LE orthotics - presentation take home points Flashcards
what do RGOs assist with?
- walking in individuals with lower limb weakness or paralysis
- promotes natural and energy efficient reciprocal gait pattern
indications for use of RGO:
- SCI, neurological conditions
- minimal knee contractures, flexible hips
- neutral feet
benefits of RGO use:
overall mobility
respiratory and urinary function
prevents contractures
social interaction
improved QOL
purposes of off-loading orthoses for knee osteoarthritis:
- pain relief
- load redistribution
- joint realignment
types of braces for off-loading orthoses for knee OA:
- rigid off-loader knee brace
- soft unloader
- combined functionality knee brace
clinically, why do we use off loading orthoses for knee OA?
enhance function
delay or avoid surgery
improve overall function
what is the gold standard for treating diabetic ulcers?
total contact cast
diabetic footwear should use:
external shoe modifications in combination with rocker shoe or in-depth shoe
what are shoe inserts and in-depth shoes best for?
redistributing plantar pressure across the foot to prevent ulcers and correct/prevent deformities
what is the gold standard for infants with DDH (developmental dysplasia of hip)?
dynamic splints
a pavlik harness is more successful to children who are _____
under 6 months of age
Pavlik harness is a good device for _____ but has a risk of developing ____
DDH
AVN
what device has better results than pavlik harness with no complications to treat DDH?
Von Rosen device
bracing after ACL reconstruction ___(does/does not) provide physical advantages, however, can provide psychological sense of security
does not
the use of ACL bracing should be specific to _____
the patient’s needs/desired activities –> may not need a brace
what are comparative interventions for ACL bracing:
KT tape
brace free
bracing for chronic ankle instability should be used in conjunction with _____
other interventions
true or false. bracing for chronic ankle instability do more than just provide support
true
bracing for chronic ankle instability should be ____ to the patient’s needs
individualized
what is FES?
application of electrical current through a small, external device in conjunction with a functional task to restore muscle function
what impairments do you commonly use FES for MS with?
foot drop
weakened grasp
decreased CV endurance
what muscles do you apply FES to to improve the following impairment:
– foot drop
– grasp
– endurance (to cycle)
– peroneus longus, anterior tib
– flexor digitorum profundus, flexor pollicis longus/brevis, opponens pollicis
– glutes, quads, hamstrings, anterior tib, gastroc
what are some benefits associated with FES for patients with MS?
performing ADLs
slowed muscle atrophy
improved cognitive processing
improved QOL
clinically, what patients use powered lower limb orthoses?
paraplegic patients
T8 & below SCI
higher level injuries
strokes
what functional outcome measures are used with powered lower limb orthoses?
10 meter walk test
TUG
6 minute walk test
gait speed
powered exoskeletons have shown _____ but struggle to have _______
clinical improvements
community impact
powered lower limb orthoses are not limited by _____ or _____ like HNP
MMT or muscle fatigue
_____ of the hip and/or ______ of the foot can lead to improper mechanics at the knee leading to patellofemoral pain
internal rotation ; overpronation
prefabricated foot orthotics and patellar taping provide ______ term benefits when combined with exercise
– specifically ________ hip and _______ knee exercises
short
posterolateral hip ; weight bearing knee
what orthotics/braces are NOT recommended for PFP?
knee braces, sleeves and straps
true or false.
All Intrepid dynamic exoskeletal orthosis (IDEO) are custom designed for each individual
true
IDEOs _______ when the foot hits the ground and uses that to ________
store energy
create a spring in the initial swing
why are IDEOs prescribed?
reduce pain/discomfort and increase activity level
Who were IDEOs originally made for?
– can any civilian buy them now?
wounded vets
yes
