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Questions and Answers
What is the primary purpose of an orthosis?
Which of the following is NOT a key step in the process of creating an orthosis?
Which of the following is a potential complication of improper casting for an orthosis?
Which of the following is a core value in the provision of orthoses?
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Which of the following is a goal of orthoses maintenance?
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Which of the following is NOT a step in the assessment process for creating an orthosis?
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What is one of the roles of a physical therapist mentioned in the text?
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What is a function of orthosis as mentioned in the text?
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Why must a physiotherapist understand the biomechanics of the spine?
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What can prolonged orthotic use lead to?
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In what conditions can orthoses be used according to the text?
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Study Notes
Orthoses Goals
- Maintenance or correction of body segment alignment
- Assistance or resistance to joint motion
- Axial loading of the orthosis, and relief of distal weight-bearing forces
- Protection against physical insult
Core Values in Orthotics and Prosthetics
- Mutual trust
- Knowledge or expertise
- Shared responsibility for joint decision-making
- Mutual respect
- Two-way communication
- Cooperation and coordination
- Optimism
What is an Orthosis?
- An individually designed or customized device applied to the external part of the body
- Provides support and protection to a particular area of the body
- Uses biomechanical principles to realign joints and reduce pain
3 Steps to Create an Orthosis
- Assessment: Medical/Physical, Biomechanical, ROM/Muscle Power, Proprioception, Sensation
- Design/Manufacture: Materials, Construction, Suspension/strapping, Cosmesis
- Fitting and Evaluation: Good anatomical fit, Good biomechanical function, Easy to don/doff, Comfortable to wear
Possible Complications
- Loss of sensation (check skin regularly to avoid pressure areas)
- Compensations in ipsilateral or contralateral limbs
- Complications of casting at incorrect angle (foot deformities, increased knee flexion in stance)
- Loss of sensory feedback and proprioception loss
- Restricted range of motion
- Loss of natural shock absorption and long-term joint damage
Role of Physical Therapist
- Understand the biomechanics of the spine and each individual orthosis
- Identify functional problems of the patient
- Determine orthotic needs
- Prescribe orthoses according to each patient's problems and requirements
- Evaluate orthotic adequacy
- Teach the patient to put on and off the orthoses
- Train the patient for proper use of the orthoses
- Observe appropriate precautions associated with orthotic use
Functions of Orthosis
- Prevent deformity
- Correct deformity
- Maintain correction
- Control instability
- Relieve weight-bearing
- Facilitate ambulation
- Relieve pain
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Description
Explore the basic goals of orthoses, including maintenance of body segment alignment, assistance to joint motion, and axial loading. Learn about core values in orthotics and prosthetics such as mutual trust, shared decision-making, and cooperation. Understand the importance of orthotics and prosthetics in enhancing mobility.
