AND ANSWERS
Cerdified posthetist orthotist - ANS fabricates and fits custom-designed external orthopedic
braces or orthoses
includes pt. eval, fitting, and follow-up
masters degree in orthotics and prosthetics 2 year residency, completion of certificaiton exam
off the shelf (prefabricated) - ANS trial fittings to evaluuate if orthotic intervention with
improve current condition
minimal self- adjustment
custom fit - ANS some modifications. made
requires expertise of professional
ex. knee ortheses (KO)
custom molded/fabricted - ANS cast taken and modified
allows precise control of how F applied
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, Design considerations - ANS
FO Accommodative - ANS accommodate foot, prevent progression of deformity; soft flexible
materials
diaetes, prevent sores, help distribut pressure
FO semi-rigid - ANS allows for modest correction of semi flexible defmormity;
accommodative
multiple layers with varyign densitites
80-90% orthoses made for feet.
FO rigid - ANS correct flexible deformaites
rigid.
often use with special footware, sport shoes or dress shoes. can have some padded top to
cover.
Effectivness of FO in Tx. of lower limb injuries - ANS custom semi-rigid have moderate to
large beneficial effects in treating plantar fascitis.
custom semi-rigid FOs have moderate effect in treating posterior tibial stress fractures
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, Custom semi-rigid FOs have moderate effect in treating patellofemoral pain sydnrome
prefabricated semi-rigid Fos have mod beneficiale ffects in treating foot pain
UCBL - ANS university of california biomechanics lab- corrective FO
FUnciton: psoition foot into neutral a position as possible to control transverse and coronal
deformaiteis
- control of subtalar joint affects rotation forces applied to entire leg during stance.
3 point pressure system
- medial long arch, shaft 5th MT, and alteral calcaneus
corrects pes planus, or flat foot
indications UCB-L - ANS flexible deforrmintiy
pes planus/cavus
calcaneal valgus
Contraindications UCB-L - ANS rigid pes planus deformity
moderate to severe IRD/ERD
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