LE Orthosis Assessment

Question 1

LE Orthosis Assessment

Answer 1

1. Patient should stand with any necessary support, with equal weight bearing
2. Sole and heel should rest on floor, except toes
3. Calf band should be below the fibular head (can cause peroneal nerve damage)
4. Knee joints should match anatomical knee
5. Check gait for any abnormalities
6. After wearing orthosis, check skin for any irritations

Question 2

Donning AFO with shoe insert

Answer 2

• apply orthosis to limb before putting foot in shoe

Question 3

Doning KAFO

Answer 3

• Usually easier to don on a bed or mat table

Question 4

If a KAFO is donned in sitting…

Answer 4

• the knee pad will loosen when upright

Question 5

LSO’s and TLSO’s shoud be donned when

Answer 5

• in supine and fastened from the bottom upward

Question 6

Patient instructions

Answer 6

• Keep orthosis and skin clean and dry
• Plastic shells can be wiped with a damp cloth
• Leather bands/straps can be washed with mild saddle soap and hydrogen peroxide
• Metal joints and locks may be whiped with a cloth and lubricated with a light oil if necassary
• Wear all or most of the time

Question 7

UE Orthosis

Answer 7

• Wrist cock-up spling

- Functional hand position 30 Deg wrist Ext, 30 Deg MCP Flex