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MES > Orthosis > Flashcards

Orthosis Flashcards

1
Q

Refers to a device externally applied to the body to improve the fxn or to support body segment

A

Orthosis

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2
Q

5 Main fxn of Orthosis

A

Protection
Correction
Assistance
Substitute
Attachment

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3
Q

Position of FA

A

Mid position/Neutral

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4
Q

Position of Wrist

A

Slight Extension

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5
Q

Position of MCP

A

Flexion

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6
Q

Position of Fingers

A

Extension

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7
Q

Position of Thumb

A

Palmar abduction & Extension

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8
Q

Resting position of Thumb (Magee)

A

30 deg flexion
Abduction

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9
Q

Hand Prehensions (1st-3rd)

A

Precision Grip

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10
Q

Hand Prehensions (4th-5th)

A

Power Grasp

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11
Q

UE Orthosis that does not cross joints

A

Non-articular

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12
Q

Indication of Non-articular

A

Fracture

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13
Q

UE Orthosis that crosses the joint; immobilize

A

Static

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14
Q

Indication of Static

A

Fracture
Ligamentous sprain

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15
Q

Increases ROM and made of Thermoplastic

A

Serial Static

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16
Q

UE Orthosis that permits wanted movement and blocks unwanted movement

A

Static Motion Blocking

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17
Q

Increases ROM with a Merit component

A

Static Progressive

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18
Q

(+ Elastic band, spring recoil, rubber

A

Dynamic

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19
Q

Elastic + Permits movement + Resist movement

A

Dynamic Motion Blocking

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20
Q

Post-operative flexor tendon surgery

A

Kleinert Post-op Splint

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21
Q

Mechanism of Kleinert Post-op Splint

A

Allows passive finger flexion
Allows active finger extension

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22
Q

Indication of Dynamic Traction

A

Intra articular fx

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23
Q

Allows movement + Traction component

A

Dynamic traction

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24
Q

Mechanism of RIC Tenodesis Splint

A

Active wrist extension
Passive finger flexion

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25
Q

Orthosis for DQS

A

Thumb spica (forearm based)

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26
Q

Orthosis for Gamekeeper’s thumb

A

Thumb spica (hand based)

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27
Q

Orthosis for Lateral Epicondylitis

A

Tennis elbow splint with cuff

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28
Q

Orthosis for Medial Epicondylitis

A

Golfer’s elbow splint with cuff

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29
Q

Orthosis for Trigger finger

A

Finger flexor splint

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30
Q

Orthosis for Digital sprain

A

Finger extensor splint

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31
Q

Orthosis for Arthritis/Inflammation

A

Resting Hand Splint (wrist extension & RD)

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32
Q

Orthosis for Dupuytren’s Contracture

A

MCP Extension Orthosis

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33
Q

Orthosis for Metacarpal & Phalangeal fx

A

Gutter splint

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34
Q

Orthosis for Elbow sprain

A

Neoprene elbow sleeve

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35
Q

Promotes SH abd (BURN)

A

Airplane splint

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36
Q

Orthosis for Brachial plexus injury

A

Shoulder splint

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37
Q

Orthosis for Median nerve Neuropathy

A

Web Spacer
Cock-up splint
Wrist ext splint
Resting Hand splint

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38
Q

Orthosis for Radial Nerve Neuropathy

A

MCP ext assist
Wrist ext assist

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39
Q

Orthosis for Papal benedict hand

A

Allow slight MCP flexion
Permits MCP extension
Blocks MCP hyperextension

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40
Q

Orthosis for Cubital tunnel syndrome

A

45 deg elbow flexion
0-5 wrist extension
Thumb & fingers freely movable

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41
Q

Orthosis for Shoulder Subluxation

A

Sling
Triangular Bandage
Lap Board

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42
Q

Orthosis for Spasticity should promote

A

Elbow, wrist, MCP, finger extension

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43
Q

UE Positioning in Neurologic Orthosis

A

Wrist 10-30 extension
MCP 35-45 extension
PIP extension
DIP relaxed

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44
Q

SCI Orthosis
C1-C4

A

AFO (Arm Forearm Orthosis)

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45
Q

SCI Orthosis
C1-C5

A

Long Opponens Splint

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46
Q

SCI Orthosis
C1-C6

A

Resting Hand Splint
(Slight wrist ext, MCP flex, IP ext)

