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Flashcards in Kim Written Study guide Deck (36)
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1
Q

What is the most common Plagio presentation?

A

Left Flattening

2
Q

What condition is gower’s sign associated with?

A

Duschenes muscular Dyst

3
Q

Legg Calve Perthes

A

Femoral head necrosis

4
Q

Spondylosis

A

Fx of the pars

5
Q

What do you do when your patient develops Charcot Foot symptoms?

A

Refer to MD. Look for redness, warmth, may have no pain, deformed foot

6
Q

Who do you bill when patient is in hospital?

A

the hospital not medicare

7
Q

How many CEUs does a practitioner need every 5 years?

A

CP/CO-75

CPO- 100

8
Q

How does someone with Guilian Barre recover if LE is affected?

A

Descending, (hips -> knees -> feet)

9
Q

When turning a conventional AFO into a dorsiflexion assist AFO, how would you set up double action ankle joint

A

Springs in the posterior channel will produce dorsiflexion assist in double action ankle joint

10
Q

A patient is seen in clinic with flaccid ankle plantarflexors and dorsiflexors. Choose appropriate double action joint configurations

A

pins in the anterior and posterior channels or springs in the posterior channels and pins in the anterior channels, both these configurations will provide anterior and posterior support for flaccid ankle plantarflexors and dorsiflexors

11
Q

The patient is seen in clinic with flaccid ankle plantarflexors and dorsiflexors. The patient also buckles at the knee during loading response/heel strike. You have choose to recommend a conventional with double action ankle joint. What would be the most appropriate configuration of the ankle joints

A

Springs in the posterior channels and pins in the anteriors channels. By having springs in the posterior channels and pins in anterior channels you will provide adequate anterior posterior support to the lower leg muscular imbalance but the posterior springs will allow controlled plantarflexsion during loading response whereby keeping the ground reaction forces anterior to the knee joint to decrease knee buckling

12
Q

Wheres the pressure:

If KAFO mechanical knee joint too proximal or too distal, when sitting?

A

too proximal- posterior thigh

too distal- anterior thigh

13
Q

Which muscle most closely duplicates the function of the anterior tibialis?

A

Extensor hallucis longus

14
Q

one action of the peroneus longus is to

A

plantarflex the first ray

15
Q

What muscle weakness causes Trendelenburg gait?

A

weak glut med

16
Q

At initial contact where is the GRF at ankle, knee, hip

A

Posterior to ankle

Anterior to knee, hip

17
Q

What is IRD presentation

A

the forefoot in a position of adduction, supination, and plantarflexion.
The calcaneus is sustained in a position of varus and dorsiflexion

18
Q

What is ERD presentation

A

the midtarsal joint is abducted, pronated, and dorsiflexed against the plantarflexed and everted hindfoot.

19
Q

Y-ligament

A

can be used in place of weak hip extensors for sagittal plane stability

20
Q

Which joint controls iv/ev?

A

subtalor

21
Q

Blount’s disease

A

tibial bowing/varus

KAFO at night

22
Q

The hip joint is ______ in relation to the greater trochantor

A

proximal/superior

23
Q

When treating a hip dislocation what do you first need to know

A

the direction of the dislocation

24
Q

When the tibial nerve is affected, what gait dev should you expect?

A

dec step length on contralateral side

25
Q

what AFO mod should you have when the PFs are weak?

A

DF stop

26
Q

What nerve is the tibialis posterior innervated by?

A

Tibial

27
Q

What is constitutes a full gait cycle?

A

heel strike to heel strike on same side

28
Q

To relieve pressure on a hyperext TLSO what should you do?

A

Change the sternal pad to pectoral pads

29
Q

Halo Anterior Pin Placement

A

Just superior to the first 1/3 of eyebrow

30
Q

A patient is seen in clinic. She presents with severe chronic bilateral posterior tibialis tendon dysfunction “PTTD”. She has worn custom UCBL’s in the past but they were ineffective. What would be the most appropriate recommendation given her presentation and past

A

A articulated AFO. Given that UCBL’s were ineffective, articulated AFO’s would be appropriate as they grasp the lower legs and can help to modify internal tibial rotation. By decreasing internal tibial rotation, pronation will decrease whereby decreasing the work load of tibialis posterior muscle

31
Q

Patient that is 4 wks post up Ankl Fx, what brace do you provide?

A

PTB AFO to off load ankle

32
Q

Swan Neck vs Mallet Finger

A

Swan neck- DIP/PIP affected

Mallet- DIP affected

33
Q

What are the characteristics of the congenital abnormality in infants called torticollis

A

Contracture of the sternocleidomastoid, ipsilateral head tilt, and contralateral head rotation.

34
Q

aponuerosis

A

flat tendon

35
Q

how do you account for tibial torsion in a conventional AFO

A

deflect side bars

36
Q

What is not a business associate under HIPAA regulations>

A

courier