Miscellaneous Orthotics Flashcards

1
Q

Signs your device may be malaligned

A

Migration of device
Compression of tissue
Areas of redness or skin breakdown
Gapping of device

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2
Q

What condition would indicate use of the Scottish Rite Hip Orthosis or the Petrie cast?

A

Legg-Calve Perthes Disease

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3
Q

What position do the Scottish Rite hip orthosis and Petrie cast hold the legs in? Can you ambulate while wearing these?

A

flexion and 45 degrees of abduction

No ambulation

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4
Q

Would you wear a hip dislocation orthosis while in bed?

A

Nope, out of bed only.

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5
Q

What actions does the hip spica restrict?

A

Restricts abduction and extension

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6
Q

Is prophylactic knee bracing effective?

A

Research inconclusive
Lack of evidence to support that it works, 2 studies actually found increased evidence of injury when prophylactic braces were used :(

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7
Q

When would you wear a knee immobilizer?

A

Following surgery

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8
Q

What happened when people wore braces following ACL reconstruction?

A

increased pain, decreased ROM!

Authors concluded bracing NOT necessary following ACL reconstruction

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9
Q

What device applies a long term low load stretch?

A

Dynasplint

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10
Q

What is the goal of the dynasplint?

A

Restore ROM

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11
Q

Your patient doesn’t want to wear a knee brace for their medial knee OA. What orthotic alternative could you offer them?

A

Lateral wedge insole

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12
Q

The hyperextension knee brace could also be called…

A

Swedish knee cage or Townsend Post-Polio

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13
Q

L4 and L5 can effectively be controlled with what extension to a TLSO?

A

A unilateral thigh cuff

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14
Q

Is bracing used after whiplash?

A

No! People who are braced have WORSE outcomes

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15
Q

When a person has cervical instability and requires 2 people to transfer, what are the roles of each person?

A

Person 1- performs the transfer

Person 2- controls the head

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16
Q

The Milwaukee brace is used for curves with apex above what level?

17
Q

The Charleston brace is only effective for single curves with apex below what level?

18
Q

What brace can be used for double curves and to control rotation?

A

Providence

19
Q

What type of knee brace would you order for a patient with knee flexion contractures that are gradually improving with stretching?

20
Q

What are contraindications for ordering a C brace for your patient?

A
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
21
Q

Functional e-stim is most commonly used to stimulate what actions during gait training?

A

dorsiflexion and eversion

can also be used on quads/hamstrings

22
Q

Red marks from an orthosis should go away within how many minutes of doffing?

A

15 minutes

23
Q

What things do you examine after putting on an orthotic?

A
comfort and fit
stability
alignment
appearance
workmanship- sharp areas that could cause cuts
24
Q

How long would you wear an orthotic days 1 and 2?

A

30 mins in am and pm

25
How long would you wear an orthotic days 3 and 4?
1 hour in am and pm
26
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
27
Which bionic walking device is approved for home use?
Rewalk is approved for home use
28
Which bionic is approved for injuries T8-0 or below in the rehab setting ONLY?
Ekso
29
Hip orthotics should be aligned...
height: 1 inch superior apex of greater trochanter AP: 1/2 inch anterior apex of greater trochanter
30
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
31
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
32
What indicates use of a CAM boot?
``` acute ankle sprain stress fracture post cast removal after fracture severe tendonitis/ tendon injuries post surgery ```
33
Do ankle orthoses improve proprioception in older people with peripheral nephropathy?
Nope