Other LE Orthoses

Question 1

which phase of gait would be most impacted by a hinged AFO with a DF stop?

Answer 1

terminal stance

Question 2

which patient presentation would be best suited for a posterior leaf spring AFO?

Answer 2

drop foot during swing with strong inversion/eversion control

Question 3

what are two purposes of post-op/rehabilitative KOs?

Answer 3

protection during healing
immobilization or restricted ROM

Question 4

what is the purpose of functional KOs?

Answer 4

provide stability
– ligamentous deficits
– varus/valgus
– hyperextension
– frontal plane deficits

Question 5

what is the purpose of a KO for patellofemoral pain?

Answer 5

improve patellar tracking (C shape braces)
pain relief

Question 6

what is the purpose of off loading KOs for knee OA?

Answer 6

reduce load/off loading
improve function
pain relief

Question 7

indications for use of KAFO:
– poor _____ plane knee control
– excessive _____
– weakness of ______
– quad strength _____/5 and/or _____ proprioception
– can be used for ambulation in ______

Answer 7

– frontal
– knee recurvatum
– hip extensors
– <3+/5 and/or impaired/absent
– clinic, home, community

Question 8

free motion KAFO:
– no limitations in ____ plane
– restricts _____

Answer 8

– sagittal
– frontal and transverse plane motionp

Question 9

posterior offset KAFO:
– prevents ____
– assists ____ during ____ phase

Answer 9

– hyperextension
– extension during stance phase
** brace goes into full ext before anatomical knee does

Question 10

limited motion KAFO:
– restricted ____
– can limit _____

Answer 10

– motion
– flexion and/or extension

Question 11

locked KAFO:
– holds ___
– prevents ___-

Answer 11

– knee joint in one position
– all movement

Question 12

stance control KAFO:
– free during _____ while providing ____ during ____ phase

Answer 12

– swing, stability, stance
** most functional for walking and gait**

Question 13

what are two indications for use of hip orthoses?

Answer 13

1. childhood skeletal disorders (congenital hip dysplasia, Legg-Calve-Perthes Disease)
2. post-op to restrict movement and/or prevent dislocation (THA)

Question 14

hip orthoses have poor ______

Answer 14

transverse plane control

Question 15

free motion HKAFO:
– no limitations in ____ plane
– restricts _____ and ______ plane motion
– restricts ____

Answer 15

– sagittal
– frontal and transverse
– dislocation

Question 16

limited motion HKAFO:
– _____ motion
– can limit ____

Answer 16

– restricted
– flexion and/or extension

Question 17

locked HKAFO:
– holds hip join in _____
– prevents ____

Answer 17

– one position
– all movement

Question 18

abducted HKAFO:
– aligned in _____
– used commonly with _____ disorder

Answer 18

– abduction
– Legg-Calve-Perthes

Question 19

HKAFOs are typically prescribed for patients with:

Answer 19

paraplegia or significant paraparesis
(SCI, spina bifida)

Question 20

what are some considerations when contemplating HKAFO for a patient with paraplegia?

Answer 20

energy efficiency
safety
ease of donning/doffing
therapeutic standing or ambulation