Functional Training, Equipment, Devices, & Technologies Flashcards
(30 cards)
Proper cane fitting
Measure a point 6 inches to the side of the toes to the ulnar styloid or wrist crease to allow for 20-30º of elbow flexion
Axillary crutch fitting
- Crutches 6 inches in front a dn 2 inches lateral to the feet, axillary pads should sit two to three finger widths below the axilla.
- Handgrip height should be at the level of the ulnar styloid or wrist crease to allow for 20-30º of elbow flexion
Walker fitting
Hand grip height should be at the level of the ulnar styloid or wrist crease to allow for 20-30º of elbow flexion
Discuss the following type of AFO:
Hinged/articulating H/AAFO
Single axis of rotation, allows motion in sagittal plane while controlling motion in other planes
Discuss the following type of AFO:
Free Motion
Little or no resistance to PF or DF, helps maintain alignment and M/L stability
- e.g. posterior tibial tendon dysfunction, frontal plane instabilities of subtler, and/or talocrural joint
Discuss the following type of AFO:
Dorsiflexion assist
Dynamic DF assist, primarily for weak DF, limited resistance to PF. Assist toe clearance during swing phase and help control PF at initial contact (e.g. posterior leaf spring orthosis with narrow plastic posterior strut or lightweight carbon fiber off-the-shelf orthosis)
Discuss the following type of AFO:
Plantarflexion stop
blocks PF motion, allows free DF, for weak DF or tight PF, typically block PF at 90º
Discuss the following type of AFO:
DF stop
Blocks DF motion, allows free PF, for individuals with weak plantar flexors
Discuss the following type of AFO:
Static or solid ankle AFO
Provides maximum stability and control of the ankle, ankle positioned in a preferred alignment, assist swing clearance and prepositioning. Leather lacer is an example of a static AFO
Discuss the following type of AFO:
Ground reaction AFO
GRAFO; controls forward progression of the tibia, primarily for PF weakness, can influence the knee by decreasing extensor moment during stance, resists DF at the ankle
Discuss the following type of AFO:
Patellar tendon bearing AFO (PTBAFO)
Unloads the distal limb, primarily for PF weakness, anterior shell with weight-bearing capabilities, shelf transfers force to the medial tibial flare, patellar tendon bar-like prosthetic sock
Discuss the following type of AFO:
Charcot restraint orthotic walker (CROW) boot
Immobilizes and protects the foot and ankle; includes a rocker bottom and custom-molded insert; an alternative to total contact casting in individuals with diabetes mellitus; eliminates shear forces on the plantar surface
Discuss knee ankle foot orthoses
- Control motion at the ankle, knee, and foot
- Can be difficult to align and adds weight to the limb
Review the following knee orthoses
- Articulated KO
- Swedish Knee Cage
- Patellar stabilizing brace
- Neoprene sleeves
Review the following types of spinal orthoses:
- Lumbosacral orthoses
- Thoracolumbosacral orthosis (TLSO)
- Cervical orthosis (CO)
Wrist cock-up splint
anterior or palmar splint that contains forearm and metacarpals. May include phalanges as well if needed for positioning
- Used for pts w/ RA, fractures of carpal bones, Colles’ fracture, carpal tunnel syndrome, stroke with paralysis, etc.
Thumb Spica Splint
- Hand-based splint designed to immobilize the first CMC joint
- Thumb positioned in partial opposition and abduction with thumb IP joint left free for max function
- Hand-based –> CMC arthritis
- Forearm-based –> scaphoid fracture, scaphoid-lunate instability, de Quervain’s, etc.
Dorsal Wrist Splint
- Frees palm for feeling and grasping
- Allows attachment of dorsal devices (i.e. rubber bands) to form a dynamic device
- Used for flexor tendon repairs
Airplane Splint
- Positions the pt’s arm out to the side at 90º of ABD, with elbow flexed to 90º
- Weight of outstretched arm is borne on a padded lateral trunk bar and iliac crest band
- immobilizes shoulder following fracture of burn injury to prevent contracture of the axillary region
Tenodesis splint
- Assists in use of wrist extensors to approximate the thumb and forefingers (grip) in the absence of active finger flexion
- Facilitates tenodesis grasp in patients with quadriplegia
Finger splints
- Mallet finger: palmar DIP gutter splint to support distal phalange
- Boutonniere’s deformity: palmar PIP gutter splint to support middle phalange
- Swan neck deformity: ring splints over PIP joint to prevent PIP hyperextension
Review wheelchair measurements guidelines
Review wheelchair skills training
A patient with what level of SCI is likely to be independent with transfers on level surfaces using a transfer board?
C6 complete SCI
