Orthotic Checkout and Training

Question 1

Orthotic checkout

Purpose of orthosis checkout

Answer 1

• Is the device as prescribed?
• Is it acceptable for wear:
  
  • Fit
  • Function
  • Comfort
  • Cosmesis
• Is the patient satisfied and agrees to use it?

Question 2

Orthotic checkout

Parts of an orthosis checkout

Answer 2

1. Examination of the device
2. Quick reexamination of the client
3. Static examination of device on patient
4. Dynamic examination of device on patient
5. Examination of skin

Question 3

Orthotic checkout

Examination of the device:

Answer 3

• Is the device acceptable?
• Is it as prescribed?
• Make sure edges are smooth
• Screws are tight

Question 4

Orthotic checkout

for children, check fit every

Answer 4

3 mo

Question 5

Orthotic checkout

Quick reexamination of the client

Answer 5

changes that might have occurred during fabrication of the device that will affect the prescription:

• body weight
• limb girth
• ROM
• Skin integrity
• etc

Question 6

Orthotic checkout

Static examination of device on patient

Answer 6

• Are mechanical joints aligned with anatomical
• Comfort in standing and sitting:
  
  • Pressure minimized where breakdown can occur
• ls client stable when standing

Question 7

Orthotic checkout

Dynamic exam of device on client

Answer 7

• ls device stable when patient is moving?
• ls there excessive movement of device on the skin?
• Ensure device does what it is supposed to do:
  
  • If patient has foot drag without the device then with it they should not!!!
• Recognize gait disorders produced as a result of the orthotic:
  
  • lf patient was buckling and you gave them a KAFO locked then expect deviations associated with this device (ex. circumduction)

Question 8

Orthotic checkout

Examination of skin in pt with orthoses

Answer 8

• Check skin before putting device on patient
• Check for signs of skin irritation or pressure
• If skin breakdown, wait until it heals.

Question 9

Orthotic checkout

Provide an Accommodation Schedule

Answer 9

• Depends on type of orthoses and person
• Usually start at about 2 hours and then gradually increase time:
  
  • lf redness wait ~5-10 minutes should return to normal
  • Look for blisters, abrasions, wounds
    
    • TEACH PATIENT

Question 10

Orthotic checkout

True or false: Do not wear orthosis without shoes!

Answer 10

true