P&O

Question 1

Spoke wheels

Answer 1

lighter, require more maintenance

Question 2

Mag wheels

Answer 2

heavier, more durable (more popular)

Question 3

Pneumatic tires

Answer 3

rubber with an inner air filled tube, smooth, cushioned ride, better for carpets, can be popped and go flat, need to be refilled with air

Question 4

solid rubber tires

Answer 4

less smothe, feel every bump, low maintenance

Question 5

Caster wheels

Answer 5

tiny wheels at front of wheelchair that allow for steering

smaller casters-easier to maneuver and turn WC, but will get caught on every pebble (caster wheel lead direction you go)

Question 6

If rear wheels are placed more anteriorly

Answer 6

easier to move chair, smaller turning radius, easier to do wheelies and go up curves, less stable

Question 7

if rear wheel placed more posteriorly

Answer 7

harder to maneuver, accelerate, and ascend inclines; more stable

Question 8

the amount of inward lean that the wheels have

Answer 8

camber angles

Question 9

handrim

Answer 9

metal wheel next to the tire that hand is supposed to grip…if hemiplegic you can install a handrim system to control both wheels using one arm

Question 10

wheelchair axle

Answer 10

position on the wheelchair where you wheels will sit, center of wheel being fixed to the chair….can be adjusted to move posterior/anterior

Question 11

wheel chair seat depth

Answer 11

distance from pop fossa straight to the butt minus 1/2 inch so pop fossa clear the seat and dont get compressed

Question 12

backrest height

Answer 12

below bottom corner of scapula (top/spine of scapula if power wheelchair)

Question 13

K level for kids

Answer 13

K-4

Question 14

Muenster socket advantage

Answer 14

alternative to the split socket for short transradial amputees…these sockets provide less elbow flexion when compared to the split sockets though require less force to operate…..moderate to light duty work….

Question 15

Things that cause knee flexion

Answer 15

increased ankle dorsiflexion, foot moved posteriorly compared to the socket, too hard heel cushion, and knee flexion contracture

Question 16

knee extension

Answer 16

increased plantar flexion, moving socket posterior in relation to the foot, too soft a heel cushion, quad weakness

Question 17

longer lever arms for amputation

Answer 17

poorer healing, not good muscle flap

Question 18

Milwaukee brace (cervico-thoracic-lumbro-sacral)

Answer 18

indicated for congenital scoliosis with curves 25-40 degrees and the curve is superior to T8 and puberty has not finished

Question 19

excessive knee flexion caused by

Answer 19

incr ankle dorsiflexion, foot posterior on socket, hard heel cushion, knee flexion contracture

Question 20

AFO for highest level tone

Answer 20

Rigid plastic AFO used for patients with highest level of tone/spasticity…full foot plate would be used for patient with spastic toes to move them into extension

A semi-rigid AFO will help with both instability and foot drop. Posterior leaf springs do not provide any support for mediolateral instability. Since the patient has a foot drop, they would not be able to take advantage of the hinge mechanism of the AFO allowing dorsiflexion. A rigid AFO is only used in the most severe cases of spasticity and typically no motion will occur.

Question 21

metal AFO

Answer 21

heavier, but better for patients with edema or other risks for skin breakdown

Question 22

knee brace to prevent recurvatum

knee brace to prevent axial rotation

Answer 22

Swedish Knee Cage

Lennox Hill Brace

Question 23

Orthosis for CMC joint arthritis

Answer 23

Opponens orthosis

Question 24

KAFO for

Answer 24

Quad weakness or absent knee proprioception

Question 25

Transtibial limb shape

transfemoral

Answer 25

cylindrical

Conical

Question 26

Preferred alignment of BKA prosthesis

Answer 26

preferred alignment is a knee flexion moment and varus foot alignment