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Flashcards in Miscellaneous Orthotics Deck (33)
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1
Q

Signs your device may be malaligned

A

Migration of device
Compression of tissue
Areas of redness or skin breakdown
Gapping of device

2
Q

What condition would indicate use of the Scottish Rite Hip Orthosis or the Petrie cast?

A

Legg-Calve Perthes Disease

3
Q

What position do the Scottish Rite hip orthosis and Petrie cast hold the legs in? Can you ambulate while wearing these?

A

flexion and 45 degrees of abduction

No ambulation

4
Q

Would you wear a hip dislocation orthosis while in bed?

A

Nope, out of bed only.

5
Q

What actions does the hip spica restrict?

A

Restricts abduction and extension

6
Q

Is prophylactic knee bracing effective?

A

Research inconclusive
Lack of evidence to support that it works, 2 studies actually found increased evidence of injury when prophylactic braces were used :(

7
Q

When would you wear a knee immobilizer?

A

Following surgery

8
Q

What happened when people wore braces following ACL reconstruction?

A

increased pain, decreased ROM!

Authors concluded bracing NOT necessary following ACL reconstruction

9
Q

What device applies a long term low load stretch?

A

Dynasplint

10
Q

What is the goal of the dynasplint?

A

Restore ROM

11
Q

Your patient doesn’t want to wear a knee brace for their medial knee OA. What orthotic alternative could you offer them?

A

Lateral wedge insole

12
Q

The hyperextension knee brace could also be called…

A

Swedish knee cage or Townsend Post-Polio

13
Q

L4 and L5 can effectively be controlled with what extension to a TLSO?

A

A unilateral thigh cuff

14
Q

Is bracing used after whiplash?

A

No! People who are braced have WORSE outcomes

15
Q

When a person has cervical instability and requires 2 people to transfer, what are the roles of each person?

A

Person 1- performs the transfer

Person 2- controls the head

16
Q

The Milwaukee brace is used for curves with apex above what level?

A

T6

17
Q

The Charleston brace is only effective for single curves with apex below what level?

A

T7

18
Q

What brace can be used for double curves and to control rotation?

A

Providence

19
Q

What type of knee brace would you order for a patient with knee flexion contractures that are gradually improving with stretching?

A

Dial lock

20
Q

What are contraindications for ordering a C brace for your patient?

A
moderate to severe spasticity
hip flexor strength below 3
fixed knee valgus >10*
fixed knee varus
less than 2* of dorsiflexion
heavier than 275 pounds
21
Q

Functional e-stim is most commonly used to stimulate what actions during gait training?

A

dorsiflexion and eversion

can also be used on quads/hamstrings

22
Q

Red marks from an orthosis should go away within how many minutes of doffing?

A

15 minutes

23
Q

What things do you examine after putting on an orthotic?

A
comfort and fit
stability
alignment
appearance
workmanship- sharp areas that could cause cuts
24
Q

How long would you wear an orthotic days 1 and 2?

A

30 mins in am and pm

25
Q

How long would you wear an orthotic days 3 and 4?

A

1 hour in am and pm

26
Q

How long would you wear an orthotic days 5 to 10? Days 11 to 14? After day 14?

A

2 hours in am and pm
all day with skin checks at meal times
full time wear, remove as needed for sleep or exercise

27
Q

Which bionic walking device is approved for home use?

A

Rewalk is approved for home use

28
Q

Which bionic is approved for injuries T8-0 or below in the rehab setting ONLY?

A

Ekso

29
Q

Hip orthotics should be aligned…

A

height: 1 inch superior apex of greater trochanter

AP: 1/2 inch anterior apex of greater trochanter

30
Q

Knee orthotics should be aligned…

A

height: 3/4 inch proximal tibial plateau (joint line) through femoral condyles

AP: half the diameter of the knee, not including patella

31
Q

Ankle orthotics should be aligned…

A

height: distal tip of medial malleolus

AP: if medial, center of the medial malleolus, if lateral, center of the lateral malleolus

32
Q

What indicates use of a CAM boot?

A
acute ankle sprain
stress fracture
post cast removal after fracture
severe tendonitis/ tendon injuries
post surgery
33
Q

Do ankle orthoses improve proprioception in older people with peripheral nephropathy?

A

Nope