LE Orthosis Flashcards
Type of shoe Heel: 1/8 inch height
Spring Heel
Type of Heel: 6-8/8 inches
Oxford Heel
Type of Shoe Heel: 10/8 inches
Military Heel
Type of Shoe Heel: 12/8 inches
Cuban Heel
Type of Shoe Throat: Vamp covers the Quarter
Balmoral Throat
Type of Shoe Throat: Quarter Lies over the vamp
Blucher Throat
This type of shoe throat is the most commonly used in orthotics
Blucher Throat
Type of shoe throat that allows for greatest ease for downing and doffing.
Lace-to-Toe throat
An example of this type of shoe throat would be the surgical boot
Lace-to-Toe throat
This the forward facing part of the heel undert he arch of the sole.
Shoe Breast
This is the fulcrum for toe off and is the widest part of the shoe.
Ball of the Shoe
This part of the shoe is used to assist in weakness of the Medial and Lateral Longitudinal Arches.
Steel Shank
This is a type of Heel modification where in the medial half of the breast is projected forwards, it is mainly used to treat medial longitudinal arch weakness and ankle valgus.
Thomas Heel.
This is a type of Heel modification where in the lateral half of the heel is projected forwards, it is mainly used to treat lateral longitudinal arch weakness and ankle varus.
Reverse Thomas Heel.
This is a type of shoe closure where in the posterior 1/3 of the shoe (1/2 of the quarter) is missing all together. An example of this type of closure is Crocs sandals.
Posterior entrance closure.
This is the only type of shoe closure that is non-adjustable.
Zipper closure.
What are the two orthotic shoe modifications?
Internal and External
Type of EXTERNAL shoe modification used to treat heel stress/pain.
SACH - Solid Ankle Cushion Heel
Type of INTERNAL shoe modification used to treat heel stress/pain.
Heel Cushion
Type of INTERNAL shoe modification used to treat metatarsalgia of the 2nd to 4th metatarsal heads.
MT Pad
This is type of INTERNAL shoe modification used to treat metatarsalgia of the 3rd MT head only.
U-Shaped Pad
This Is a type of INTERNAL shoe modification used to relieve pressure of the two sesamoid bones of the 1st MT head.
Sesamoid Pad
This is a soft or firm padding that extends from the first metatarsophalangeal joint to just beyond the interphalangeal joint. It limits the range of motion for the first MTP joint. It is also used to treat turf toe.
Morton’s Extension
This is an external shoe modification that aims to treat metatarsalgia of the 1st to 5th MT head.
MT Bar
This is an internal shoe modification that addresses toe pain and is situated behind the sulcus of the 2nd to 4th toe.
Toe Crest
This is an internal shoe modification used to treat weakness of the medial longitudinal arch.
Scaphoid Pad
Other Names:
Cookie Pad
Navicular Pad
This is a type of external shoe modification that is used to treat Leng length Discrepancy of less than 1 inch.
Heel Elevation
This is a type of shoe modification that can be either Externally or Internally attached and is used to address leg length discrepancy of greater than 1 inch.
Sole/Shoe Elevation.
This is a type of shoe modification used to treat valgus and varus deformities for the rear/hind foot.
Heel Wedge/Flare
This is a type of shoe modification used to treat valgus and varus deformities of the forefoot.
Sole Wedge.
What are the 4 basic components of an AFO (ankle foot orthosis)?
CATS:
Calf Band
Ankle Joint
Two Lateral Uprights
Shoe/Foot Attachment.
A type of AFO that attaches at the shank and whose mechanical ankle joint is level with the anatomical ankle.
Stirrup
This is the most commonly used type of AFO
Stirrup
A type of AFO with attachments to the heel and whose mechanical ankle joint is distal to the anatomical ankle.
Caliper
This is used in conjunction with the stirrup to extensively control ankle motion.
Shoe Insert
This is the most most commonly used plastic AFO design.
Posterior Leaf Spring
A type of plastic AFO that restricts Plantarflexion and assist Dorsiflexion.
Posterior Leaf Spring
This type of plastic AFO design is unique in that it turn a full 350° around the ankle and leg. It is used to control DF, PF, INV, EV but allows for a small amount of Transverse Rotation of the ankle.
Spiral AFO
A type of plastic AFO deisgn that makes a half turn around the ankle and leg and is used to address equinovarus deformities.
Hemispiral AFO
A type of plastic AFO that holds the ankle in a pre-determined position and restricts DF-PF and INV-EV.
