Miscellaneous Orthotics Flashcards
Signs your device may be malaligned
Migration of device
Compression of tissue
Areas of redness or skin breakdown
Gapping of device
What condition would indicate use of the Scottish Rite Hip Orthosis or the Petrie cast?
Legg-Calve Perthes Disease
What position do the Scottish Rite hip orthosis and Petrie cast hold the legs in? Can you ambulate while wearing these?
flexion and 45 degrees of abduction
No ambulation
Would you wear a hip dislocation orthosis while in bed?
Nope, out of bed only.
What actions does the hip spica restrict?
Restricts abduction and extension
Is prophylactic knee bracing effective?
Research inconclusive
Lack of evidence to support that it works, 2 studies actually found increased evidence of injury when prophylactic braces were used :(
When would you wear a knee immobilizer?
Following surgery
What happened when people wore braces following ACL reconstruction?
increased pain, decreased ROM!
Authors concluded bracing NOT necessary following ACL reconstruction
What device applies a long term low load stretch?
Dynasplint
What is the goal of the dynasplint?
Restore ROM
Your patient doesn’t want to wear a knee brace for their medial knee OA. What orthotic alternative could you offer them?
Lateral wedge insole
The hyperextension knee brace could also be called…
Swedish knee cage or Townsend Post-Polio
L4 and L5 can effectively be controlled with what extension to a TLSO?
A unilateral thigh cuff
Is bracing used after whiplash?
No! People who are braced have WORSE outcomes
When a person has cervical instability and requires 2 people to transfer, what are the roles of each person?
Person 1- performs the transfer
Person 2- controls the head
The Milwaukee brace is used for curves with apex above what level?
T6
The Charleston brace is only effective for single curves with apex below what level?
T7
What brace can be used for double curves and to control rotation?
Providence
What type of knee brace would you order for a patient with knee flexion contractures that are gradually improving with stretching?
Dial lock
What are contraindications for ordering a C brace for your patient?
moderate to severe spasticity hip flexor strength below 3 fixed knee valgus >10* fixed knee varus less than 2* of dorsiflexion heavier than 275 pounds
Functional e-stim is most commonly used to stimulate what actions during gait training?
dorsiflexion and eversion
can also be used on quads/hamstrings
Red marks from an orthosis should go away within how many minutes of doffing?
15 minutes
What things do you examine after putting on an orthotic?
comfort and fit stability alignment appearance workmanship- sharp areas that could cause cuts
How long would you wear an orthotic days 1 and 2?
30 mins in am and pm
How long would you wear an orthotic days 3 and 4?
1 hour in am and pm
How long would you wear an orthotic days 5 to 10? Days 11 to 14? After day 14?
2 hours in am and pm
all day with skin checks at meal times
full time wear, remove as needed for sleep or exercise
Which bionic walking device is approved for home use?
Rewalk is approved for home use
Which bionic is approved for injuries T8-0 or below in the rehab setting ONLY?
Ekso
Hip orthotics should be aligned…
height: 1 inch superior apex of greater trochanter
AP: 1/2 inch anterior apex of greater trochanter
Knee orthotics should be aligned…
height: 3/4 inch proximal tibial plateau (joint line) through femoral condyles
AP: half the diameter of the knee, not including patella
Ankle orthotics should be aligned…
height: distal tip of medial malleolus
AP: if medial, center of the medial malleolus, if lateral, center of the lateral malleolus
What indicates use of a CAM boot?
acute ankle sprain stress fracture post cast removal after fracture severe tendonitis/ tendon injuries post surgery
Do ankle orthoses improve proprioception in older people with peripheral nephropathy?
Nope
