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Flashcards in Practical 2 Deck (30)
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1
Q

Indications for DAFO?

A

Flexible pes planus, mild to moderate spastic diplegic or hemiplegic CP, Hypotonic CP

2
Q

Contraindications for a DAFO:

A

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

3
Q

What does a UCBL do?

A

Controls Mid foot and Hind foot (subtalar and tarsal joints)

4
Q

Indications for UCBL:

A

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

5
Q

Contraindications for UCBL:

A

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

6
Q

Indications for SMO or SMAFO:

A

Severe Pes Planus, Mild ankle instability, low (hypo) tone, Intermittent toe walkers, mild to moderate CP, tarsal coalition, post tib dysfunction

7
Q

Contraindications for SMO or SMAFO:

A

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

8
Q

Contraindications for total contact AFOs:

A

edema fluctuations, insensitivity, wounds, or scars near trim lines

9
Q

Bilateral Metal Upright (bars) AFO indications:

A
Foot drop, Post-Polio, Neuropathic feet
Poor knee control in sagittal plane
Ankle varus/valgus
Foot drop with uncontrolled edema
Poor skin below the knee
10
Q

Bilateral Metal Upright (bars) AFO Contraindications:

A

Patient’s concerns with bulk/weight

Limits shoe wear

11
Q

Free motion/articulated/hinge AFO indications:

A

Posterior tib tendon dysfunction

Subtalar or talar joint instabilities

12
Q

Free motion/articulated/hinge AFO Contraindications:

A

Weak Quads, Sagital plane ankle weakness

High impact sports

13
Q

Free motion/articulated/hinge AFO motion:

A

Allows sagittal plane motion free DF and PF

Limits coronal plane instabilities

14
Q

Action of Dorsiflexion assist AFO:

A

Assist in clearance of the toes while allowing for some PF
Variable DF Assist
Allows for controlled foot flat stance phase

15
Q

Indications for dorsiflexion assist AFO:

A

DF weakness

16
Q

Contraindications for Dorsiflexion assist AFO

A

Contraindicated in moderate to severe tone levels or in individuals with altered knee control

17
Q

Posterior Stops in AFO indications:

A

Structural collapse of the ankle foot, severe spacticity,

18
Q

Posterior Stops in AFO contraindications:

A

inadequate hip strength, absent quads, fluctuating edema, fixed/contracted spastic gastrocs

19
Q

SAFO=Solid Ankle Foot Orthosis=a non articulated AFO indications:

A

Ankle instability/weakness in more than one plane
Equino varus
Moderate-severe pes plano valgus
Mild-moderate genu recurvatum

20
Q

SAFO=Solid Ankle Foot Orthosis=a non articulated AFO contraindications:

A

edema

skin issues

21
Q

Indications for posterior leaf spring:

A

Mild –Moderate Foot drop (LMN flaccid paralysis of dorsiflexors) and knee hyperextension

22
Q

Contraindications for posterior leaf spring:

A

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

23
Q

Action of posterior leaf spring:

A

Limits plantar flexion to assist limb clearance in swing. Patient has to have adequate knee, hip, and ankle plantar flexor strength

24
Q

Indication for spiral AFO:

A

Ankle dorsiflexion weakness and/or plantar flexors ALONG with mild-moderate medial-lateral instability

25
Q

Contraindications for spiral AFO:

A

Inadequate hip strength, moderate to severe spasticity, severe medial lateral ankle instability, fluctuating edema

26
Q

Ground/Floor Reaction AFO indications:

A

crouched gait, Foot drop with knee instability, quadriceps weakness, MS, Spina Bifida patients

27
Q

Ground/Floor Reaction AFO contraindications:

A

Genu recurvatum, ACL, Severely ER Feet, patients that do not have adequate trunk control/balance or have flaccid/limited quad strength especially if used bilaterally

28
Q

KAFO indicated for:

A

knee, ankle, and foot instability
Post polio syndrome (PPS), genu recuvatum, weakness proximal to knee,
SCI, CVA, Spina Bifida
quads less than 3+/5

29
Q

Indications of stance control KAFO:

A

knee buckling flaccid paralysis of quads

30
Q

Contraindiacation of stance control KAFO:

A

contractures of knee/ankle, insufficient hip musculature, DF ROM