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Flashcards in Orthotic Fitting And Devices Deck (44)
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1

Custom fit versus custom fabricated

Custom fit orthoses are off-the-shelf, custom fabricated orthoses are created from a custom mold of the patient.

2

Five things to know before walking into a patient room

- Patient name
- Referring physician
- prescription
- diagnosis
- Insurance information

3

Arches of the hand

- Proximal transverse arch (heel of palm, CMC joint)
- Distal transverse arch (MCP joint of palm, mobile)
- Longitudinal arch (dorsal arch of curved/cupped hand)

4

Mallet finger deformity

Flexion of DIP joint

5

Boutonnière deformity

Flexion of PIP joint

6

Swan – neck deformity

Extension of PIP joint, flexion of DIP

7

Cock-up orthosis

WHO for wrist fracture, carpal tunnel, and post-op

Stabilizes hand and wrist, with thumb loop

8

Resting hand splint

WHO for contracture management

Brace on palmar surface of hand and wrist, padding straps over dorsal surface. Support for longitudinal arch of hand.

9

Static Progressive WHO

For patients with severe flexion deformity of hand and wrist

“Handlebar” aspect and pump up to extend over time

10

Volar opening WHO

Dorsal hand brace so as not to impede on burns, incisions, or sensitivity on the underside (volar) surface of hand and wrist

11

Wrist-driven WHO

Adjustable to help patient pick up items, must have wrist extensor power

12

ROM elbow orthosis

Adjustable support for fractures, ROM flexible

13

Elbow de-contracture orthosis

3-point pressure over the elbow to pull into extension. Padded, with adjusted ROM. Can be static or dynamic.

14

Cubital tunnel orthosis

To relieve entrapment of the ulnar nerve. Usually worn while sleeping and used as a kinesthetic reminder. Posterior rigid support of elbow with three anterior straps

15

Humeral fracture orthosis

- short version

Rigid “pauldron” orthosis with chest strap to support a fracture in upper 2/3 of humerus.

- long version

Rigid 2-part brace for upper and lower arms, joined by adjustable bar. Supported by sling. For fracture of the lower humerus

16

Clavicle fracture orthosis

“Wing sling” to hold shoulders back to reduce pressure/pull force on clavicle. Arm sling may also be used.

17

Shoulder subluxation orthosis

“Hemi sling”

Used to decrease vertical (g) force on the shoulder girdle in patients with weak or injured arms

18

Shoulder abduction orthosis

Holds shoulder in slight abduction, decreases contracture and g force on shoulder

Side pillow and neck/waist strap, ball for hand

19

Airplane orthosis

Soft chest piece and pauldron that holds shoulder at large (almost horizontal) angle of abduction. Provides immobilization and/or controlled ROM

20

Shoulder abduction rotation orthosis

“Waving” position

Rigid side and arm piece that immobilizes arm for palsy or contracture prevention.

21

The hyoid bone is at what vertebral level?

C3

22

The sternal notch is at what vertebral level?

T1

23

The xiphoid process is at what vertebral level?

T10

24

The spine of the scapula is at what vertebral level?

T3

25

The inferior angle of the scapula is at what vertebral level?

T7

26

The belly button is at what vertebral level?

L2

27

The iliac crest is at what vertebral level?

L4

28

The ASIS is at what vertebral level?

S1/S2

29

Movement of the lumbar vertebrae

Flexion/extension
Lateral bending
Almost no rotation

30

True or false

The thoracic portion of the vertebrae is the most mobile.

False

The thoracic portion is the LEAST mobile because the ribs restrict movement