2
Orthotics test Exam with verified detailed solutions || || || || || ||
two reasons for orthotics - ✔✔1. stabilize: only block one motion
|| || || || || || || || || ||
2. immobilize: no movement
|| || ||
purposes for orthotics - ✔✔-prevent or correct deformity
|| || || || || || ||
-protect against injury || ||
-promote healing ||
-assist function ||
how are orthotics an art and a science - ✔✔-art: therapist creativity, skill in
|| || || || || || || || || || || || || ||
design, fabrication ||
-science: knowledge of anatomy, histology, physiology, joint and tissue
|| || || || || || || || ||
biomechanics, pathology, wound healing || || ||
dangers of undermining science - ✔✔-overstress tissues and promote
|| || || || || || || || ||
inflammation or injury || ||
-opposite undesirable effect: under stress, causes atrophy or contractures
|| || || || || || || ||
low temperature thermoploastics (LTT) - ✔✔-rubber or plastic materials
|| || || || || || || ||
-sheets range in thickness from 1/8 to 1/16
|| || || || || || ||
-heating temp between 135-180 degrees F
|| || || || ||
-how long material remains pliable refers to their working time
|| || || || || || || || ||
,2
three forms of orthoses - ✔✔1. custom fabricated: start with flat piece of
|| || || || || || || || || || || || ||
material to a splint || || ||
2. Pre-cut/pre-formed: already made to the shape of the limb or already made
|| || || || || || || || || || || || ||
and then you trim it down
|| || || || ||
3. pre-fabricated: no work done to it
|| || || || || ||
orthoses vs. splint - ✔✔1. orthosis: less common term, but makes more sense
|| || || || || || || || || || || ||
2. splint:
||
-used in most rehab literature
|| || || ||
-infers immobilization ||
-limits the scope of its abilities
|| || || || ||
objectives of orthotic intervention: protective - ✔✔-immobilize
|| || || || || ||
-restrict motion (only allowing certain degrees or certain movement)
|| || || || || || || ||
-promote optimal joint alignment || || ||
-stabilize
-protect vulnerable or healing structures
|| || || ||
-exert traction on a joint
|| || || ||
-move joint through desired controlled arc
|| || || || ||
(ex: cut flexor tendom can be broken by actively flexing or pushing into
|| || || || || || || || || || || || ||
extension, so you use dorsal blocking splint for active extension and rubber
|| || || || || || || || || || || ||
bands flex) ||
, 2
objectives of orthotic intervention: corrective - ✔✔contractures (put them in a
|| || || || || || || || || || ||
stretch to allow movement) or subluxed joints
|| || || || || ||
objectives of orthotic intervention: assistive - ✔✔-assist movement of joints
|| || || || || || || || || ||
during functional activities when weak or paralyzed muscles exists
|| || || || || || || ||
-reduce muscle tone or spasm to promote joint stability
|| || || || || || || ||
(outside rig) ||
orthotic design categories - ✔✔-static splint: holding joint in one position
|| || || || || || || || || ||
-serial static: only in one position but remolding it as they gain motion
|| || || || || || || || || || || ||
-dynamic: if it has a rubber band; allows for movement
|| || || || || || || || ||
-static progressive: it is static but patient has ability to reattach it and progress it
|| || || || || || || || || || || || || ||
dense CT: what's included? - ✔✔-tendons
|| || || || ||
-ligaments
-joint capsules
||
-dermis
(anything other than bone) || || ||
dense CT characteristics of fibers - ✔✔-composed primarily of collagen fibers
|| || || || || || || || || ||
-small amounts of elastic fibers
|| || || ||
-***fibroblasts synthesize both types of fibers || || || || ||
-orientation of fibers is tension dependent || || || || ||
-habitual stress affects the orientation
|| || || ||
Orthotics test Exam with verified detailed solutions || || || || || ||
two reasons for orthotics - ✔✔1. stabilize: only block one motion
|| || || || || || || || || ||
2. immobilize: no movement
|| || ||
purposes for orthotics - ✔✔-prevent or correct deformity
|| || || || || || ||
-protect against injury || ||
-promote healing ||
-assist function ||
how are orthotics an art and a science - ✔✔-art: therapist creativity, skill in
|| || || || || || || || || || || || || ||
design, fabrication ||
-science: knowledge of anatomy, histology, physiology, joint and tissue
|| || || || || || || || ||
biomechanics, pathology, wound healing || || ||
dangers of undermining science - ✔✔-overstress tissues and promote
|| || || || || || || || ||
inflammation or injury || ||
-opposite undesirable effect: under stress, causes atrophy or contractures
|| || || || || || || ||
low temperature thermoploastics (LTT) - ✔✔-rubber or plastic materials
|| || || || || || || ||
-sheets range in thickness from 1/8 to 1/16
|| || || || || || ||
-heating temp between 135-180 degrees F
|| || || || ||
-how long material remains pliable refers to their working time
|| || || || || || || || ||
,2
three forms of orthoses - ✔✔1. custom fabricated: start with flat piece of
|| || || || || || || || || || || || ||
material to a splint || || ||
2. Pre-cut/pre-formed: already made to the shape of the limb or already made
|| || || || || || || || || || || || ||
and then you trim it down
|| || || || ||
3. pre-fabricated: no work done to it
|| || || || || ||
orthoses vs. splint - ✔✔1. orthosis: less common term, but makes more sense
|| || || || || || || || || || || ||
2. splint:
||
-used in most rehab literature
|| || || ||
-infers immobilization ||
-limits the scope of its abilities
|| || || || ||
objectives of orthotic intervention: protective - ✔✔-immobilize
|| || || || || ||
-restrict motion (only allowing certain degrees or certain movement)
|| || || || || || || ||
-promote optimal joint alignment || || ||
-stabilize
-protect vulnerable or healing structures
|| || || ||
-exert traction on a joint
|| || || ||
-move joint through desired controlled arc
|| || || || ||
(ex: cut flexor tendom can be broken by actively flexing or pushing into
|| || || || || || || || || || || || ||
extension, so you use dorsal blocking splint for active extension and rubber
|| || || || || || || || || || || ||
bands flex) ||
, 2
objectives of orthotic intervention: corrective - ✔✔contractures (put them in a
|| || || || || || || || || || ||
stretch to allow movement) or subluxed joints
|| || || || || ||
objectives of orthotic intervention: assistive - ✔✔-assist movement of joints
|| || || || || || || || || ||
during functional activities when weak or paralyzed muscles exists
|| || || || || || || ||
-reduce muscle tone or spasm to promote joint stability
|| || || || || || || ||
(outside rig) ||
orthotic design categories - ✔✔-static splint: holding joint in one position
|| || || || || || || || || ||
-serial static: only in one position but remolding it as they gain motion
|| || || || || || || || || || || ||
-dynamic: if it has a rubber band; allows for movement
|| || || || || || || || ||
-static progressive: it is static but patient has ability to reattach it and progress it
|| || || || || || || || || || || || || ||
dense CT: what's included? - ✔✔-tendons
|| || || || ||
-ligaments
-joint capsules
||
-dermis
(anything other than bone) || || ||
dense CT characteristics of fibers - ✔✔-composed primarily of collagen fibers
|| || || || || || || || || ||
-small amounts of elastic fibers
|| || || ||
-***fibroblasts synthesize both types of fibers || || || || ||
-orientation of fibers is tension dependent || || || || ||
-habitual stress affects the orientation
|| || || ||
