Final Exam Flashcards by Justine Payne

Stirrups (air casts) limit — motion

Triplanar motion

How well did you know this?

Not at all

Perfectly

Is there clear evidence for cushioning insoles reducing LE injury?

No clear evidence - insoles most likely do NOT prevent LE injury

How well did you know this?

Not at all

Perfectly

Articulated AO (ie active ankle) allows for what motions?

ALLOWS for PF/DF

How well did you know this?

Not at all

Perfectly

Flexion/ext occurs in the — plane

Sagittal

How well did you know this?

Not at all

Perfectly

Abduction/ADduction occurs in the — plane

Frontal plane

How well did you know this?

Not at all

Perfectly

IR/ER occurs in the — plane

Transverse

How well did you know this?

Not at all

Perfectly

Lace ups (ie swede-o) resist — plane translation

Sagital

How well did you know this?

Not at all

Perfectly

What AO for ankle sprains is best for basketball to prevent sprains

Articulated (ie active ankle) because allows for PF/DF

How well did you know this?

Not at all

Perfectly

Do AOs have an effect on proprioception?

How well did you know this?

Not at all

Perfectly

What AO allows for the greatest torque and ROM?

Articulated ankle

How well did you know this?

Not at all

Perfectly

How much does a semi rigid AO limit ROM?

Semi rigid - limits 27-42%

How well did you know this?

Not at all

Perfectly

What is the best way to prevent an ankle sprain?

Combine neuromuscular training with bracing (brace while training) but its very time consuming

How well did you know this?

Not at all

Perfectly

For fx and acute ankle injuries use a

CAM walker

How well did you know this?

Not at all

Perfectly

If you have plantar fasciitis, which is better for pain reduction - boot or foot orthoses?

Foot orthoses

How well did you know this?

Not at all

Perfectly

Dynasplints are used instead of a — to —

Used instead of casting to increase ROM

How well did you know this?

Not at all

Perfectly

What is the difference between an MCL/LCL brace and ACL/PCL brace?

MCL only has lateral uprights – no front piece

How well did you know this?

Not at all

Perfectly

After ACL injury/surgery, a functional KO works to decrease what motions ?

Decr anterior translation and frontal-transverse plane motion

How well did you know this?

Not at all

Perfectly

Does a functional KO prevent injury to unstable knees ?

Unclear evidence; ACL braces help prevent further ACL injuries but there are more MCL tears

How well did you know this?

Not at all

Perfectly

The muscle activity that takes place when you’re wearing a functional AO after an ACL injury is..

Quads more v hamstrings

How well did you know this?

Not at all

Perfectly

Does a functional KO improve ACL rehab outcomes?

No change in ROM, laxity, strength and function

How well did you know this?

Not at all

Perfectly

What should be used for patella alignment ?

Clinical outcomes are controversial – either Palumbo (pads, straps to normalize patellar tracking) or McConnell taping technique could work

How well did you know this?

Not at all

Perfectly

What type of wedge is used for medial knee OA?

Lateral wedge will unweight the medial side of the knee

Are straps beneficial to reduce tendinitis pain ?

No clear change in pain or strength

After a hemi-arthroplasty REVISION, what is the death rate ?

65% died in 6 months (because usually an emergency situation so incr risk)

Loosening up of a THR occurs how often?

Loosening in up to 40% in 10 years

Rehab HO inhibits hip dislocation by fixing --

Fixed abduction position and fixed rotation, adjustable Sagital plane motion

Pavlik Harness is a congenital hip dislocation - to solve, positions hip in..

Hip flexion and abduction (up to 97% successful in 1-4 weeks)

If there is major trauma to the neck, what do you do?

Do NOT MOVE THEM ; do not use soft collars (try don't limit ROM)

After a spinal fx, you can use int or ext fixator. Use orthoses for extra support after fusion/int fixator for --- weeks.

6-10

After a spinal fx, you can use int or ext fixator. An ext fixator limits -- motions and gives poor control of --- .

Limits F E SB & ROT; BUT poor control of lumbar rotation

Compression of an external fixator provides --- support -- for ----

Vertical support for lumbar spine

Do orthoses for spinal fx work for pain relief ?

Controversial -- may result in resisted motion, and excessive motion occurs around it (DOES NOT PREVENT INJURY)

How much motion does a halo limit?

90% of all ROM

Jewett Brace (which has sternal & pubic band, stiff thoracic pad, uprights) limits..

FLEXION from T6-L1 & prevents sidebending

the Cruciform or CASH brace, which consists of sternal & pubic pads, CROSS FRAME, thoracic strap, LIMITS...

flexion from T6-L1

a semirigid plastic TLSO (body jacket) limits..

TRIPLANAR motion from T7-L5

Knight-Spinal components LSO is used -- and limits motion WHERE?

AFTER a FX; from T10-L4

a CHAIR BACK BRACE is used ...

after a stable OR unstable L2-L4 fx

Lumbar corsets are used for -- | -- are they recommended as an intervention for LBP?

stable fxs ONLY | --NOT used as a SOLE intervention, but do correlate with a decrease in LBP

when using an orthotic, esp in the spine, what typically happens to teh surrounding segments (that aren't included in the orthotic)?

Instability is increased above & below the stabilized segment

what should you use for a pt with an L5 fx (after an L5-S1 fusion to fix it)

- -DO NOT just use an LSO because that will INCREASE L5-S1 motion - -USE an LSO with a hip spica because it LIMITS L5-S1 motion; but it SEVERELY limits fxnl mvmt & alters seated posture

What spinal segments generally do not require brace?

T2-T9 (generally supported by rib cage so fairly stable environment)

what does an SI belt do (function?)?

gives COMPRESSION around the SI & pubic joints -reduces tensile stress -approximates joints ALSO REDUCES SI MOBILITY (sacral nutation) - improves glut activity

Sacral belts are NOT recommended for . (2)

1) positional fault | 2) HYPOmobile joints

what patients typically experience relief from using an SI belt?

1) bilat hypermobile jts | 2) pregnant women

SHOULD orthoses be used for idiopathic scoliosis?

CONTROVERSIAL -- there are strong advocates against and for early bracing; it MAY prevent the progression of deformity but does not correct deformity already in place

Ankle DF at heel off greatest w which AFO?

HAFO>PLO>AFO

Craig Scott KAFO can be used W ..

Low- mid or high T paraplegia | - incl bail lock, offset knee, ankle locked at 5-10 deg DF & ext knee

to allow for gait in pts w SCI, SB at levels up to T3.. (ESP T3-T12), use..

RGO BUT energy cost 8x more than normal and gait speed 10x slower so compliance is low

Median nerve palsy use

Web spacer/short opponents

Ulnar nerve palsy use..

MP ext block (lumbricals!!)

Radial nerve palsy use..

Wrist cock up to maintain wrist ext and forearm based dorsal outrigger

In C1-C4 tetrapalegia use

Long opponens

L3-S2 parapalegica use

AFOs