Case Study Part 2 Flashcards Preview

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Flashcards in Case Study Part 2 Deck (14)
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1

List what problems will definitely be addressed with a solid ankle thermoplastic AFO without a tibial strap (5 things)

1. Knee weakness
2. Ankle weakness
3. Stance phase stability
4. Toe clearance
5. Pre-positioning

2

What problems may be addressed with a solid ankle thermoplastic AFO without a tibial strap

1. Hip weakness
2. Crouch gait (but only mildly because he needs the tibial strap to really make a difference)

3

What gait deviations will be impaired with a solid ankle thermoplastic AFO without a tibial strap

Decreased ankle strategies
Decreased surface accommodations
Decreased push off

4

How are the rockers of gait being impacted with a solid ankle thermoplastic AFO without a tibial strap

Heel: absent
Ankle: decreased
Toe: normal

5

What planes of motions are being controlled with a solid ankle thermoplastic AFO without a tibial strap

Sagittal plane motions are controlling the TCJ and knee and ankle mod to max
Frontal plane motions are controlling the STJ and midtarsal joint maximally

6

List what problems will definitely be addressed with a carbon posterior shell AFO with a custom molded SMO (5 things)

1. Ankle weakness
2. Stance phase stability
3. Toe clearance
4. Pre positioning
5. Increased step length

7

What problems may be addressed with a carbon posterior shell AFO with a custom molded SMO

1. Knee weakness
2. Genu varus/valgus

8

What gait deviations will be impaired with a carbon posterior shell AFO with a custom molded SMO

Decreased accommodation to uneven surfaces
Decreased ankle strategies (carbon AFO)

9

How are the rockers of gait being impacted with a carbon posterior shell AFO with a custom molded SMO

Heel: decreased
Ankle: decreased
Toe: normal

10

What planes of motion are being controlled with a carbon posterior shell AFO with a custom molded SMO

Sagittal plane motion is being controlled moderately with the carbon posterior shell AFO
Frontal plane is being controlled maximally with the SMO

11

Why is a posterior leaf splint not appropriate for Griffin (4 reasons)

No frontal plane control because of the trim lines
Only minimal control over the TCJ in swing/toe clearance
Won't help in stance phase stability
Won't help genu recurvatum

12

Why is a carbon anterior shell/ground floor reaction AFO no appropriate for Griffin (4 reasons)

No frontal plane control and only minimal sagittal plane control
Will INCREASE genu recurvatum
Doesn't help with genu varus/valgus
Will make functional activities like walking uphill hard

13

Once Griffin is given an appropriate orthotic to help him with gait, what functional activities should be easier for him to accomplish

Running on uneven surfaces, walking uphill/up a ramp, jumping, kick a ball with the left foot

14

What are some therapeutic exercises to work on with Griffin once he get an appropriate orthotic

Strengthening of the LE, balance exercises, single leg stance, orthotic management