Term
| Heel rocker = initial contact >> ... |
|
Definition
| loading response/foot flat |
|
|
Term
| Conventional orthoses constructed of |
|
Definition
|
|
Term
| 1º reason RGOs & HKAFOs not frequently used: |
|
Definition
|
|
Term
| Which pt population more often utilizes RGO/HKAFO? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Ankle rocker occurs during which phase of gait |
|
Definition
|
|
Term
| Calcaneal ROM needed for normal fxn |
|
Definition
|
|
Term
| Reactive chain: calcaneal ev >> (ankle motion) |
|
Definition
| foot pronation (DF, abd, ev) |
|
|
Term
| Reactive chain: calcaneal ev >> (knee motion) |
|
Definition
|
|
Term
| Reactive chain: calcaneal ev >> (hip motion) |
|
Definition
|
|
Term
| Reactive chain: calcaneal inv >> (ankle motion) |
|
Definition
| supination (PF, add, inv) |
|
|
Term
| Reactive chain: calcaneal inv >> (knee motion) |
|
Definition
| ext, varum, ER (screw-home) |
|
|
Term
| Reactive chain: calcaneal inv >> (hip motion) |
|
Definition
|
|
Term
| Foot orthotic categories (4) |
|
Definition
rigid,
semi-rigid,
flexible,
diabetic |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Tone-reducing footplate: components (5) |
|
Definition
support lat, long, met arches;
groove for FHL;
relieve met heads & center of heel;
hyperext toes 2-5;
depress 1st ray |
|
|
Term
| Purpose of any LE orthotic device: |
|
Definition
| "support extremity while promoting efficient, safe, predictable gait that is as close to non-pathologic as is possible" |
|
|
Term
| Stance phases of gait (6) |
|
Definition
|
|
Term
| Purpose of loading response |
|
Definition
| preserve forward progression/shock absorption (heel rocker) |
|
|
Term
|
Definition
| preserve forward progression (ankle rocker) |
|
|
Term
|
Definition
| foot becoming rigid lever for propulsion (forefoot rocker) |
|
|
Term
|
Definition
| initiate knee flex for swing |
|
|
Term
| When to use pre-fab AFO (3) |
|
Definition
diagnostic tool,
end of rehab,
need is not that great |
|
|
Term
| Problems of pre-fab AFO (4) |
|
Definition
degrade quickly,
fit less than optimal,
greater cost over time,
minimal control over hindfoot for M/L stab |
|
|
Term
| When to consider metal AFO over plastic (6) |
|
Definition
compliance concerns,
ht/wt > 6'/230lb,
correctable varus/valgus,
adjustability,
diabetic,
edema |
|
|
Term
| Pt who benefits from dorsi assist |
|
Definition
| no active DF, but strong quads (to prevent knee buckling) |
|
|
Term
| Types of knee bracing (5) |
|
Definition
rehabilitative,
fxnl,
patellofemoral,
OA,
prophylactic |
|
|
Term
| OA knee often has additional deformity in another plane...what is it? |
|
Definition
|
|
Term
| Legg Calve Perthes - etiology |
|
Definition
malformation of acetabulum,
avascular necrosis of femoral head |
|
|
Term
| Pediatric braces for LCPD (3) |
|
Definition
Pavlik harness,
Scottish Rite orthosis,
Legg Calve Perthes splint |
|
|
Term
| Which direction/position is best for hip fx healing? |
|
Definition
|
|
Term
| Features of orthopedic shoes (2) |
|
Definition
|
|
Term
| Features of diabetic shoes (3) |
|
Definition
natural materials (breathable),
"seamless" inside,
diabetic insert |
|
|
Term
| Fitting strategy for AFO, KAFO, HKAFO, RGO (5) |
|
Definition
ID problem,
determine goals,
select rx plan,
eval for success,
reload |
|
|
Term
| Basic concepts for orthotics (3) |
|
Definition
3-point pressure,
counteract GRF,
any other input that impedes efficient gait |
|
|
Term
|
Definition
Maintain neutral ankle,
prevent malalignments/contractures,
provide stable BOS |
|
|
Term
| Primary goal of KAFOs (in addition to AFO goals) (2) |
|
Definition
exert control over knee,
prevent knee ligt laxity |
|
|
Term
|
Definition
conventional,
plastic,
hybrid |
|
|
Term
| Conventional AFOs - pros (3) |
|
Definition
strong,
adjustable,
few skin issues |
|
|
Term
| Conventional AFOs - cons (3) |
|
Definition
weighty,
lack of 3D control,
attached to shoe |
|
|
Term
|
Definition
total contact/3D control,
lightweight,
interchangeable shoes,
limitless features |
|
|
Term
|
Definition
skin irritation,
edema probs,
torques,
plastic fatigue |
|
|
Term
|
Definition
strength::weight ratio,
no torque,
3D control |
|
|
Term
|
Definition
not adjustable,
major failures |
|
|
Term
| Types of knee joints (KAFOs) (3) |
|
Definition
free motion
locking
stance phase control |
|
|
Term
Orthosis for Myelomeningocele:
@ L1-L3
@ L4-S1
@ S__ |
|
Definition
L1-L3: RGO
L4-S1: AFO
S__: SMO |
|
|
Term
|
Definition
| local, radiates toward knees; ST related |
|
|
Term
| Soft back bracing used for: |
|
Definition
|
|
Term
