Orthotics Exam 1
What health care professionals provide orthotic services to persons? - Answer-OTs, PT, COTAS, PTAs,
Certified orthotists, dentists,nurses
What are the three therapeutic approaches used in physical dysfunction? - Answer-Biomechanical,
sensorimotor, rehabilitative
How might the OTPF assist a therapist in orthotic provision? - Answer-influence of performance patterns
on occupation, contexts, activity demands, client factors
What are the six divisions of the ASHT orthosis classification system? - Answer-Identification of articular
or nonarticular, location, direction, purpose, type, total number of joints
For what purposes might an orthosis be used as part of an intervention plan? - Answer-may be chosen
to apply kinetic forces to the person's body to increase ROM, managing spasticity, recreate grasp and
maximize function in ADLs
What is evidence-based practice and how can it be applied to orthotic intervention? - Answer-applying
and using the best evidence in making decisions about the care of individuals clients. Formulating a clear
question based on a client's problem, searching the literature for pertinent research articles, critically
appraising the evidence for its validity and usefulness, and implementing useful findings to the client
case
What is the hierarchy of evidence? - Answer-1. Meta-analysis
2. RCT
3. Cohort Studies
,4. Case-Control Studeies
5. Case Series/Case Report
6. Editorials/Expert opinions
What is the definition of occupation-centered orthotic intervention? - Answer-overarching paradigm for
conducting occupational therapy assessment and intervention that promotes the ability of the individual
with hand dysfunction to engage in desired life tasks and occupations
What is occupational deprivation, and how is it impacted by occupation-centered orthotic intervention?
- Answer-occupational deprivation - state wherein clients are unable to engage in chosen meaningful life
occupations due to factors outside of their control. Evidence that orthoses of all types and all purposes
are indeed effective in reaching the goals of improved function
What are the reasons therapists provide orthoses to clients who have UE pathology? - Answer-promote
health, remediate dysfunction, substitute for loss function, and prevent disability. Improved
occupational performance-- improvement and enhancement
Why is it important for the client to be an active participant in the orthotic process? - Answer-learn
which occupations clients desire to complete during orthotic wear, which occupations orthoses can
support, and which occupations the orthoses will eventually help accomplish.
Why is attention to the context of the client integral to occupation-centered orthotic intervention? -
Answer-therapists should consider both input from the client and external conditions.
What could occur if concern for patient safety is not present when selecting orthoses for individuals with
acute conditions of the hand or UE? - Answer-will not adhere to protocols and knowledge of client
occupational status and desires.
Why should a therapist be knowledgeable about tissue healing and treatment protocols despite the fact
that such factors do not imply occupation-focused treatment? - Answer-health and wellness,
prevention, quality of life, well-being
, What are six characteristic of thermoplastics? - Answer--Memory
-Drapability
-Elasticity
-Bonding
-Self-finishing edges
Other considerations:
-heating time, working time, & shrinkage
What are six performance characteristics of thermoplastics? - Answer-conformability, flexibility,
durability, rigidity, perforations, finish, color and thickness
What steps are involved in making a pattern for an orthosis? - Answer--Therapist traces the outline of
the perons's hand on a paper towel (making sure hand is flat and in a neutral position)-The therapist
marks on the paper any anatomical landmarks needed for the pattern before the hand is removed-
Therapist then draws the pattern over the online of the hand, cuts out the pattern with scissors, and
completes final sizing
What equipment can be used to soften thermoplastic materials? - Answer-electric fry pan, orthotic pan,
hydrocollator filled with water, heat gun
How can a therapist prevent a tacky thermoplastic from sticking to the hair on a person's arms? -
Answer-stockinette or applying oil-based lotion
What are the purposes of using a heat gun? - Answer-used to make adjustments. softening small
focused areas for finishing touches.
Why should a therapist use bonding agent? - Answer-To secure the orthosis onto the person's extremity
What health care professionals provide orthotic services to persons? - Answer-OTs, PT, COTAS, PTAs,
Certified orthotists, dentists,nurses
What are the three therapeutic approaches used in physical dysfunction? - Answer-Biomechanical,
sensorimotor, rehabilitative
How might the OTPF assist a therapist in orthotic provision? - Answer-influence of performance patterns
on occupation, contexts, activity demands, client factors
What are the six divisions of the ASHT orthosis classification system? - Answer-Identification of articular
or nonarticular, location, direction, purpose, type, total number of joints
For what purposes might an orthosis be used as part of an intervention plan? - Answer-may be chosen
to apply kinetic forces to the person's body to increase ROM, managing spasticity, recreate grasp and
maximize function in ADLs
What is evidence-based practice and how can it be applied to orthotic intervention? - Answer-applying
and using the best evidence in making decisions about the care of individuals clients. Formulating a clear
question based on a client's problem, searching the literature for pertinent research articles, critically
appraising the evidence for its validity and usefulness, and implementing useful findings to the client
case
What is the hierarchy of evidence? - Answer-1. Meta-analysis
2. RCT
3. Cohort Studies
,4. Case-Control Studeies
5. Case Series/Case Report
6. Editorials/Expert opinions
What is the definition of occupation-centered orthotic intervention? - Answer-overarching paradigm for
conducting occupational therapy assessment and intervention that promotes the ability of the individual
with hand dysfunction to engage in desired life tasks and occupations
What is occupational deprivation, and how is it impacted by occupation-centered orthotic intervention?
- Answer-occupational deprivation - state wherein clients are unable to engage in chosen meaningful life
occupations due to factors outside of their control. Evidence that orthoses of all types and all purposes
are indeed effective in reaching the goals of improved function
What are the reasons therapists provide orthoses to clients who have UE pathology? - Answer-promote
health, remediate dysfunction, substitute for loss function, and prevent disability. Improved
occupational performance-- improvement and enhancement
Why is it important for the client to be an active participant in the orthotic process? - Answer-learn
which occupations clients desire to complete during orthotic wear, which occupations orthoses can
support, and which occupations the orthoses will eventually help accomplish.
Why is attention to the context of the client integral to occupation-centered orthotic intervention? -
Answer-therapists should consider both input from the client and external conditions.
What could occur if concern for patient safety is not present when selecting orthoses for individuals with
acute conditions of the hand or UE? - Answer-will not adhere to protocols and knowledge of client
occupational status and desires.
Why should a therapist be knowledgeable about tissue healing and treatment protocols despite the fact
that such factors do not imply occupation-focused treatment? - Answer-health and wellness,
prevention, quality of life, well-being
, What are six characteristic of thermoplastics? - Answer--Memory
-Drapability
-Elasticity
-Bonding
-Self-finishing edges
Other considerations:
-heating time, working time, & shrinkage
What are six performance characteristics of thermoplastics? - Answer-conformability, flexibility,
durability, rigidity, perforations, finish, color and thickness
What steps are involved in making a pattern for an orthosis? - Answer--Therapist traces the outline of
the perons's hand on a paper towel (making sure hand is flat and in a neutral position)-The therapist
marks on the paper any anatomical landmarks needed for the pattern before the hand is removed-
Therapist then draws the pattern over the online of the hand, cuts out the pattern with scissors, and
completes final sizing
What equipment can be used to soften thermoplastic materials? - Answer-electric fry pan, orthotic pan,
hydrocollator filled with water, heat gun
How can a therapist prevent a tacky thermoplastic from sticking to the hair on a person's arms? -
Answer-stockinette or applying oil-based lotion
What are the purposes of using a heat gun? - Answer-used to make adjustments. softening small
focused areas for finishing touches.
Why should a therapist use bonding agent? - Answer-To secure the orthosis onto the person's extremity
