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Orthotic Intvtxn LE Gait Devia
NM exam 2
20
Other
Graduate
10/28/2008

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Cards

Term
Definition of Orthotics
Definition
a branch of mechanical and medical science that deals w/ the support and bracing of weak or ineffective joints or muscles
Term
Flexible AFO
Definition
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
Term
Semi-rigid AFO
Definition
plastic device that assists weak DFs and controls genu recurvatum moments; allows DF and resists PF; can give slight coronal plane stability
Term
Rigid AFO
Definition
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
Term
Articulated AFO
Definition
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of motion can be customized to fit the pts' needs; metal double action jt (only used if pt has very damaged legs; outdated); also plastic versions w/ adjustable ROM jts
Term
Solid AFO
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
Term
GROUND REACTION AFO
Definition
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
Term
Free Motion KAFO
Definition
allows knee flexion and block hyperextension; maximum coronal stability
Term
Locked KAFO
Definition
blocks flexion and hyperextension; maximum coronal stability
Term
Limited range KAFO
Definition
blocks flexion and extension; used when pt has a contracture; will accommodate a contracture and is adjustable if the pt corrects
Term
Gait of 1 y/o
Definition
absent reciprocal arm swing, persistent hip abduction, low duration of single support, high cadence
Term
Gait of 2 y/o
Definition
reciprocal arm swing, mature timing of knee and ankle, single support
Term
When does mature gait develop?
Definition
After 3rd year of age
Term
Club foot signs
Definition
forefoot adductus, calcaneal varus, inversion, PF talus
Term
Club foot biomechanical goals
Definition
plantar-grade foot and stretch soft tissues, evert and abduct foot, neutrally aligned calcaneus, DF foot
Term
Club foot management
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)
Term
Custom AFOs for club foot fxn
Definition
abduct forefoot, ER foot, DF foot
Term
Clinical indications of hip dysplasia
Definition
positive Ortolani or Barlow tests, tight adductors, asymmetric skin creases, asymmetric thigh lengths
Term
Biomechanical goals for hip dysplasia
Definition
maximize congruity b/t head of femur and acetabulum; hold thighs in maximum abduction and 100 degrees of flexion
Term
Orthoses for hip dysplasia
Definition
Pavlik harness and Ilfeld splint
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