Orthotic Manufacturing Flashcards
what position is the calcaneal bisection as the positive is made
perpendicular to the ground
when i the negative cast removed
when the plaster is hardened
what are the types of positive plaster modifications
- FF platform
- heel cup accommodation
- arch fill
- “sweet” spots
how is a FF platform created
- nail is placed on the plantar sufrace of the 1st (for FF varus) OR 5th (for FF valgus) MT head to prop up the positive in the appropriate position
- plaster is applied to build a platform at an angle dictated by the position of the nail
where is the calcaneal bisection when forming a FF platform
-perpendicular to the ground or FF may be “balanced” to RF
for a FF varus, where will the FF platform me thicker
medially
fore a FF valgus, where will the platform be thicker
laterally
how is a heel cup accommodation added
plaster is added around the periphery of the heel
what does a heel cup accommodation allow for
-soft tissue spread when the patient bears weight
where are arch fills added
to the medial arch to allow for soft tissue expansion and to provide a smooth transition into the FF platform
a minimal arch fill will provide for
greater control
a heavier arch fill will allow for
more flattening of the arch
how do you accommodate for “sweet spots”/bony prominence
add a small mound of plaster to the area of the prominence which will then lead to a pocket on the shell
what are the material requirements for the shell
heat moldable
able to hold their shape
where does a standard functional device extend to
- just proximal to the MT heads distally
- to the centre of the 1st MT medially
- to the centre of the 5th MT laterally
is the device width dependent upon foot width
no!
the wider the device the —
greater the control
the width of the device is highly dependent upon
the type of shoe in which the device will be work
a wide device extends from
the medial side of the 1st MT head to the lateral side of the 5th MT head
a normal device extends from
the centre of the 1st to the centre of the 5th
a narrow device extends from
the lateral aspect of the 1st MT head to the medial aspect of the 5th MT head
where is an extrinsic RF post applied to
the shell
is an extrinsic post the same thing as a heel lift
No!
how do functional devices work
- prevent excessive pronation
- allow the STJ to function around its neutral position
- prevent compensation