Lower limb orthoses

Question 1

What is a “vamp”

Answer 1

the flaps that contain the lace stays

Question 2

What is a Blucher opening?

Answer 2

a vamp that opens wide from the anterior.

Easier to apply

Question 3

What is a Balmoral opening

Answer 3

a vamp that is stitched down.

Not suitable for orthotics

Question 4

What may a metatarsal pad be used for

Answer 4

to move the pressure from the metatarsal heads to the metatarsal shafts.

allows more push-off in weak/inflexible feet

Question 5

What is a UCBL insert

Answer 5

a semirigid plastic molded insert for pes planus

Question 6

What is a Thomas heel and what is it used for

Answer 6

Heel wedge with extended anterior medial border

Used to support longitudinal arch and correct flexible pes planus

Question 7

What would a varus rearfoot posting (medial wedge) limit

Answer 7

eversion

Question 8

What would a valgus rearfoot posting (lateral wedge) limit

Answer 8

inversion

Question 9

What forefoot wedge would you use for forefoot varus

Answer 9

medial

Question 10

What forefoot wedge would you use for forefoot valgus

Answer 10

lateral

Question 11

What is the largest leg length discrepancy you can use a heel lift for?

Answer 11

3/8 inch

Question 12

What effect does a free motion ankle have on DF/PF?

Answer 12

none

Question 13

What effect does a free motion ankle have on medial/lateral motion

Answer 13

it restricts it

Question 14

If you wanted to control knee hyperextension, what angle would you put the foot of an AFO at?

Answer 14

5 degrees dorsiflexion

Question 15

What would happen if an AFO was put in too much DF

Answer 15

knee buckling

Question 16

What angle would you put an AFO in for an unstable knee?

Answer 16

5 degrees PF

Question 17

If a patient with an AFO is demonstrating hyperextension, what might be the issue

Answer 17

AFO in too much plantarflexion

Question 18

What is a posterior leaf spring AFO used for

Answer 18

foot drop.

pt must have m/l stability, as the PLS does not provide any

Question 19

What is important for an AFO to provide in order to control tone?

Answer 19

constant pressure to hypertonic muscles

Question 20

What population is the Craig-Scott KAFO commonly used with?

Answer 20

patients with paraplegia

Question 21

What is a Frejka pillow used for

Answer 21

to keep hips abducted in children with hip dysplasia