Orthotics and prosthetics board Exam with || || || || || ||
accurate detailed answers || ||
What type of level arm are O&P based off of? - ✔✔1st Class Lever System
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How can you control knee flexion (ex: CP) with orthotics? - ✔✔Control tibia
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from going forward by controlling ankle.
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- 2 A->P forces @ below knee & ankle
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- 1 P-> force @ calf
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What is the mechanical goal of orthotic intervention? - ✔✔Apply forces of
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specific magnitude at specific points on a limb/trunk segment to achieve
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desired control ||
How many 3-point loading systems are needed for orthotics and what are 4-5-6
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point systems for? - ✔✔- ONE 3-point system
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- 4-5-6 point systems are used for rotation and translation
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How can you control genu recurvatum? - ✔✔- 2 A->P @ anterior thigh & LL
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- 1 P->A @ behind knee
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How do moment arms affect 1st class systems? - ✔✔Longer moment arms
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require less force. Moment arms act as an idea of where and how much
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pressure you want to put on that area. || || || || || || ||
, 2
What are some factors that can be modified to avoid tearing skin? - ✔✔1.
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Change levers ||
2. Change contact areas
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Levers and Contact Areas - ✔✔- Short levers + small contact areas = increases
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local skin pressures|| ||
- Short levers + large contact area & long levers + small contact areas = less
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increased local skin pressures || || ||
- Long levers + large contact areas = smaller local skin pressures
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What is a disadvantage of a long lever + large contact area? - ✔✔The bigger, the
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heavier!
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What is the disadvantage of the orthotic axis? - ✔✔Biomechanical motion from
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anatomical axes are mostly multiplanar - mechanical joints are not. So it's || || || || || || || || || || || ||
difficult to match any orthosis' mechanical axis with the normal dynamic
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anatomical axis. ||
Newton's 3rd law of motion? - ✔✔For every action there is an equal and
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opposite reaction ||
What are the double peaks in vertical GRFs (stance phase)? - ✔✔1st - heel
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strike (action of body momentum)
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2nd - push off (contraction of muscles)
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