Orthotics Flashcards
What is a Halo Vest Orthosis?
Invasive cervical-thoracic orthosis fully restricting cervical motion. 4 pins inserted into patients skull
-used for SCI
What is a Milwaukee Orthosis?
pelvis to upper chest to correct scolosis
What is a Taylor Brace?
thoracolumbarsacral orthosis that limits trunk flexion and extension through a 3-point control design
What is TLSO?
prevents all trunk motion for post-surgical stabilization
What is a foot orthosis?
Semirigid or rigid insert worn inside a shoe that corrects foot alignment and improves function. May also relieve pain
What do Solid AFOs control?
Where is the trim line?
pg. 135
- control ankle pf/df and eversion/inversion
- trim line anterior to malloli
What is the purpose of a Posterior Leaf Spring AFO?
Pts need to have control of what motion in order to use?
Where is the trim line?
- assists with dorsiflexion and prevents foot drop
- pt needs to have adequate medial/lateral control
- trim line posterior to malloli (NOT AS MUCH CONTROL)
What is the purpose for a floor reaction AFO?
-assists with knee extension during stance through positioning of calf band and/or positioning of the ankle
What is the purpose of a Craig-Scott Knee-ankle-foot Orthosis?
designed specifically for a person with paraplegia. Allows a person to stand with a posterior lean of trunk
What is a Reciprocating Gait Orthosis?(RGO)
Derivative of the HKAFO that incorportates a cable system that assists with advancement of lower extremities during gait. When the patient shifts weight to the selected LE the opposite side is advanced
-Used for paraplegia
What is a Parapodium?
standing frame designed to allow a patient to sit when necessary. Ambulation achieved by shifting weight and rocking the base across the floor
-used primarily by PEDIATRIC population
What do heel wedges treat and where are 2 placements of them? (AKA rearfoot posting)
- Treat symptoms associated with pes planus or pes cavus
- Heel wedge can be applied to the medial heel (varus post) to prevent excessive hindfoot eversion or to the lateral heel (valgus post) to prevent excessive hindfoot inversion
what are 2 common uses of heel lifts?
- take pressure off achilles tendon
2. limit effects of leg length descrepancy
What are 2 possible conditions to use heel cushions for?
Soft heel insert
- calcaneal spur
- plantar fasciitis
what is a Heel Cup and what are 2 conditions it is used for?
a RIGID insert that covers the plantar surface of the calcaneus and extends upwards on all 3 sides, helps stabilize the calcaneus in a neutral position as well as provide shock absorption
- calcaneal spur
- plantar fasciitis
What is a metatarsal bar or metatarsal pad?
Flat piece of padding that placed just posterior to metatarsal heads either on the outer sole (bar) or inner sole (pad) of the shoe to help relieve pressure on heads and transfer it to shafts for patients with metatarsalgia
What is a rocker bar?
Similar to a metatarsal bar in placement (just posterior to metatarsal heads) but consists of convex strip instead of flat to assist patients who have difficulty in terminal stance phase of gait secondary to limited foot mobility especially great toe as well as preventing pressure on metatarsal heads.
What are two types of foot orthosis for longitudinal arch support?
- UCBL
2. Scahpoid pad
What is a stirrup on an AFO?
metal attachment riveted to the sole of the shoe
What is an AFO with PF stop?
blocks PF motion, allows free DF. For weak DF or tight PF, typically block PF @90
What is a DF stop AFO?
blocks DF motion, allows free PF, for people with weak PF
With weak PF can’t control forward translation of tibia (DF)
