Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

P & O > Week 2 FO + AFO > Flashcards

Week 2 FO + AFO Flashcards

1
Q

Purpose for orthotic prescription

A

Improve performance of functional activities
Improve/enhance mobility
Transfers
Ambulation
Deformity prevention : primary and secondary
Correction of passively modifiable deformity
Immobilization/Control/Prevention
Regulating or reduction muscle tone
Stabilizing weak or flaccid muscles
Improve quality of life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

FO

A

foot orthosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

AFO

A

ankle-foot orthosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

KAFO

A

knee-ankle-foot orthosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

HKAFO

A

hip-knee-ankle-foot othosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

THKAFO

A

trunk-hip-knee-ankle foot orthosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

KO

A

knee orthosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

HO

A

hip orthosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Foot orthoses is also referred to as

A

insert

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Foot orthoses purposes

A

Alignment correction
Deformity accommodation
Facilitate supination/pronation
Pain relief
Improve foot and/or proximal alignment
Relieve weight-bearing stresses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Foot orthosis patient education

A

recommend progressive increase in wear time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Fixed contracture

A

can not be passively corrected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Flexible/dynamic contracture

A

Also referred to as flexible
Result from over activity of muscle tendon groups but when at rest are passively correctable
Can also develop in adjacent joints in response to coupling effects of deformities above or below

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Prefabricated foot orthoses

A

“Off-the-shelf”
Generic fit
Good for short term use – healing, function/training aid, contracture prevention
Typically cheaper

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Custom foot orthoses

A

“Definitive”
When permanent benefit is
needed
When mechanically and physiologically stable
Individualized to patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Different length of foot orthoses

A

extends to toes
proximal to toes
met heads

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Soft foot orthoses

A

Provides cushioning
Absorbs shock
May redistribute plantar pressures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Semi-rigid orthoses

A

Provides some flexibility and shock absorption
Provides control of the foot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Rigid foot orthoses

A

Stabilizes deformities
Controls abnormal motion
Provides support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Foot orthoses documentation

A

length
fabrication method
flexibility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

pes planus

A

If flexible, can correct with FO
Posterior tibialis supports arch
eversion

22
Q

Pes cavus

A

to support deformity
IV to lat wedge

23
Q

Leg length discrepancy

A

Caused by previous injury to leg, bone infection, congenital, idiopathic
“Normal” = Up to 3/5 inch
12/3 inch difference will result in gait abnormalities
Use heel lift or shoe lift

24
Q

Rearfoot varus

A

Use medial wedge to accommodate
Decreases hyerpronation

25
Q

Rearfoot valgus

A

Use lateral wedge to accommodate
Decreases supination
Use medial wedge to correct

26
Q

Diabetic foot

A

Increased risk for skin breakdown
– FO provide pressure relief

27
Q

Rocker shoes

A

decrease forefoot pressure
facilitate forefoot rocker

28
Q

AFO

A

Pre-fabricated or custom
Plastic (polypropylene), carbon fiber, or metal

29
Q

AFO use

A

Provide ankle stability
Correct malalignment
Control drop foot
Enhance mobility
Deformity prevention
Regulate or reduce muscle tone

30
Q

Prescribing orthotic stage 1

A

Identify where in the gait cycle abnormal tone or muscle performance is impaired. Where is the gait deviation?

31
Q

Prescribing orthotic stage 2

A

Determine what factors could be compromising the particular abnormal phase(s) of the gait cycle. (muscle, range of motion, spasticity)

32
Q

Prescribing orthotic stage 3

A

Identify what specific orthotic interventions would benefit the particular abnormal phase(s) of the gait cycle.

33
Q

Provide external support during swing (positioning of ankle/foot) for

A

foot clearance

34
Q

Optimize position of the limb for initial contact in preparation for

A

stance stability

35
Q

AFOs during stance

A

Optimize position of the ankle/foot
May also influence proximal alignment
Provide external support for stance stability
Depending on the device, may also facilitate forward progression

36
Q

Type of AFOs

A

Solid (fixed) AFO
Hinged (articulating) AFO
Anterior Floor reaction AFO
Energy Storage and Return AFO
Tone Inhibiting AFO

37
Q

Solid or fixed AFO impact on gait/function

A

Provides stance stability
Provides medial-lateral support
Accelerated heel rocker
Loss of ankle and forefoot rocker
Assists with foot clearance
Positions foot for initial contact
Places the foot in plantigrade
Places the subtalar joint and
ankle in neutral

38
Q

AFO in 5 deg PF

A

produces knee ext

39
Q

AFO in 5 deg

A

produces knee flexion

40
Q

Hinged/Articulating AFO impact on gait/function

A

Allows for limited ankle ROM Provide medial- lateral stability
Can have DF/PF assist/stop
Aids in foot clearance
Some rockers preserved

41
Q

Posterior Leaf spring impact on gait/function

A

Control PF from initial contact to loading response
Allows for DF during stance
Support foot during swing phase

42
Q

Anterior floor reaction AFOS impact on gait/function

A

Maintains proper ankle alignment
Compensates for weak or absent gastro-soleus muscles
Facilitate plantarflexion-knee extension couple
Anterior shell controls forward tibial progression

43
Q

Anterior floor reaction AFO is not appropriate for

A

individual with knee ligamentous instability of genu recurvatum

44
Q

Energy return or dynamic response AFOs impact on gait/function

A

Assist limb clearance in swing
Positions heel for initial contact
Assists with forward propulsion

45
Q

Energy return or dynamic response AFO not appropriate for

A

inappropriate for individuals with moderate to severe hypertonicity

46
Q

Toe inhibiting AFO

A

Controls ankle position
Provides stance stability
Inhibits reflexes induced by tactile stimulation
Controls muscles length (i.e. spasticity caused by stretch)
Indicated for patients with hypertonicity with significantly impaired motor control

47
Q

Functional Electrical stimulation

A

Rely on stimulating the common peroneal nerve (anterior tibialis)

48
Q

Use of ace wrap

A

DF assist

49
Q

Document gait deviations

A

Magnitude- i.e. increased, decreased, excessive, inadequate,
lack of
Timing – i.e. early, late
Related to ROM – i.e. decrease/increased excursion
side
joint
direction/motion

50
Q
A

P & O (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions