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a branch of mechanical and medical science that deals w/ the support and bracing of weak or ineffective joints or muscles |
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plastic device that assists weak DFs, allows DF and PF, no plantar flexion control or coronal plane stability, maintains foot in 90 deg. position during swing phase; used for pts w/ "drop foot" gait |
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plastic device that assists weak DFs and controls genu recurvatum moments; allows DF and resists PF; can give slight coronal plane stability |
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plastic device that positions a flail foot, controls moderate genu recurvatum and slightly resists knee buckling moments; resists DF and blocks PF; greater coronal control |
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rigidity of the design provides for excellent coronal plane control and DF assistance; the amount of motion can be customized to fit the pts' needs; metal double action jt (only used if pt has very damaged legs; outdated); also plastic versions w/ adjustable ROM jts |
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Definition
blocks PF and DF; positions a flail foot (drop foot w/ premature knee flexion where momentum of body cuases foot to cont. to DF), controls moderate genu recurvatum, and resists knee buckling moments; provides coronal plane control |
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a form of a solid AFO designed to MAXIMIZE RESISTANCE TO KNEE BUCKLING; accomplished w/ a patella tendon level rigid anterior component; blocks DF and puts an extension moment on the knee |
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allows knee flexion and block hyperextension; maximum coronal stability |
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blocks flexion and hyperextension; maximum coronal stability |
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blocks flexion and extension; used when pt has a contracture; will accommodate a contracture and is adjustable if the pt corrects |
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Definition
absent reciprocal arm swing, persistent hip abduction, low duration of single support, high cadence |
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Definition
reciprocal arm swing, mature timing of knee and ankle, single support |
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When does mature gait develop? |
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Definition
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Definition
forefoot adductus, calcaneal varus, inversion, PF talus |
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Club foot biomechanical goals |
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Definition
plantar-grade foot and stretch soft tissues, evert and abduct foot, neutrally aligned calcaneus, DF foot |
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Definition
ponsetti method of serial casting, coronal plane management then sagittal plane, use custom AFOs with Dennis Brown bar or pre-fab Wheaton AFOs, STRETCH med foot sructures to evert and abd foot (70 degrees ER is essential) |
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Custom AFOs for club foot fxn |
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Definition
abduct forefoot, ER foot, DF foot |
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Clinical indications of hip dysplasia |
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Definition
positive Ortolani or Barlow tests, tight adductors, asymmetric skin creases, asymmetric thigh lengths |
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Biomechanical goals for hip dysplasia |
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Definition
maximize congruity b/t head of femur and acetabulum; hold thighs in maximum abduction and 100 degrees of flexion |
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Orthoses for hip dysplasia |
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Definition
Pavlik harness and Ilfeld splint |
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