LE Orthotics --> part 2 (2) Flashcards
hip-knee-ankle orthosis
HKAFO
hip orthosis
HO
what must be addressed w/ hip weakness
stance phase and swing phase
stance phase –> hip weakness
trunk stability @ HS
ML control during mid stance
trunk stability –> stance phase
glute max weakness
ML control –> stability
ABD weakness
swing phase –> hip weakness
limb shortening
limp positioning
limb shortening –> swing phase
hip flexor weakness
limb positioning –> swing phase
prevent excessive ER/ABD
adductor/hip rotator weakness
general description of HKAO
covers and/or controls hip, knee and ankle
has all possibilities of AFO and KAFO
w/ pelvis components
plus hip joint
pelvis/hip components
pelvic band (belt)
straight pelvic band
pelvic band –> pelvic/hip components
metal or plastic
gives all 3 planes of motion
for weakness of hip muscle
all 3 planes of motion –> pelvic band
ML, A/P and rotational control
rarely seen for just rotational weakness
weakness of hip muscle –> pelvic band
ABDs
glute max
adductors
straight pelvic band –> pelvic/hip components
unilateral/bilateral
metal or plastic
hip joints can be
single axis or double axis
single axis hip joint
motion in sagittal plane
gives ML control
can be locked or free
double axis hip joint
motion in sagittal and frontal plane
allows positioning of hip in frontal plane
hip joint control
hip joint locks
hip joint locks
ring drop lock
adjustable
ring drop lock is used w/ only
single axis joint
ring drop lock of the hip has
same characteristics of knee ring drop lock
the ring drop locks are
manual
lock in extension
open for open sitting
adjustable lock is for
contracture
what must we have with a hip joint
pelvic band
when would we use a bilateral HKAO
spina bifida
paraplegia
when would we use a unilateral HKAO
fx orthosis
when would we use an hip orthosis
dislocation THR
adductor spasticity
adductor release
correction pads/straps
named by the deformity that they correct
where are correction pads/straps put
knee or ankle
correction pads/straps assist with
valgus and varus