Orthoses: Considerations for the Knee and Hip Flashcards
what factors influence the prescription of an orthosis (4)
- motor function
- goals
- impairments
- prognosis
two types of custom fabrication of an orthosis
- negative mold
2. positive mold
difference between negative and positive mold
negative - the shell of the limb
positive - when it is the shape of the limb
three parts of final orthotic check-out
- fit
- function
- patient education
regarding patient education when prescribing an orthosis, what is considered a red flag
redness from the orthosis lasting more than 15-20 minutes
True/False: the PT should watch the patient put on and take off the orthosis before they go
true
wearing schedule days 1-2
30 minutes, 2x/day
wearing schedule days 3-6
60 minutes, 2x/day
wearing schedule days 7-10
2 hours, 2x/day
wearing schedule days 10-14
4 hours, 2x/day
wearing schedule past day 14
all day use
with an orthosis, what else generally needs to be worn
a sock
when cleaning an orthosis, what should be avoided
submersion in water
should the patient place their foot into the orthosis then shoe, or straight orthosis into shoe then place their foot in
always foot –> orthosis –> shoe
three potential indications for knee orthoses
- surgery
- DJD
- recurvottum
what does KO stand for
Knee Orthosis
three types of KOs
- rehabilitative orthoses
- functional orthoses
- prophylactic orthoses
what is a prophylactic orthosis
an orthosis that prevents injury
why are there suspension considerations with KOs
as you move distally, the leg gets thinner, so the orthosis may slide down the leg