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Movement Science 2 > Orthotics ankle hip knee > Flashcards

Orthotics ankle hip knee Flashcards

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1
Q

What is the goal of any orthosis

A

address pathological symptoms

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2
Q

orthosis will do one of three things

A

control pain
Control deformity
control motion

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3
Q

Three points of force application are required to control motion in one plane_ one _____ force and two _____ forces

A

one corrective force and two stabilizing forces

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4
Q

Foot orthosis
Subtalar joint support in what plane

A

frontal plane

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5
Q

what are some common indications for FO

A

pes planus
pes cavus
plantar fasciitis
heel spurs
metatarsalgia
mild-moderate calcaneal varus/valgus
mild-moderate midfoot deformity
laxity
diabetic neuropathy

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6
Q

UCBL- university of cali berkely lab

controls calcaneus and midfoot in what planes

A

transverse and frontal plane
most corrective foot orthosis

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7
Q

SMO supra malleolar orthosis
controls calcaneus, midfoot in what plane

ankle in what plane

A

transverse
frontal

ankle fontal

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8
Q

SMO allow for free ______ and ______

A

dorsiflexion and plantarflexion

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9
Q

What are 3 indicators for SMO

A
  1. ankle instability
  2. flexible calcaneal and midfoot deformity
  3. moderate-severe deformity
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10
Q

AFO fitting goals

A

increase ankle stability
improve cadence
increased balance/step length
limit foot drop
increase knee stability
limit genu recuvatum
create heel to toe gait pattern
desire for guided control in 3 planes

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11
Q

What are indicators for metal AFO

A

ankle motion management: sagittal plane control only
edema: constant fluid fluctuations
Patient preference

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12
Q

What are some contraindications for a metal AFO

A

increased weight

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13
Q

Posterior leaf spring PLS-AFO indicators

A

drop foot
tibialis anterior weakness
dorsiflexion paralysis

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14
Q

What are some Pros for PLS-AFO

A

lightweight
low profile
off the shelf options

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15
Q

Dynamic carbon fiber AFO indicators

A

drop foot
dorsiflexion/plantarflexion weakness
-cva
-ms
-neuropathy

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16
Q

Solid ankle AFO control what motions

A

fixed ankle positions for all phases of gait
sagittal
frontal
transverse

17
Q

Indications for a Solid ankle AFO

A
  1. potential or complete paralysis of gastroc/soleus
  2. mild instability of knee
  3. deformities of ankle varus/valgus
  4. contracture spasticity management
  5. Traumatic LL injury with pain
18
Q

Ground reaction force AFO
indicators

A

Crouch gait
quad weakness
knee instability
weak plantarflexors

19
Q

Articulated ankle foot orthosis

A

drop foot
need for natural ankle motion

20
Q

AFOS can have inner booties what are the indications for inner booties

A
  1. severe ankle deformity
  2. sensitive skin, sensory issues
  3. need for rearfoot or frontal plane control
21
Q

Arizona AFO: leather ankle gauntlet
indications

A
  1. posterior tibia tendon dysfunction
  2. tendonitis ankle arthritis
  3. degenerative joint disease
  4. chronic sport injuries
22
Q

Charcot restrain orthotic walker
indicators

A
  1. charcot joint
  2. chronic diabetic ulcers
  3. ischemic necrosis
  4. fracture management
23
Q

Richie brace indications

A
  1. lateral ankle instability
  2. peroneal tendinopathy
  3. cavo-varus deformity
24
Q

Pressure relief ankle foot orthosis indications

A

prolonged supine bedrest
prevention of plantar-flexion contraction
maintain neutral hip rotation while supine
not intended for ambulation

25
Q

Knee orthosis unloader indications

A

ACL, PCL, MCL, LCL instability
high intensity athletic activities
osteoarthritis, offloading support

26
Q

Knee ankle foot orthosis

A

used when stability during stance cannot be provided by an AFO option
or when hyperextension of the knee jeopardizes joint integrity
excessive varus/valgum

27
Q

Hip orthosis indication

A

legg-calve-perthes, developmental dysplasia of the hip, post surgical, hip dislocation

28
Q

Sitting walking and standing hip orthosis

A

spastic hemi/di/quadriplegia
hip adduction tone
post botox
risk of hip displacement
gait scissoring
allows motion, ambulation

29
Q

HKAFO and RGO

A

myelomeningocele
spina bifida
paraplegia
spinal cord injury c8-t12

30
Q

When to consult an orthotist

A

redness/pressure
signs of poor fit
wear and tear/structural failure
goals not met
compliance issues
custom vs off shelf
collaboration on design

Movement Science 2 (10 decks)

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