Orthotics

Question 1

CP indications for orthotics

Answer 1

clinical judgement and experience

Question 2

spina bifida indications for orthotics

Answer 2

• over brace
• brace early
• prevent skeletal deforms

Question 3

5 benefits of orthotics

Answer 3

• improve stability in stance
• assist during swing
• eliminate unwanted motion
• improve BOS
• corrective forces

Question 4

what are some considerations when making a decision about administering an orthotic

Answer 4

• is condition stable or is pt improving?
• hypertonicity and contracture risk

Question 5

UC Biomechanical lab (UCBL) orthotic purpose

Answer 5

used for mild pronation, low tone

Question 6

what support does UC Biomechanical lab (UCBL) orthotic provide? what dx for?

Answer 6

calcaneal support

juvenile idiopathic arthritis

Question 7

supramalleolar orthotic (SMO) indications

Answer 7

**mod to severe pronation or lig lax
- poor alignment of subtalar jt

Question 8

what dx is supramalleolar orthotic (SMO) used for (5)

Answer 8

• DS
• juvenile arthritis
• develop delay
• mild CP
• spina bifida

Question 9

what motion does supramalleolar orthotic (SMO) allow

Answer 9

full active DF and PF
-controls mid and rearft

Question 10

supramalleolar orthotic (SMO) contraindication

Answer 10

fixed contractures (ex. equinus)

Question 11

indications for solid AFO (4)

Answer 11

• short term stab
• functional or spastic equinus
• inadequate toe or ankle clear.
• spina bifida L4-S1 with wk gastroc and/or knee instab

Question 12

contraindication for solid AFO

Answer 12

equinus contractures

Question 13

3 considerations when selecting a solid AFO

Answer 13

• more ankle stab needed
• not for active amb child
• increase stride length or decrease cadence

Question 14

what does a leaf spring AFO do

Answer 14

• limits resisted PF
• springs with loading during DF

Question 15

2 improvements with leaf spring AFO

Answer 15

increase knee ext and drop ft

Question 16

what does hinged AFO do

Answer 16

allows DF but limits PF to 5-20 degrees

Question 17

4 indications for hinged AFO

Answer 17

• DF at IC limited or absent
• limited PF power
• hemiplegia: dynamic equinus and excessive knee hyperext
• STS too long

Question 18

2 dx indications for hinged AFO

Answer 18

• hemiplegia
• peripheral neuropathy

Question 19

3 contraindications for hinged AFO

Answer 19

• fixed equinus
• crouch deformity
• severe fxnal equinus

Question 20

what dx is reciprocating gait orthosis used for

Answer 20

spina bifida

Question 21

what does reciprocating gait orthosis do

Answer 21

facilitates hip ext and swing phase

Question 22

what does anterior floor rxn/ground rxn orthosis do

Answer 22

• decrease knee flexion
• prohibits pro and DF (set 5 degrees)

Question 23

what dx is ant floor rxn/ground rxn orthosis used for

Answer 23

spastic diplegia with **crouch gait

Question 24

3 contraindications of ant floor rxn/ground rxn orthosis

Answer 24

• strong equinus
• genu recurvatum (hyperext knee)
• HS contracture

Question 25

what dx is KAFO for

Answer 25

L3-4 spina bifida