Indications/Contraindications for orthosis Flashcards Preview

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Flashcards in Indications/Contraindications for orthosis Deck (55)
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1

Actions of UCBL orthosis:

Stabilize subtalar and tarsal joints in stance

2

Indications of UCBL:

Rearfoot valgus/varus
Flexible pes planus
Pronation control, flexible pes planus, OA of the hindfoot, posterior tib dysfunction, tarsal coalition, rearfoot valgus/varus

3

Contraindications of UCBL:

Rigid foot deformity
Toe walker, mod-high tone, ankle arthritis (rigid foot deformities)

4

Actions of DAFO:

Stabilize subtalar and tarsal joints in stance

5

Indications of DAFO:

Flexible pes planus
Mild-mod spastic diplegia or hemiplegia CP
Hypotonic CP

6

Contraindications of DAFO:

Rigid foot deformity

7

Actions of supramalleloar (SMO):

Stabilize subtalar and tarsal joints in stance
Preposition foot for IC by heel

8

Indications of SMO:

Flexible pes planus
Mild-mod spastic diplegia or hemiplegic CP
Hypotonic CP
Severe Pes Planus, Mild ankle instability, low (hypo) tone, Intermittent toe walkers, mild to moderate CP, tarsal coalition, post tib dysfunction

9

Contraindications of SMO:

Significant equinovarus
hypertonicity
high tone (hypertonicity) , sagittal plane, weakness deformity, dominate toe walkers, equinovarus/valgus

10

Actions of Posterior Leaf Spring:

Assist limb clearance in swing
Preposition foot for IC by heel

11

Indications of posterior leaf spring:

DF weakness, impaired motor control, LMN flaccid paralysis of DF

12

Contraindications of posterior leaf spring:

Mod-severe hypertonicity
moderate to severe spasticity, coronal plane ankle instability, ankle dorsiflexion limitations/fused joint, severe knee instability

13

Action of carbon graphite AFO:

Assist limb clearance in swing
Preposition foot for IC by heel

14

Indications of carbon graphite AFO:

Paralysis or impaired muscle performance of DF

15

Contraindications of carbon graphite AFO:

Mod-severe hypertonicity

16

Action of neuro-orthoses:

Assist limb clearance in swing
Preposition foot for IC by heel

17

Indications of neuro-orthoses:

DF weakness or low tone

18

Contraindications of neuro-orthoses:

Flaccid paralysis
Pt intolerance of e-stim

19

Actions of articulating ankle:

Assist limb clearance in swing
Preposition foot for IC by heel
Permit advancement of tibia in stance

20

Indications of articulating ankle:

Impaired motor control of ankle muscles
Potential for recovery of neuromotor function

21

Contraindications of articulating ankle:

LMN paralysis (flaccidity) or hypotonicity as primary problem

22

Solid ankle AFO actions:

Control ankle position throughout stance
Provide stance phase stability via ankle-knee coupling
Assist limb clearance in swing
Preposition foot for IC by heel
Distal trim line behind metatarsal heads or extended toe-plate

23

Solid ankle AFO indications:

Significant hypertonicity with seriously impaired motor control at ankle and knee
Ankle instability/weakness in more than one plane
Equino varus
Moderate-severe pes plano valgus
Mild-moderate genu recurvatum

24

Solid ankle AFO contraindications:

LMN paralysis (flaccidity) or hypotonicity as primary problem
edema

25

Tone inhibiting AFO actions:

Control ankle position throughout
Provide stance phase stability via ankle-knee coupling
Typically extended toeplate

26

Tone inhibiting AFO indications:

Significant hypertonicity with seriously impaired motor control

27

Tone inhibiting AFO contraindications:

LMN paralysis (flaccidity) or hypotonicity as primary problem

28

Anterior floor reaction AFO actions:

Provide stability in stance via ankle-knee coupling
Control ankle position throughout stance

29

Anterior floor reaction AFO indications:

Weakness or impaired motor control at knee and ankle

30

Anterior floor reaction AFO contraindications:

Ligamentous insufficiency at the knee
Genu recurvatum