S2 L1: Intro to Orthotics & Prosthetics Flashcards
Provides care to persons with neuromuscular and musculoskeletal impairments that contribute to functional limitation and disability by designing, fabricating, and fitting orthoses or custom-made braces for pts with functional limitations.
Orthotists
Any externally applied device to an existing body part that improves function
Orthoses
What are the Goals of Orthoses?
(Hint: S, S, L, C, U)
- Stabilize weak or paralyzed segments or joints
- Support damaged or diseased segments or joints
- Limit or augment motion across joints
- Control abnormal or spastic movements
- Unload distal segments
What orthoses goal is fit for a person who suffered from Flat Foot Deformity?
Stabilize weak or paralyzed segments or joints
What orthoses goal is recommended for a person who suffered from a burn injury, any form of contracture, or several deformities that malposition a body part (Pes Equinus Deformity)
Support the damaged or diseased segments or joints
What orthoses goal is recommended for a person who has an over facilitated plantar flexion?
Limit or augment motion across joints.
What orthoses goal is recommended for a person suffering from a severe neuromuscular abnormality movement?
Control abnormal or spastic movements
What is the Primary purpose of an orthosis
To unload the distal segment.
It will utilize the more proximal musculature to avoid at some extend - pain.
This type of splint will fix the foot/ankle in a certain position and movement is not allowed.
LE Static Splint
This type of splint will allow certain movement and limiting/restricting certain motions in the lower extremity.
LE Dynamic Splint
This type of splint is recommended for immobilization, support, prevent deformities, prevent soft tissue contractures, allows attachment of assistive devices, and blocking of segments in the upper extremity.
UE Static Splint
This type of splint allows certain movement and limiting/restricting certain motions. It provides substitution for loss of motor function, corrects existing deformity, provides controlled directional movement, aids in fracture aligning and wound healing in the upper extremity.
UE Dynamic Splint
This type of orthoses is currently made prefabricated in the market. Most commonly prefabricated, thus, easily accessible/readily available in the market.
Philadelphia Neck Collar
This type of orthoses is indicated for patients with instability in the cervical spine secondary to fractures.
Halo Traction Brace
This type of orthoses is custom made for affectations on the neck
Soft Collar
This type of orthoses is a common body brace or a corrective brace. This is indicated for patients with scoliosis.
Milwaukee Brace
This type of orthoses targets the thoracolumbosacral region. Provides limitation or stabilization for movement.
Knight-Taylor Brace
This type of orthoses extends from the foot to the waist. Provides stability and aids in ambulation when LE muscles are weak.
Long Leg Brace
This type of orthoses will cover the ankle and foot segment. Primarily indicated for patients with weakness of ankle dorsiflexors as manifested or seen in stroke patients.
Short Leg Brace
This is an external modification is made on the sole. Common. Corrective shoes. Orthotists fabricate these.
Orthopedic Shoes
This internal modification is custom made or is readily available in the market when you need to make corrections. For flat foot, you use this to correct the arches of the foot. Orthotists will also make this.
Moldable Inserts
Provide care to patients with partial or total absence of limbs by designing, fabricating, and fitting prostheses or artificial limbs.
Prosthetists
T/F: Prostehtists create the design to fit the individual’s particular functional and cosmetic needs
True
A device that is designed to replace as much as possible the function, or appearance of a missing limb or body part
Prosthesis
This type of prosthesis is suited for patients who had a loss of limb just above the elbow in which the proximal attachment is at the shoulder
Above Elbow Prosthesis
This type of prosthesis is recommended for pts who has a total absence of the entire UE
Body Powered Prosthesis
This type of prosthesis is one of the newer tx for pts who lost a limb is through robotics. Integrated function and technology to promote higher functionality of the patient.
Robotic UE Prosthesis
Downside of getting a Robotic UE Prosthesis
It might be costly for the patient.
This type of prosthesis is technically made of a durable shell and tends to be bulkier but there are designs that can match the skin tone.
It is heavier and sometimes difficult to use and there is a restriction of what shoes can be used. More common.
Exoskeleton LE Prosthesis
This type of prosthesis is sometimes made of metal or titanium. Pts prefer the endoskeleton rather than the exoskeleton since it is lighter, much more pleasing to look at, and it could fit different shoe types. It is more pricy.
Endoskeleton LE Prosthesis.
T/F: The orthotists and prosthetists being part of a multidisciplinary rehabilitation team does not promote inter-professional collaboration to address the needs of the patient.
False
What is the role of the Physical Therapist after the orthotists/prosthetist made the device?
To further confirm and check out if this pt will be comfortable or the device was able to achieve the ultimate function that the pt would want.
T/F: The PT/OT will provide the therapy program, which may include strengthening, range of motion, ambulation, wheelchair mobility, self-care activities, proper use of orthotic device, therapeutic modalities, and home exercise program
True
T/F: The physicians are the primary lead of the rehabilitation team in terms of the pt care
True
They perform the medical evaluation, including chart review, history taking, and physical examination
Physicians
T/F: The PT establish restrictions of the treatment program to prevent complications or danger to the patient
False.
It’s the job of the physician
It is the cornerstone of the rehabilitation process of the patient.
Communication
It is their role to convey appropriate information to the team members and comply with the treatment program and proper use of the orthotic device
Patient
T/F: It is vital for the patient to follow up with the team, particularly if complications or problems related to the orthosis or function/ prescribed program
Truenesss
The 3 Major events that served as the impetus for orthotists and prosthetists profession.
WWI, WWII, Onset and spread of poliomyelitis in the 50s
T/F: The Artificial Limb Manufacturer’s Association was formed to replace its professional predecessor, the American Orthotic and Prosthetic Association
False.
The Artificial Limb Manufacturer’s Association was the predecessor.
Where was the common practice of the orthotists and prosthetists?
Private Office