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47
Q

SCI Orthosis
C5

A

Balanced Forearm Orthosis

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48
Q

SCI Orthosis
C6

A

Wrist driven; Finger flexor splint

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49
Q

SCI Orthosis
C5-C7

A

Universal Cuff

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50
Q

SCI Orthosis
C6-C7

A

Short Opponens Splint

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51
Q

SCI Orthosis
C8-T1

A

Lumbrical Bar

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52
Q

Initial cervical orthosis prescription
Physiological effect

A

Soft Collar

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53
Q

Additional support on occiput & mandible

A

Hard Collar

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54
Q

Philadelphia restricts

A

FEL

Flexion, Extension, Lateral flexion

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55
Q

For Emergency; Full contact support

A

Jobst Vertebrace

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56
Q

Modified Philadelphia

A

Yale

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57
Q

Yale restricts

A

FE

Flexion, Extension

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58
Q

SOMI restricts

A

FER

Flexion, Extension, Rotation

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59
Q

Encloses the occipital area

A

Minerva

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60
Q

Minerva restricts

A

FELR with axial load

Flexion, Extension, Lateral flexion, Rotation

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61
Q

Cuirass restricts

A

FELR with axial load

Flexion, Extension, Lateral flexion, Rotation

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62
Q

Halo restricts

A

FELR with axial load

Flexion, Extension, Lateral flexion, Rotation

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63
Q

Indication of Halo

A

Unstable fx

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64
Q

Contraindication of Halo

A

Stable fx

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65
Q

Four Poster restricts

A

FELR with axial load

Flexion, Extension, Lateral flexion, Rotation

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66
Q

SI Belt

A

Stability for SIJ

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67
Q

SI Corset

A

Stability for SIJ + Symphysis Pubis

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68
Q

Lumbar Binder

A

LBP; good posture

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69
Q

MC Flexible Spinal orthosis

A

LS Corset

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70
Q

Chairback restricts

A

FE

Flexion, Extension

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71
Q

Knight restricts

A

FEL

Flexion, Extension, Lateral flexion

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72
Q

William restricts

A

EL

Extension, Lateral flexion

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73
Q

Plastic LS Jacket restricts

A

FELR

Flexion, Extension, Lateral flexion, Rotation

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74
Q

Taylor restricts

A

FE

Flexion, Extension

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75
Q

Knight-Taylor restricts

A

FEL

Flexion, Extension, Lateral flexion

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76
Q

Cowhorn restricts

A

FLR

Flexion, Lateral flexion, Rotation

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77
Q

Jewett restricts

A

Flexion

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78
Q

Cruciform restricts

A

Flexion

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79
Q

Orthosis for patients with lumbar lordosis

A

William

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80
Q

Orthosis for patients with OA of the spine

A

Jewett

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81
Q

Orthosis for Scoliosis (Indication)

A

20-30 deg

82
Q

Orthosis for Scoliosis (Cotraindication)

A

> 40 deg

83
Q

Gold standard Orthosis for Scoliosis

A

Milwaukee

84
Q

Scoliosis Above T6

A

Milwaukee

85
Q

Scoliosis Below T6

A

Miami

86
Q

Scoliosis Below T8

A

Boston
Wilmington
Yamamoto

87
Q

MC LE Orthosis

A

AFO (Ankle-Foot Orthosis)

88
Q

Provides best control of AFO

A

Foot plate

89
Q

MC Stirrup; durable

A

Solid

90
Q

Less durable and heavier type of stirrup

A

Split

91
Q

Posterior Stop (aka & indication)

A

AKA PF Stop
Indication: PF Spasticity

92
Q

Anterior Stop (aka & indication)

A

AKA DF Stop
Indication: Weak PF, Quadriceps

93
Q

Anterior/Posterior Spring

A

Anterior = PF
Posterior DF

94
Q

Bichannel Adjustable Ankle Lock

A

Limited Motion Stop

95
Q

No restrictions provides mediolateral stability (ankle control)

A

Free motion

96
Q

Lateral T straps

A

Restricts Inversion (Varus)

97
Q

Medial T straps

A

Restricts Eversion (Valgus)

