ORTHOTICS VS. PROSTHETICS
- what is the general rule of thumb for orthotics?
Give this one a try later!
- LESS IS BETTER
○ Most people who need orthotics are already weak, we don’t want to
keep adding weight, won’t be able to move at all
ORTHOTICS VS. PROSTHETICS
- mismatch of joint axes
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o Difficult to match any orthosis mechanical axis with the normal dynamic
multiplanar anatomical axis.
o Some deformation of joint reactive forces.
o Increases in frictional/shear skin irritation
, o Increases in pitoning within the orthotic device.
o Polycentric knee axis is an example.
EQUIPMENT PRESCRIPTION AND INTERDISCIPLINARY CARE
- dynamic deformities
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● Result from over- activity of muscle tendon groups but when at rest are
passively correctable. Can help improve.
● Can also develop in adjacent joints in response to coupling effects of
deformities above or below
ORTHOTICS VS. PROSTHETICS
- what are additional considerations in orthotics?
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- 1. Sensitivity of skin and underlying tissues- limitation of force magnitudes
and directions.
- 2. Ventilation: perspiration/Heat. Skin maceration. Hygiene (ease of
cleaning)
- 3. Device weight mass/distribution.
ORTHOTIC TYPES
- 3 Rockers of Gait: Which rocker is this?
- _____ ____ of gait, the tibia is brought " up and over " the talus, rotating around the
ankle joint. The intrinsic muscles of the foot and tibialis posterior fire* to maintain a
medial longitudinal arch.
(C) The terminal portion of the _____ _____ signals the powerful triceps surae to fire.*
, Give this one a try later!
- second rocker
EQUIPMENT PRESCRIPTION AND INTERDISCIPLINARY CARE
- list the ethical standards
Give this one a try later!
- Code of Ethics for the Physical Therapist
○ https://www.wcpt.org/policy/ps-ethical-responsibilities
- Roles of PT
○ Management of clients, consultation, education, research and
administration
- Core Values
○ Compassion, Integrity, Altruism, Professional Duty, Excellence,
Accountability, Social Responsibility
- Realms of ethical action
○ Individual, organizational, societal
ORTHOTICS VS. PROSTHETICS
- metal
Give this one a try later!
o More easily adjusted
• ROM
• Edema
o Heavier
- what is the general rule of thumb for orthotics?
Give this one a try later!
- LESS IS BETTER
○ Most people who need orthotics are already weak, we don’t want to
keep adding weight, won’t be able to move at all
ORTHOTICS VS. PROSTHETICS
- mismatch of joint axes
Give this one a try later!
o Difficult to match any orthosis mechanical axis with the normal dynamic
multiplanar anatomical axis.
o Some deformation of joint reactive forces.
o Increases in frictional/shear skin irritation
, o Increases in pitoning within the orthotic device.
o Polycentric knee axis is an example.
EQUIPMENT PRESCRIPTION AND INTERDISCIPLINARY CARE
- dynamic deformities
Give this one a try later!
● Result from over- activity of muscle tendon groups but when at rest are
passively correctable. Can help improve.
● Can also develop in adjacent joints in response to coupling effects of
deformities above or below
ORTHOTICS VS. PROSTHETICS
- what are additional considerations in orthotics?
Give this one a try later!
- 1. Sensitivity of skin and underlying tissues- limitation of force magnitudes
and directions.
- 2. Ventilation: perspiration/Heat. Skin maceration. Hygiene (ease of
cleaning)
- 3. Device weight mass/distribution.
ORTHOTIC TYPES
- 3 Rockers of Gait: Which rocker is this?
- _____ ____ of gait, the tibia is brought " up and over " the talus, rotating around the
ankle joint. The intrinsic muscles of the foot and tibialis posterior fire* to maintain a
medial longitudinal arch.
(C) The terminal portion of the _____ _____ signals the powerful triceps surae to fire.*
, Give this one a try later!
- second rocker
EQUIPMENT PRESCRIPTION AND INTERDISCIPLINARY CARE
- list the ethical standards
Give this one a try later!
- Code of Ethics for the Physical Therapist
○ https://www.wcpt.org/policy/ps-ethical-responsibilities
- Roles of PT
○ Management of clients, consultation, education, research and
administration
- Core Values
○ Compassion, Integrity, Altruism, Professional Duty, Excellence,
Accountability, Social Responsibility
- Realms of ethical action
○ Individual, organizational, societal
ORTHOTICS VS. PROSTHETICS
- metal
Give this one a try later!
o More easily adjusted
• ROM
• Edema
o Heavier