| Elastic wrap-around back brace used for: |
|
Definition
|
|
Term
| Goal of bracing in disc herniation |
|
Definition
| hyperextend area and/or incr intra-cavitary pressure |
|
|
Term
| Brace of choice for simple disc bulge/herniation |
|
Definition
|
|
Term
| Brace of choice for total disc rupture c nerve injury |
|
Definition
|
|
Term
| Goal of back bracing in compression fx (3) |
|
Definition
hyperext lumbar spine,
distract vertebrae (via incr intra-cavitary pressure)
restrict motion |
|
|
Term
| Common compression fx orthosis |
|
Definition
|
|
Term
| Goal of back bracing in post fx |
|
Definition
| neutral spine, restrict motion |
|
|
Term
| Goal of back bracing in spondy__ |
|
Definition
|
|
Term
| Braces of choice for spondy___ (3) |
|
Definition
chairback,
corset,
LSO/TLSO |
|
|
Term
| Brace for flexible kyphosis |
|
Definition
|
|
Term
| Examples of soft cervical braces (2) |
|
Definition
Miami J,
Philadelphia collar |
|
|
Term
| Examples of cervical immobilizers (2) |
|
Definition
|
|
Term
|
Definition
| 3 vert c combined curve of ≥10º |
|
|
Term
|
Definition
| measure of scoliotic curve; measures angle between highest and lowest affected vertebrae in curve |
|
|
Term
|
Definition
| method of determining skeletal maturity by observance of pelvic XR |
|
|
Term
|
Definition
birth defect,
neuromuscular,
idiopathic |
|
|
Term
|
Definition
structural (fixed, vertebral prob)
non-structural (spine deformed by leg length, mm spasm, inflamm) |
|
|
Term
Risser sign:
1 =
2 =
3 =
4 =
5 = |
|
Definition
1 = 25% ossification
2 = 50% ossification
3 = 75% ossification
4 = 100% ossification
5 = 100% ossification & apophysis has fused to iliac crest |
|
|
Term
| Lumbar scoliotic curve is predominantly L or R, and flexible or inflexible? |
|
Definition
|
|
Term
| Thoracolumbar scoliotic curve is long or short? |
|
Definition
|
|
Term
| Thoracic scoliotic curve is usually L or R? |
|
Definition
|
|
Term
| Basic concepts behind scoliosis orthoses (4) |
|
Definition
3 pt pressure,
low stress/long duration,
incr intracavitary pressure,
posture training |
|
|
Term
| Examples of scoliosis braces (3) |
|
Definition
Milwaukee,
Boston (below T7),
Charleston bending brace (nighttime) |
|
|
Term
| Theories of foot orthotic development (2) |
|
Definition
SJN - subtalar joint neutral (based on NCSP)
SALRE - subtalar axis location and rotation equilibrium (based on RCSP) |
|
|
Term
| Why pts need foot orthotics (6) |
|
Definition
biomechanical correction,
soft tissue stress,
pressure relief,
leg length,
neuromuscular realignment,
pelvic frontal plane alignment |
|
|
Term
|
Definition
apex of med malleolus,
navicular,
volar aspect of MTP 1
(assess in standing, then 30º knee flex) |
|
|
Term
| Neutral/resting hand position |
|
Definition
mid pron/sup,
12-20º wrist ext,
phalanges partially flexed,
thumb partial opposition |
|
|
Term
|
Definition
20-35º wrist ext,
thumb abd & opposition,
45-60º PIP flex |
|
|
Term
| Patient understanding of hand splinting (5) |
|
Definition
purpose,
independence,
safety,
what to expect/look for,
ability to request alterations |
|
|
Term
| Types of hand splints (3) |
|
Definition
static
static progressive
dynamic |
|
|
Term
| Purpose for static hand splints (7) |
|
Definition
position/maintain alignment
correct deformity
protect/support/immobilize for healing
relieve pain
base for attachments for eating/writing
inhibit tone
exercise |
|
|
Term
| Common types of static hand splints (3) |
|
Definition
resting splint (cock-up splint)
dorsal wrist splint
airplane splint |
|
|
Term
| Purpose for dynamic hand splints (3) |
|
Definition
assist motion
incr ROM
position/maintain alignment |
|
|
Term
| Hand splinting for ulnar n lesion |
|
Definition
|
|
Term
| Hand splinting for median n lesion |
|
Definition
spica splint
(nighttime: thumb abd splint) |
|
|
Term
| Hand splinting for radial n lesion |
|
Definition
|
|
Term
| Considerations for normal gait (2) |
|
Definition
segments always move in forward direction,
angular velocity of segments is not uniform throughout gait |
|
|
Term
|
Definition
|
|
Term
| Components of "the big V" at 50% gait cycle (3) |
|
Definition
max hip ext,
knee ext,
inclined shank & thigh |
|
|
Term
| Considerations for successful AFO tuning (4) |
|
Definition
AA AFO
HSD
SVA
footwear characteristics (e.g. stiffness of heel) |
|
|
Term
| Prime determinant of gait c AFO |
|
Definition
|
|
Term
| Contraindications for articulated AFO (4) |
|
Definition
midfoot instability,
No DF PROM c knee ext,
excessive DF in MSt & TSt,
excessive tone |
|
|
Term
| Articulated AFO helpful for ... (2) |
|
Definition
|
|
