LE orthotics - presentation take home points Flashcards
(34 cards)
what do RGOs assist with?
- walking in individuals with lower limb weakness or paralysis
- promotes natural and energy efficient reciprocal gait pattern
indications for use of RGO:
- SCI, neurological conditions
- minimal knee contractures, flexible hips
- neutral feet
benefits of RGO use:
overall mobility
respiratory and urinary function
prevents contractures
social interaction
improved QOL
purposes of off-loading orthoses for knee osteoarthritis:
- pain relief
- load redistribution
- joint realignment
types of braces for off-loading orthoses for knee OA:
- rigid off-loader knee brace
- soft unloader
- combined functionality knee brace
clinically, why do we use off loading orthoses for knee OA?
enhance function
delay or avoid surgery
improve overall function
what is the gold standard for treating diabetic ulcers?
total contact cast
diabetic footwear should use:
external shoe modifications in combination with rocker shoe or in-depth shoe
what are shoe inserts and in-depth shoes best for?
redistributing plantar pressure across the foot to prevent ulcers and correct/prevent deformities
what is the gold standard for infants with DDH (developmental dysplasia of hip)?
dynamic splints
a pavlik harness is more successful to children who are _____
under 6 months of age
Pavlik harness is a good device for _____ but has a risk of developing ____
DDH
AVN
what device has better results than pavlik harness with no complications to treat DDH?
Von Rosen device
bracing after ACL reconstruction ___(does/does not) provide physical advantages, however, can provide psychological sense of security
does not
the use of ACL bracing should be specific to _____
the patient’s needs/desired activities –> may not need a brace
what are comparative interventions for ACL bracing:
KT tape
brace free
bracing for chronic ankle instability should be used in conjunction with _____
other interventions
true or false. bracing for chronic ankle instability do more than just provide support
true
bracing for chronic ankle instability should be ____ to the patient’s needs
individualized
what is FES?
application of electrical current through a small, external device in conjunction with a functional task to restore muscle function
what impairments do you commonly use FES for MS with?
foot drop
weakened grasp
decreased CV endurance
what muscles do you apply FES to to improve the following impairment:
– foot drop
– grasp
– endurance (to cycle)
– peroneus longus, anterior tib
– flexor digitorum profundus, flexor pollicis longus/brevis, opponens pollicis
– glutes, quads, hamstrings, anterior tib, gastroc
what are some benefits associated with FES for patients with MS?
performing ADLs
slowed muscle atrophy
improved cognitive processing
improved QOL
clinically, what patients use powered lower limb orthoses?
paraplegic patients
T8 & below SCI
higher level injuries
strokes