98
Q

Maintains rigidity and alignment of AFO

A

Calf bands

99
Q

upright for mediolateral stability and for patients with mild DF weakness

A

Double Upright

100
Q

upright that allows DF
contraindicated for PF spasticity

A

Klenzack Joint

101
Q

MC prescribed AFO

A

Plastic design

102
Q

MC prescribed for Foot drop

A

Posterior Leaf Spring

103
Q

MC prescribed plastic AFO

A

Solid AFO

104
Q

Solid AFO restricts

A

PF spasticity
Genu Recurvatum

105
Q

Spiral AFO origin & insertion

A

O: mediodistal leg
I: medial epicondyle

106
Q

Hemispiral origin & insertion

A

O: lateral distal leg
I: medial epicondyle

107
Q

Hemispiral AFO corrects

A

Pes Equinovarus

108
Q

AFO with Medial Flange

A

Restricts Valgus

109
Q

AFO with Lateral Flange

A

Restricts Varus

110
Q

Indication for Plastic articulating AFO

A

Patients with no sensory deficit & no abnormal tone

111
Q

Unilateral KAFO

A

Poliomyelitis

112
Q

Bilateral KAFO

A

SCI

113
Q

Knee Joints

A

Straight set (Single axis)
Polycentric joint (Dual axis)
Off-set joint

114
Q

Allows knee flexion; prevents knee hyperextension

A

Straight set (Single axis)

115
Q

Less stable; rotational component for athletes

A

Polycentric joint

116
Q

Allows flexion and extension during swing phase
Indicated for knee flexion contracture

A

Off set joint

117
Q

Previously MC prescribed knee lock

A

Drop Ring Lock

118
Q

Easiest simultaneous unlocking

A

Pawl/Bail/Swiss/French/Schweitzer

119
Q

Locking mechanism of Pawl lock

A

Spring loaded

120
Q

Goal of Dial lock

A

Gradual stretching (6 degree increments)

121
Q

MC prescribed knee lock

A

Serrated/Fan/Ratchet

122
Q

Goal of Serrated lock

A

Gradual stretching (12 degree increments)

123
Q

Key design of Scott Craig Orthosis

A

10-15 deg DF

124
Q

Indication of Scott Craig Orthosis

A

L1 or T10 level of higher SCI

125
Q

Unilateral Pelvic Bands

A

Between iliac crest and greater trochanter

126
Q

Bilateral Pelvic Bands

A

Anterior to midline of pelvis

127
Q

Hip Locks

A

Pawl lock
2 position hip lock

128
Q

Hip Joint (Orthosis Landmark)

A

Slightly above and anterior to greater trochanter

129
Q

KAFO (Orthosis Landmark)

A

4cm below perineum

130
Q

Knee Joint (Orthosis Landmark)

A

2cm above medial tibial plateau

131
Q

Calf band (Orthosis Landmark)

A

Below fibular head

132
Q

Ankle Joint (Orthosis Landmark)

A

Tip of Medial Malleolus

133
Q

Position of Feet & Sole

A

Feet flat

134
Q

Orthosis for PFPS

A

Chopat brace “Patellofemoral Knee Orthosis”
Palumbo Orthosis

135
Q

Swedish Knee Cage

A

Genu Recurvatum

136
Q

3-way knee stabilizer

A

Mediolateral Stability

137
Q

CARS-UBC Orthosis

A

Genu Varum/Valgum

138
Q

Miami Knee Orthosis

A

Polycentric

139
Q

Supracondylar KAFO

A

Genu Recurvatum

140
Q

Axial Rotation Control Orthosis

A

Lenox Hill Derotation Orthosis
Lerman Multi Ligamentous Knee Orthosis

141
Q

WB Orthosis

A

PTB Orthosis
Ischial ring/Quadrilateral Orthosis
Patten Bottom

142
Q

Prevent the relapse of deformity after Serial casting

A

Denis Browne Splint

143
Q

Correction for Pes Equinovarus

A

Adduction
Inversion
Plantarflexion

144
Q

Indication for A-Frame

A

In-Torsion Deformity

145
Q

Indication for Torsion Shaft

A

Scissoring Gait
In/Out Toeing

146
Q

Orthosis for Congenital Hip Dysplasia

A

Von Rosen
Ilfeld
Pavlik Harness
Frejka Pillow

147
Q

Orthosis for LCPD

A

Petrie cash
Scottish rite
Toronto
Trilateral

148
Q

Indicated for GDD

A

Caster Cart

149
Q

Criteria for using Caster Cart

A

Good UE strength & trunk balance

150
Q

Standing Frame (age)

