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Prosthetics & Orthotics > LE orthotics - presentation take home points > Flashcards

LE orthotics - presentation take home points Flashcards

1
Q

what do RGOs assist with?

A
  • walking in individuals with lower limb weakness or paralysis
  • promotes natural and energy efficient reciprocal gait pattern
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2
Q

indications for use of RGO:

A
  • SCI, neurological conditions
  • minimal knee contractures, flexible hips
  • neutral feet
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3
Q

benefits of RGO use:

A

overall mobility
respiratory and urinary function
prevents contractures
social interaction
improved QOL

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4
Q

purposes of off-loading orthoses for knee osteoarthritis:

A
  • pain relief
  • load redistribution
  • joint realignment
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5
Q

types of braces for off-loading orthoses for knee OA:

A
  • rigid off-loader knee brace
  • soft unloader
  • combined functionality knee brace
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6
Q

clinically, why do we use off loading orthoses for knee OA?

A

enhance function
delay or avoid surgery
improve overall function

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7
Q

what is the gold standard for treating diabetic ulcers?

A

total contact cast

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8
Q

diabetic footwear should use:

A

external shoe modifications in combination with rocker shoe or in-depth shoe

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9
Q

what are shoe inserts and in-depth shoes best for?

A

redistributing plantar pressure across the foot to prevent ulcers and correct/prevent deformities

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10
Q

what is the gold standard for infants with DDH (developmental dysplasia of hip)?

A

dynamic splints

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11
Q

a pavlik harness is more successful to children who are _____

A

under 6 months of age

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12
Q

Pavlik harness is a good device for _____ but has a risk of developing ____

A

DDH
AVN

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13
Q

what device has better results than pavlik harness with no complications to treat DDH?

A

Von Rosen device

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14
Q

bracing after ACL reconstruction ___(does/does not) provide physical advantages, however, can provide psychological sense of security

A

does not

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15
Q

the use of ACL bracing should be specific to _____

A

the patient’s needs/desired activities –> may not need a brace

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16
Q

what are comparative interventions for ACL bracing:

A

KT tape
brace free

17
Q

bracing for chronic ankle instability should be used in conjunction with _____

A

other interventions

18
Q

true or false. bracing for chronic ankle instability do more than just provide support

A

true

19
Q

bracing for chronic ankle instability should be ____ to the patient’s needs

A

individualized

20
Q

what is FES?

A

application of electrical current through a small, external device in conjunction with a functional task to restore muscle function

21
Q

what impairments do you commonly use FES for MS with?

A

foot drop
weakened grasp
decreased CV endurance

22
Q

what muscles do you apply FES to to improve the following impairment:
– foot drop
– grasp
– endurance (to cycle)

A

– peroneus longus, anterior tib
– flexor digitorum profundus, flexor pollicis longus/brevis, opponens pollicis
– glutes, quads, hamstrings, anterior tib, gastroc

23
Q

what are some benefits associated with FES for patients with MS?

A

performing ADLs
slowed muscle atrophy
improved cognitive processing
improved QOL

24
Q

clinically, what patients use powered lower limb orthoses?

A

paraplegic patients
T8 & below SCI
higher level injuries
strokes

25
Q

what functional outcome measures are used with powered lower limb orthoses?

A

10 meter walk test
TUG
6 minute walk test
gait speed

26
Q

powered exoskeletons have shown _____ but struggle to have _______

A

clinical improvements
community impact

27
Q

powered lower limb orthoses are not limited by _____ or _____ like HNP

A

MMT or muscle fatigue

28
Q

_____ of the hip and/or ______ of the foot can lead to improper mechanics at the knee leading to patellofemoral pain

A

internal rotation ; overpronation

29
Q

prefabricated foot orthotics and patellar taping provide ______ term benefits when combined with exercise
– specifically ________ hip and _______ knee exercises

A

short
posterolateral hip ; weight bearing knee

30
Q

what orthotics/braces are NOT recommended for PFP?

A

knee braces, sleeves and straps

31
Q

true or false.
All Intrepid dynamic exoskeletal orthosis (IDEO) are custom designed for each individual

A

true

32
Q

IDEOs _______ when the foot hits the ground and uses that to ________

A

store energy
create a spring in the initial swing

33
Q

why are IDEOs prescribed?

A

reduce pain/discomfort and increase activity level

34
Q

Who were IDEOs originally made for?
– can any civilian buy them now?

A

wounded vets
yes

Prosthetics & Orthotics (17 decks)

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