Orthotics

Question 1

What is a Halo Vest Orthosis?

Answer 1

Invasive cervical-thoracic orthosis fully restricting cervical motion. 4 pins inserted into patients skull

-used for SCI

Question 2

What is a Milwaukee Orthosis?

Answer 2

pelvis to upper chest to correct scolosis

Question 3

What is a Taylor Brace?

Answer 3

thoracolumbarsacral orthosis that limits trunk flexion and extension through a 3-point control design

Question 4

What is TLSO?

Answer 4

prevents all trunk motion for post-surgical stabilization

Question 5

What is a foot orthosis?

Answer 5

Semirigid or rigid insert worn inside a shoe that corrects foot alignment and improves function. May also relieve pain

Question 6

What do Solid AFOs control?

Where is the trim line?

Answer 6

pg. 135
- control ankle pf/df and eversion/inversion
- trim line anterior to malloli

Question 7

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?

Answer 7

• assists with dorsiflexion and prevents foot drop
• pt needs to have adequate medial/lateral control
• trim line posterior to malloli (NOT AS MUCH CONTROL)

Question 8

What is the purpose for a floor reaction AFO?

Answer 8

-assists with knee extension during stance through positioning of calf band and/or positioning of the ankle

Question 9

What is the purpose of a Craig-Scott Knee-ankle-foot Orthosis?

Answer 9

designed specifically for a person with paraplegia. Allows a person to stand with a posterior lean of trunk

Question 10

What is a Reciprocating Gait Orthosis?(RGO)

Answer 10

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

Question 11

What is a Parapodium?

Answer 11

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

Question 12

What do heel wedges treat and where are 2 placements of them? (AKA rearfoot posting)

Answer 12

• 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

Question 13

what are 2 common uses of heel lifts?

Answer 13

1. take pressure off achilles tendon

2. limit effects of leg length descrepancy

Question 14

What are 2 possible conditions to use heel cushions for?

Answer 14

Soft heel insert

1. calcaneal spur
2. plantar fasciitis

Question 15

what is a Heel Cup and what are 2 conditions it is used for?

Answer 15

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

1. calcaneal spur
2. plantar fasciitis

Question 16

What is a metatarsal bar or metatarsal pad?

Answer 16

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

Question 17

What is a rocker bar?

Answer 17

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.

Question 18

What are two types of foot orthosis for longitudinal arch support?

Answer 18

1. UCBL

2. Scahpoid pad

Question 19

What is a stirrup on an AFO?

Answer 19

metal attachment riveted to the sole of the shoe

Question 20

What is an AFO with PF stop?

Answer 20

blocks PF motion, allows free DF. For weak DF or tight PF, typically block PF @90

Question 21

What is a DF stop AFO?

Answer 21

blocks DF motion, allows free PF, for people with weak PF

With weak PF can’t control forward translation of tibia (DF)