ClinKinesUnit3

braces

splints

casts

shoe inserts

• 1.rest
• 2. immobilization
• 3. joint protection
• 4. control
• 5. assisting movement
• 6. providing feedback
• 7. correction

substitute for the lack of intrisic joint stability normally achieved by bones, muscles, ligaments

control and assist movement

• orthotics have increased pressure at points of force application
• greater concern for patients with sensory or cognitive deficits

Large

decreases

sum of forces and sum of bending moments = zero

T

farther

greater

smaller

1. performs desired function

2. improves QOL

3. comfortable during use

4. meets patients needs and goals

True

• 1. transfer WB to pressure tolerant areas
• 2. minimize contact with pressure sensitive areas in shoe
• 3. correct alignment of flexible segment
• 4. accomodate for a fixed deformity

seen in peds patients

address sagittal plane problems and facilitate foot clearance in swing

in patients who need total immobilization of ankle-foot complex to be stable

helps with PF, inversion, eversion, DF control--faciliated knee extension in stance

• foot drop in swing
• hyperextension of knee if in slight DF
• hyperflexion of knee if in slight PF

during loading response PLS substitutes for eccentric contraction of pretibials providing controlled lowering of foot

once limb is unweighted for swing PLS holds ankle at 90d for clearance and position

assists DF in swing and smooth initial contact to loading response

bad things: heavier, less cosmetic, inability to change shoes

used in early stages of CVA

• knee
• KAFO
• spinal
• UE splinting
• casting

plastic cleaned with mild soap not antibacterial

rinse with cold water

air dry

check skin

keep out of extreme temperatures