Sold Ankle AFO
This type of plastic AFO offers maximum ankle valgus-varus control.
AFO with Flange
What are the 4 basic components of a KAFO (Knee Ankle Foot Orthosis).
ATTK:
AFO
Two thigh bands
Two thigh uprights.
Knee joint
This type of mechanical knee joint lock does not retrain knee motions but does feature a hyperextension stop.
Free Motion Knee Lock
This is the most common type of mechanical knee lock used to control knee flexion. It features a mechanism that locks the knee joint in extension during midstance of the gait cycle.
Drop Ring Lock
This type of mechanical knee joint lock is considered easier to use than the more common drop Ring Lock because of its bail control feature.
Pawl Lock
This type of mechanical knee joint lock is defined by its location being posterior to the anatomic knee joint.
Off-set knee joint.
This type of mechanical knee joint Lock is used for gradual stretching of a knee flexion contracture.
Adjustable Knee Lock
ex. Serrated AKL
This type of knee orthosis is used to address Patello Femoral Disorder. It’s design features with supra and infra patellar strap.
Palumbo Knee Orthosis
This type of knee orthosis is used to treat Patello Femoral Disorder and only features an infreapatellar strap.
Patellofemoral Knee Orthosis
This knee orthosis is primarily used to correct gene recurvatum. It features lateral upright thigh and calf bands for extensive knee control.
Swedish Knee Cage
This knee orthosis is unique in that it is made of thermoplastic material with poly centric axis.
Miami Knee
This knee Orthosis provides maximum genu varum and genu valgum control.
CARS-UBC Knee Orthosis (Canadian Arthritis and Rheumatism Society - University of British Columbia)
This knee Orthosis is mainly functions to correct rotational deformities.
Lenox Hill Derotation Knee Orthosis
This is a variation on a typical KAFO that helps SCI patients stand and walk without an additional hip orthosis.
Scott-Craig Knee Orthosis
The Key design element of the Scott-Craig Knee Orthosis is the the fixation of the ankle at ___ degrees of ___.
10 degrees of DF (NYU)
15 degrees of DF (Braddom)
Give the 4 basic components of a HKAFO.
KHiPS:
KAFO
Hip Joint
Pelvic Band
Silesian Belt
This is a special purpose orthosis that aims to reduce weight transmission through the ankle and tibia.
PTB Orthosis (Patellar Tendon Bearing)
This is a special purpose orthosis that aims to reduce weight transmission through the knee and femur.
Ischial weight bearing orthosis
This is a special purpose orthosis that aims to completely eliminate weight bearing of the whole lower extremity.
Patten-Bottom Knee Orthosis
This is a special purpose orthosis has no ankle joint, toes of the wearer are suspended in mid air and uprights terminate to the floor for the affected limb. The non-affected limb is then given a shoe lift to wear.
Patten-Bottom Knee Orthosis
This is orthosis is specifically made for children. It mainly addresses club foot deformity.
Dennis Brown Split
This orthosis is specifically made for children. It mainly addresses proximal torsional abnormalities of the LE and features an upright frame with 3 pads (thigh pad, calf pad and pressure pad) on each LE.
A-Frame Orthosis
This orthosis is used to treat mild scissoring in CP spastic diplegia and abnormal toe in/out for CP spastic hemiplegia.
Torsion Shaft
This orthosis is used to correct for abnormal hip rotation during ambulation amongst children.
Hip Rotation Control Orthosis
Give the three hip orthosis for congenital hip dislocation.
VIP
- Von Rosen - limits flexion and abduction
- Ilfeld - limits flexion and abduction
- Pavlik Harness - limits flexion, abduction and external rotation
Give the three hip orthosis used for LCPD (Legg Calve Perthes Disease).
TTS
- Trilateral - limits abduction and internal rotation
- Toronto - limits abduction and internal rotation
- Scottishrite - limits flexion and abduction
Among the three hip orthosis used for LCPD, which one is the lightest?
Scottishrite
This specialized rig helps SCI patients perform swing through gait.
Standing Frame
A specialized orthosis that helps young paraplegic individuals stand without crutches.
Parapodium
This is the other name of the Parapodium Orthosis used to enable young paraplegic individuals to stand without crutches
Swivel Orthosis
This specialized orthosis enables individuals with SCI and Spina Bifida whose injury is at the levels of T12-L1 to ambulate.
Reciprocating Gait Orthosis