Orthotics Lab 1: Metal Ankle Foot Orthoses (4/6) Flashcards

1
Q

are single metal uprights commonly used?

A

no, almost never

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2
Q

when might single metal uprights be indicated

A

if the individual is of slight build and there is little to no spasticity

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3
Q

what are the benefits of a double metal upright AFO

A

provides greater stability and control

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4
Q

when is a double metal upright AFO warranted

A

when a fair amount of force is necessary to control motion

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5
Q

if the calf band is higher, what happens to leverage

A

increases

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6
Q

where should the calf band not extend

A

over the fibular head

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7
Q

why should the calf band not extend over the fibular head

A

to avoid pressure on the peroneal nerve

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8
Q

why must a steel shank be incorporated into the shoe design

A

it adds reinforcement to the bottom of the shoe and serves as the anchor for metal uprights

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9
Q

when may a split stirrup be preferred

A

it allows each side to be detached from the shoe portion

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10
Q

when the split stirrup allows each side to be detached from the shoe portion, what does this allow for

A

increased ease in donning and doffing and can be interchanged with different shoes

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11
Q

is the split stirrup more or less durable than the solid stirrup

A

less durable

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12
Q

is the split stirrup lighter or heavier than the solid stirrup

A

heavier

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13
Q

function of a medial-T strap

A

used to correct pronation

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14
Q

function of a lateral T-Strap

A

correct supination

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15
Q

three point pressure system for the medial T-strap (controlling pronation)

A

primary: originating medially at the medial T-strap projecting laterally
secondary: originating laterally at the lateral portion of the calf band projecting medially
secondary: originating laterally at the lateral portion of the shoe in the area of the 5th methead

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16
Q

three point pressure system for the lateral T-strap (controlling supination)

A

primary: originating laterally at the lateral T-strap projecting medially
secondary: originating medially at the medial portion of the calf band projecting laterally
secondary: originating medially at the medial portion of the shoe in the area of the 1st met head projecting laterally

17
Q

are free ankle joints commonly used in an AFO design?

A

no, very rarely are they

18
Q

when might free ankle joints be used

A

when ankle musculature is fine, but knee/hip control is compromised

19
Q

ankle joints with a posterior stop limit…

A

plantarflexion

20
Q

ankle joints with an anterior stop limit…

A

dorsiflexion

21
Q

when is a posterior stop commonly used

A

when the individual drags their foot through swing phase

22
Q

when is spring loaded DF assist indicated

A

when DF facilitation is desired at initial swing

23
Q

when is the spring loaded DF assist contraindicated

A

when there is spasticity

24
Q

in metal ankle orthoses, what is the three point pressure system for plantar flexion

A

primary: originating from the top of the shoe, directed posterior/inferior
secondary: originating from the posterior portion of the calf band projecting anteriorly
secondary: originating from the bottom of the shoe in the area of the met heads projecting superiorly

25
Q

in metal ankle orthoses, what is the three point pressure system for dorsiflexion

A

primary: originating at the heel of the shoe projecting anterior/superior
secondary: originating from the anterior portion of the calf band projecting posteriorly
secondary: originating from the top of the shoe in the area of the toe box projecting inferiorly

26
Q

benefit of molded shoe orthosis compared to conventional metal design

A

it may provide better correction of foot alignment as modification is internal and closer to the bony structure of the foot

27
Q

are metal or plastic AFOs easier to accommodate changes in girth

A

metal

28
Q

when changes in girth are anticipated, are metal or plastic AFOs generally indicated

A

metal