated AFO. Given that UCBL’s were ineffective, articulated AFO’s would be appropriate as they grasp the lower legs and can help to modify internal tibial rotation. By decreasing internal tibial rotation, pronation will decrease whereby decreasing the work load of tibialis posterior muscle
Patient that is 4 wks post up Ankl Fx, what brace do you provide?
PTB AFO to off load ankle
Swan Neck vs Mallet Finger
Swan neck- DIP/PIP affected
Mallet- DIP affected
What are the characteristics of the congenital abnormality in infants called torticollis
Contracture of the sternocleidomastoid, ipsilateral head tilt, and contralateral head rotation.
aponuerosis
flat tendon
how do you account for tibial torsion in a conventional AFO
deflect side bars
What is not a business associate under HIPAA regulations>
courier
