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Orthotics III > Week 4- CROW Boot > Flashcards

Week 4- CROW Boot Flashcards

1
Q

What is charcot Neuroathropathy?

A

Relatively painless
Progressive degeneration arthropathy
Can be periosteal

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2
Q

What is Arthropathy?

A

A disease of a joint

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3
Q

What are the theories that cause charcot neuroathropathy?

A

Mutliple microtraumas
Increased blood flow
Changes in spinal cord
Osteoporosis

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4
Q

What are the results of neuroathropathy?

A

Changes in shape and stability

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5
Q

What are the different stages of neuroathropathy?

A

Acute/Early stage
Advanced/mid-stage
Late stage and Chronic

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6
Q

How long is the acute stage?

A

1-2 months

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7
Q

How long is the advanced stage?

A

6 months-1 year

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8
Q

What are the signs during the acute stage?

A

Limb usually painless, swollen, red, and 5-10 degrees hotter than contralateral limb

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9
Q

What are the signs during the advanced stage?

A

Warm with reduced swelling

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10
Q

What are the signs of the late stage?

A

Complete boney healing, temp. equal to contralateral limb.

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11
Q

What are the lab test results for the acute stage?

A

Unhealed fractures often radiographically present

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12
Q

What are the lab test results for the advanced stage?

A

Extensive bone demineralization and reabsorption

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13
Q

What are the lab test results for the late stage?

A

Architectural distortion with shortening and widening of joints

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14
Q

What are the treatment protocols for the acute stage?

A

Total-contact cast applied. Cast changed 5-7 days and followed in mid-stage

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15
Q

What are the treatment protocols for the advanced stage?

A

Changing of cast at 1-2 week intervals.

Casting important for retention of foot shape

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16
Q

What are the treatment protocols for the late stage?

A

Splint, then shoes/inserts for midfoot to forefoot deformities
Neuropathic walker or total contact AFO.
Surgery

17
Q

What does CROW stand for?

A

Charcot Restraint Orthotic Walker

18
Q

What is another name for CROW boot?

A

Neuropathic walker

19
Q

What are the purposes for the CROW boot?

A 
Protect limb
Immobilize joints
Provide arch support
Accommodate ulcers
Rocker bottom replaces immobilized joints
20
Q

What are the materials used in a CROW boot?

A 
3/16” Polypropylene
3/8” EVA
1/2” EVA
1/8” EVA
1/4” Aliplast
Nylon
Crepe
1/4” Soleflex
1/2” Soleflex
Silicone Spray
Super 77 Spray Glue
Strapping
21
Q

What is the L-code for the CROW boot?

A

L4631

Orthotics III (23 decks)

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