MSK Orthotics (2) Flashcards
goal of ankle braces
to reduce motion and protect the joint
types of ankle braces
prophylactic
rehabilitative
fxnal
use of lace up ankle braces –> HS basketball
reduced the incidence but not the severity of acute ankle injuries in HS basketball players
use of lace up ankle braces –> HS football
lower incidence of acute ankle injuries
the use of bracing and balance training
to reduce the incidence and relative risk of ankle sprains in athletic populations
self-adherent tape and lace up ankle brace
provided equal ROM restriction before and after exercise
effects of ankle bracing on fxnal performance brace
decrease ankle PF, DF eversion and inversion ROM
bracing doesnt…
significantly impair performance on most fxnal tasks
decrements noted in increases in agility run time and decreases in vertical jump height
night plantar flexion splints
prescribed 1-3 month program
for people w/ heel pain/plantar fasciitis who consistently have pain with the first step in the morning
upper and lower quarter braces
anterior shoulder dislocation
acromioclavicular sprain
when is a shoulder brace especially recommended
in settings of high risk sports for shoulder instability
sully brace
permits adequate ROM that is needed for an overhead type of athlete
contact athletes who not require extremes of shoulder ROM
may be better suited for a SAWA
shoulder rehab traumatic/post surgical bracing
standard sling and swathe
ER/ABD immobilizer
IR v. ER immobilization
evidence doesnt support a difference
ER immobilization could resist decrease in anterior capsule detachment and labral reduction
compression/posture-cueing shirts or scapular stabilizing brace
posture cuing shirts
scapular stabilizing brace
compression, posture, cueing shirts have a
perceived benefit
delay or prevent the onset of pain from multiple innings w/ concurrent improving performance
scapular stabilizing brace–> where do changes occur
changes occurred in forward shoulder angle and the electromyographic activity of the upper, middle and lower trap muscles
scapular stabilizing brace–> reduce
reduces forward shoulder angle
scapular stabilizing brace–> produces
beneficial changes in muscular activity and posture in healthy overhead athletes
uses of an elbow hyperextension brace
following UCL tear/repair
hyperextension
fx
biceps/triceps rupture
braces for lateral epicondylitis
forearm strap
wrist extension splint
wrist extension splint allows
greater degree of pain relief
forearm strap brace uses
counter force orthoses
resulted in immediate increase in pain-free grip strength
wrist orthotics
hyperextension injury/carpal tunnel syndrome
thumb UCL splinting/bracing
hip orthoses
muscular strain
fx braces
effective management of low-energy, selected fxs of the tibia, humerus and ulna
principles of fx brace
allows early mobilization
typically applied following period of casting
maintains stability of fx by loading soft tissue by hydraulic effect
light weight
remove for exercise