-
elbow flexion desired for canes and crutches
20-30 degrees
-
measuring crutches, in standing and supine
- standing: subtract 16 inches from pt's ht, or measure from 2 inches below axilla to a point 6 inches ant and 2 inches lat to foot
- supine: axilla to a point 6-8 inches lat to heel
-
blucher opening vs bal/balmoral opening
- blucher: the bamps open wide
- bal: the bamps are stitched down
- sooo, only blucher are suitable for orthotics
-
UCBL insert
- university of CA biomechanics laboratory insert
- semirigid plastic molded insert
- corrects for flexible pes planus
- (it gives longitudinal arch support, as do the scaphoid pad and thomas heel, which give support, prevent depression of subtalar jt, correct flexible pes planus or valgus)
-
rearfoot posting
- alters pos of subtalar jt/rearfoot from heel strike to foot flat
- varus post / medial wedge: limits calc eversion and tibial IR
- valgus post / lateral wedge: limits calc and subtalar inversion and sup
-
forefoot posting
- supports the forefoto
- medial wedge - for valgus
- lateral wedge - for varus
- (posts are contraind for the insensitive foot)
-
heel lifts / heel platforms
how high?
- up to 3/8 inch
- accomodates for LLD and decreased DF
-
bichannel adjustable ankle lock
- BiCAAL
- AFO where youcan insert bins to reduce motions or springs to assist motoin
-
solid AFO - allows what ankle motion?
none
-
modified afo
like a regular one but with more med/lat stability, reducing forefoot inversion and eversion
-
solid ankle AFO
- has widest posterior shell
- prevents DF, PF, inv, ev
-
spiral AFO
winds around teh calf providing limited control in all planes
-
tone reducing orthosis
- molded plastic AFO puts constant pressure on spastic or hypertonic muscles
- snug fit is essential
-
Patten bottom thigh band
- lifts teh whole foot providing 100% unweighting
- used with Legg-Calve-Perthes
- other leg will need a lift
-
craig-scott kafo
- commonly used for paraplegia
- cages the whole leg, w BiCAAL ankles set in slight DF, pretibial band, pawl knee licks w bail release, single thigh band
-
Oregon orthotic system
- KAFO
- allows triplanar control (sagital, frontal, transverse)
-
FES orthosis used with what populations
- paraplegia
- dropfoot
- scoliosis
-
swedish knee cage limits what
- hyperextension
- has bars above and below knee to encourage flex
-
Dennis Browne splint
- bar connecting 2 shoes
- for club foot / pes equinovarus in young children
-
frejka pillow -- does what?
- keeps hips in abd
- it's like a saddle tied to the groin
-
toronto hip abd orthosis - for what pop
legg-calve-perthes
-
chairback family of orthoses
- chairback: no lat uprights
- w uprights: knight
- goes up to inf angle of scap: Taylor
- Taylor w lat uprights: knight-Taylor
-
Jewett orthosis
what kind
limits what
for what
- TLSO
- limits flexion
- encourages hyperext / lordosis
- used for compression fracture of spine
-
minerva orthosis
- cervical
- righid
- provides max control of cervical motion but w/o screws
-
-
Boston orthosis
- TLSO
- but more cosmetic than Milwaukee, can be worn under clothesgood for mid thoracic or lower scoliosis curves under 40 degrees
-
resting / cock-up splint for hand
- puts hand in functional pos -- wrist is neutral or in 12-20 ext, fingers supported, slightly flexed
- for pts w RA, carpal fractures, Colles', CTS, stroke, etc
-
inadequate knee lock or a hip or knee flexion contraction can cuase what gait dev
ant trunk bending
-
inadequate hip lock, weak glut max, knee ankylosis can allcause what gait dev
post trunk bending
-
syme's amputatino
ankle disarticulation -- goes thru ankle jt, removing tib and fib malleoli
-
hemicorporectomy
amputation of both LE and plevis below L4-5
-
pressure tolerant areas on the transtivial amputation residual limb
- patellar tendon
- medial tibial plateau
- tib and fib shaftes
- distal end
-
pressure tolerant areas of the thypical transfemoral residual limb
- IT
- glutes
- lat sides of limb
- distal end (though distolateral oddly enough count as pressure sensitive)
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