Miscellaneous Orthotics

Question 1

Signs your device may be malaligned

Answer 1

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

Question 2

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

Answer 2

Legg-Calve Perthes Disease

Question 3

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

Answer 3

flexion and 45 degrees of abduction

No ambulation

Question 4

Would you wear a hip dislocation orthosis while in bed?

Answer 4

Nope, out of bed only.

Question 5

What actions does the hip spica restrict?

Answer 5

Restricts abduction and extension

Question 6

Is prophylactic knee bracing effective?

Answer 6

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

Question 7

When would you wear a knee immobilizer?

Answer 7

Following surgery

Question 8

What happened when people wore braces following ACL reconstruction?

Answer 8

increased pain, decreased ROM!

Authors concluded bracing NOT necessary following ACL reconstruction

Question 9

What device applies a long term low load stretch?

Answer 9

Dynasplint

Question 10

What is the goal of the dynasplint?

Answer 10

Restore ROM

Question 11

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

Answer 11

Lateral wedge insole

Question 12

The hyperextension knee brace could also be called…

Answer 12

Swedish knee cage or Townsend Post-Polio

Question 13

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

Answer 13

A unilateral thigh cuff

Question 14

Is bracing used after whiplash?

Answer 14

No! People who are braced have WORSE outcomes

Question 15

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

Answer 15

Person 1- performs the transfer

Person 2- controls the head

Question 16

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

Answer 16

T6

Question 17

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

Answer 17

T7

Question 18

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

Answer 18

Providence

Question 19

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

Answer 19

Dial lock

Question 20

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

Answer 20

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

Question 21

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

Answer 21

dorsiflexion and eversion

can also be used on quads/hamstrings

Question 22

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

Answer 22

15 minutes

Question 23

What things do you examine after putting on an orthotic?

Answer 23

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

Question 24

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

Answer 24

30 mins in am and pm

Question 25

How long would you wear an orthotic days 3 and 4?

Answer 25

1 hour in am and pm

Question 26

How long would you wear an orthotic days 5 to 10? Days 11 to 14? After day 14?

Answer 26

2 hours in am and pm
all day with skin checks at meal times
full time wear, remove as needed for sleep or exercise

Question 27

Which bionic walking device is approved for home use?

Answer 27

Rewalk is approved for home use

Question 28

Which bionic is approved for injuries T8-0 or below in the rehab setting ONLY?

Answer 28

Ekso

Question 29

Hip orthotics should be aligned…

Answer 29

height: 1 inch superior apex of greater trochanter

AP: 1/2 inch anterior apex of greater trochanter

Question 30

Knee orthotics should be aligned…

Answer 30

height: 3/4 inch proximal tibial plateau (joint line) through femoral condyles

AP: half the diameter of the knee, not including patella

Question 31

Ankle orthotics should be aligned…

Answer 31

height: distal tip of medial malleolus

AP: if medial, center of the medial malleolus, if lateral, center of the lateral malleolus

Question 32

What indicates use of a CAM boot?

Answer 32

acute ankle sprain
stress fracture
post cast removal after fracture
severe tendonitis/ tendon injuries
post surgery

Question 33

Do ankle orthoses improve proprioception in older people with peripheral nephropathy?

Answer 33

Nope