Orthotic Prescription

Question 1

what information is required for orthotic prescriptions

Answer 1

1. Patient’s name
2. Patient’s identifiers (age, DOB, address, etc) - need at least 2 identifiers
3. Diagnosis
4. Pertinent medical history
5. PURPOSE or GOAL!!!
6. modality or modalities
7. Physician signature
8. Date

Question 2

Orthotic Prescription Terminology

Answer 2

1. As sits
2. Balance
3. Intrinsic posting
4. Extrinsic posting
5. Flat posts

Question 3

What does “As sits” mean

Answer 3

however your cast is sitting on the table that is how you will build your orthosis

Question 4

what does “post to cast” mean

Answer 4

post only FF deformity which means post to perpendicular

Question 5

what is “intrinsic posting”

Answer 5

a “twist” in the shell to put the forefoot in a desired position relative to the RF and to put the calcaneus in the desired position relative to the floor

Question 6

what happens to the device after RF extrinsic posting is complete?

Answer 6

the result will be that the FF will not be “balanced” to the RF and the device will rock in the shoe [could be a good thing or a bad thing!]

Question 7

what is a flat post

Answer 7

• a RF post that does not provide for any frontal plane correction
• it will limit the amount of FP rocking of the device in the shoe

Question 8

at minimum, an orthotic prescription should include

Answer 8

1. type of orthosis
2. cast technique
3. shell material
4. posting (for functional orthoses)
5. Modifications (if necessary)

Question 9

orthotic prescription is determined by

what factors do you need to know about your patient?

Answer 9

1. chief complaint
2. age
3. weight
4. activity
5. occupation
6. biomechanical exam findings
7. presence of proximal musculoskeletal pathoogy
8. previous orthosis use
9. presence of systemic disease
10. shoe gear

Question 10

SEE CASE STUDIES

Answer 10

SEE CASE STUDIES