A

8-15 months old

151
Q

Initial gait for standing frame

A

Swing through

152
Q

Parapodium AKA

A

Swivel Orthosis

153
Q

Parapodium (age)

A

2.5-5 y/o

154
Q

Indication for RGO (Bilateral HKAFO)

A

T12 or L1 myelomenigocele

155
Q

Shoe (Uppers)

A

Quarter
Vamp
Lace stay
Tongue
Toe spring
Toe box
Throat

156
Q

Shoe (Sole)

A

Ball
Shank
Heel
Breast
Pitch

157
Q

recommended for recurrent ankle sprain; covers both malleoli

A

High Quarter

158
Q

most anterior aspect of the shoe

A

Vamp

159
Q

Parts of Lace Stay

A

Eyelets - hole
Aglets - tip of shoe lace

160
Q

top bridge of toe shoe

A

Tongue

161
Q

provides rocking effect; important for push off

A

Toe spring

162
Q

protects toes from trauma

A

Toe box

163
Q

Closed throat

A

Balmoral

164
Q

Open throat; recommended for orthopedic shoes

A

Blucher

165
Q

widest part of the shoe

A

Ball

166
Q

narrowest part of the shoe

A

Shank

167
Q

Types of Heel

A

Sping
Oxford
Military
Cuban

168
Q

Spring

A

1/8”

169
Q

Oxford

A

6/8” - 8/8”

170
Q

Military

A

10/8”

171
Q

Cuban

A

12/8”

172
Q

anterior part of the heel

A

Breast

173
Q

Medial Counter (aka & indication)

A

Thomas Heel
MLA weakness/pronated foot

174
Q

Lateral Counter (aka)

A

Reverse Thomas heel

175
Q

Types of Lasts

A

Straight
Inflared
Outflared

176
Q

Inflared for:

A

Adducted foot (Varus)

177
Q

Outflared for:

A

Abducted foot (Valgus)

178
Q

Types of closures

A

Adjustable - shoe lace/ velcro
Non adjustable - zipper

179
Q

Internal modification for heel stress/pain

A

Heel cushion

180
Q

External modification for heel stress/pain

A

SACH (Solid Ankle Cushion Heel)

181
Q

Internal Modification for Metatarsalgia

A

Metatarsal pad
U-shaped MTT pad
Sesamoid pad
Morton’s Extension

182
Q

External Modification for Metatarsalgia

A

Metatarsal bar

183
Q

Modification for Toe pain (hammer toes)

A

Toe Crest

184
Q

Modification for MLA Weakness

A

Scaphoid/Navicular/Cookie pad (Internal)
Steel shank
Thomas heel

185
Q

Modification for Valgus-Varus Deformity

A

Heel & Sole Wedge
Heel & Sole Flare

186
Q

Metatarsal pad (Location)

A

2nd-4th MTT head

187
Q

U-shaped MTT pad (Location)

A

3rd MTT head

188
Q

Sesamoid pad (Location)

A

Proximal of 1st MTT head

189
Q

Morton’s Extension (Location)

A

Distal 1st MTT head

190
Q

Metatarsal bar (Location)

A

1st-5th MT

191
Q

Toe Crest (Location)

A

2nd-4th Toe

192
Q

Medial Wedge mechanism

A

promote inversion
corrects valgus

193
Q

Lateral Wedge mechanism

A

promote eversion
corrects varus

194
Q

Medial Flare mechanism

A

resist eversion
corrects valgus

195
Q

Lateral Flare mechanism

A

resist inversion
corrects varus

196
Q

LLD <2.5 inches

A

Internal heel elevation

197
Q

LLD >2.5 inches

A

External heel and sole elevation

198
Q

LLD <1 inch

A

Heel elevation

199
Q

LLD >1 inch

A

Heel and sole elevation

200
Q

Adduction & Inversion

A

Varus

201
Q

Abduction & Eversion

A

Valgus

MES (7 decks)

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