Orthotics Exam Latest Update -

Orthotics Exam Latest Update - Exam 250 Questions and 100% Verified Correct Answers Guaranteed A+

Are static hip abduction orthosis ambulatory? - CORRECT ANSWER: No!

How can an orthosis cause knee extension during stance without passing the patella? -

CORRECT ANSWER: By placing the foot in a minor amount of plantarflexion

How can low level congenital hip dysplasia be treated?

Why does it/doesn't it work? - CORRECT ANSWER: Double or triple diapering

Does work - maintain abduction Doesn't - does not prevent extension - may have a posterior hip disloaction

How do rigid trunk orthoses work? - CORRECT ANSWER: 3 point counterforce systems

How does a reciprocating orthotic hip joint work? - CORRECT ANSWER: When the

wearer advances one leg by rotating the trunk or flexing the hip for swing, the couple mechanism results in concurrent extension of the other hip

How does hip extensor strength affect stance control KAFO usage? - CORRECT

ANSWER: Grade 3,4,5 = ideal candidate

Grade 0,1,2 =

• May require addition of dorsiflexion stop to aid in knee extension
• May require additional gait training
• May require substitution by gross body movements and alternate muscle groups
• May be contraindication for certain SCO

How does hip flexor strength affect stance control KAFO usage? - CORRECT

ANSWER: Grade 3,4,5 = ideal candidate

Grade 0,1,2 = requires additional gait training Requires substition by gross body movements and alternate muscle groups

How is a trunk orthoses evaluation completed? - CORRECT ANSWER: Is it

comfortable?Does the pelvic band lie between PSIS and posterior margin of buttocks Thoracic band below scapulae Thoracic band lies horizontal Posterior uprights do not contact the spinous processes Each lateral upright lies on the lateral midline of the torso Abdominal front extends from xiphoid process to the pubic symphysis Suprapubic plate lies between the ASIS and pubic symphysis Sternal plate lies between the jugular notch and the sternal angle

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How is deformational plagiocephaly treated? - CORRECT ANSWER: Teach the parents

to reposition the child frequently and a cranial remodeling orthosis

How is half-head perthes disease treated? - CORRECT ANSWER: Nothing is done

How is scoliosis labelled? - CORRECT ANSWER: The direction to which it curves

Convexity to the R = R scoliosis in X part of spine

How is the whole head perthes disease treated? - CORRECT ANSWER: Requires

containment Bracing, casting, osteotomy

How long are cranial orthoses recommended to be worn? - CORRECT ANSWER: 3 to 5

months with moderate to severe plagiocepaly for age 3-18 months

How long are post-op knee orthoses typically worn? - CORRECT ANSWER: 2ish weeks

How long do AFO's last? - CORRECT ANSWER: 3-5 years

How long is a standard hip orthoses for an adult worn? - CORRECT ANSWER: 8-12

weeks

How much ankle motion is needed for the Becker and Otto bock? - CORRECT

ANSWER: Becker - 5* ankle motion and knee extension moment

Otto Bock Freewalk - 10* ankle motion and knee extension moment

How should a dislocation be treated? - CORRECT ANSWER: Immediate medical

intervention Prophylactic utilization of post-operative hip orthoses reduces the risk of another disloaction (20% of all post op hip surgeries result in dislocation)

How should a hip abduction orthosis fit? - CORRECT ANSWER: Waist should be snug

to prevent migration Thigh cuffs snug to ensure appropriate positioning of hip Infant's legs should be free to flex at the knee at least 90* degress

How should a standard orthotic fit for the hip? - CORRECT ANSWER: Hip abduction set at approximately 15 degrees Limited flexion to 70 degrees

How should someone begin wearing an orthosis? - CORRECT ANSWER: Break in

period Over two weeks build to wearing it full time Allows pt to acclimate to it and minimize skin breakdown Days 1-2 - NWB, 15-30 min intervals Days 3-7 - Intermittent WB 2 / 4

Days 8-14 - Extended WB

If a kid is between 9 and 24 months, what kind of hip orthoses will they be given? - CORRECT ANSWER: Rhino cruiser - plastic rigid orthosis - holds the hips in abduction position

If scoliosis involves the thoracic spine, how will it present? - CORRECT ANSWER: In additional to lateral curvature, it will include a rib hump, reflecting the rotation of the deformity

Is clubfoot associated with other congenital abnormalities? - CORRECT ANSWER:

Spina bifida

Is clubfoot flexible or rigid? - CORRECT ANSWER: Either

What age are hip abduction orthosis used for?

What is the advantage of it? - CORRECT ANSWER: Ages 4-6 months

Its rigid and puts them in an optimal position

What are "common" compensations due to locked KAFO? - CORRECT ANSWER:

Circumduction Hip hiking vaulting excessive trunk lean toe drag Excessive lordosis

What are lace up ankle orthoses for? - CORRECT ANSWER: Chronic ankle sprains

What are nocturnal braces?

What ones are considered nocturnal braces? - CORRECT ANSWER: Braces only worn

at night Charleston Providence

What are offloading braces used for? - CORRECT ANSWER: To reduce the loads on

the involved joint surface and may decrease pain and improve function

What are the advantages to a locked knee KAFO?

Disadvantages? - CORRECT ANSWER: Advantage - stability

Disadvantage - High energy expenditure; induces gait deviations; uneven stride length; secondary medical complications

What are the advantages to the stance control orthoses? - CORRECT ANSWER:

Stability during stance with free knee flexion during swing Reduced gait deviation 3 / 4

Decreases energy expenditure

What are the advantages to the stance control orthosis? - CORRECT ANSWER: Knee

flexion during swing Stability during stance Reduction in energy cost Reduction in gait deviations Smooth transition

What are the categories of a pre-orthotic prescription clinical examination? - CORRECT

ANSWER: Musculoskeletal examination

Neurological examination Integumentary examination Cardiovascular/Pulmonary Examination Psychological and cognitive screening

What are the common goals for usage of a TLSO? - CORRECT ANSWER: Restrict

spinal motion following thoracic spinal surgery Limiting thoracic flexion or supporting an excessive thoracic kyphosis to minimize Preventing the progression of scoliotic curves in certain individuals with adolescent idiopathoic scoliosis

What are the complications of the pavlik harness? - CORRECT ANSWER: Femoral

nerve compression Brachial plexus palsy (too tight of strps) Avascular necrosis

What are the components to an adult hip orthoses? - CORRECT ANSWER: Hip joint

thigh component Waist component

What are the contraindications for the use of Stance control orthoses? - CORRECT

ANSWER: Knee flexion contracture greater than 10*

Spasticity Uncorrectable valgus/varus greater than 15* Poor balance or ataxia MMT hip flexion 0-2

What are the controller's in stance control KAFO's? - CORRECT ANSWER: They are

cable or electronic

What are the disadvantages to the stance control orthosis? - CORRECT ANSWER:

increased size of component increased fabrication time due to complexity of the components Increased cost

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