Prothetics, Orthotics. EXAM (POAT) Latest Update - 400 Questions and 100% Verified Correct Answers Guaranteed
A factor facilitating excessive knee flexion in midstance is what?
Soleus muscle weakness
Popliteus muscle weakness
hyperactivitiy of ankle PF
hip flexor weakness - CORRECT ANSWER: Hyperactivity of ankle PF
A rigid forefoot valgus deformity would lead to what during MS and terminal stance?
How would you fix this? - CORRECT ANSWER: Compensatory STJ supination in all
phases of gait.
Lateral forefoot posting, to get lateral boarder of foot to ground during phases
A rigid forefoot valgus malalignment with a STJ supination compensation. How would you use a wedge to fix this? - CORRECT ANSWER: Support forefoot on lateral plantar surface to bring ground up to foot
A rigid forefoot varus deformity would lead to what during MS and terminal stance? How
would you fix this? - CORRECT ANSWER: Compensatory STJ pronation.
Medial forefoot posting
A rigid forefoot varus malalignment, with a STJ pronation compensation. How would you
use a wedge to fix this? - CORRECT ANSWER: Support forefoot on medial plantar
surface
A rigid plantarflexed first ray deformity would lead to what during MS and terminal
stance? How would you fix this? - CORRECT ANSWER: Compensatory STJ supination.
What they should do it remove material under first ray, to make it even with the other rays
A single axis KAFO knee joint, may lock knee into hyperextension in which the
individual may do what? - CORRECT ANSWER: Pt will have to hip hike and use
circumduction
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A solid AFO can assist in promotion of ankle and knee stability in stance. This can substitute for what weakness? - CORRECT ANSWER: Substitute for weakness of PF or weak inverters/evertors
A solid AFO can assist in swing foot clearance. This can substitute for what weakness?
- CORRECT ANSWER: Substitute for weak DF
A solid AFO can preposition the foot for what phase of gait? - CORRECT ANSWER:
Initial contact.
Hold in subtalar neutral
A wrist orthoses must clear what two creases to allow normal movement? - CORRECT
ANSWER: Clear distal and palmar crease
An angle of what degrees is ideal oreinetation for a lever of an orthotics? - CORRECT ANSWER: 90 degrees (with perpendicular direction there are no other forces that would decrease the torque)
Articulated AFO's are used to permit sagittal plane motion, while restricting transverse and frontal plane motion.
Identify indications for use of an articulated AFO, for specific impairments - CORRECT
ANSWER: Excessive knee hyperextension, with 5 degree PF stop
Excessive knee flexion during midstance and terminal stance with DF stop to limit forward tibial translation, to limit excessive DF with weak PF
Provide medial and lateral stability to ankle and STJ
Before ordering an orthoses, what factors should be considered to see if the patient
could don an LE orthotic device? - CORRECT ANSWER: Sufficient ROM in Lower Ex
tremity joints to align segments
The ability (including cognition) and desire to meet ambulation goals
Adequate cardiovascular endurance and adequate Upper Extremity (UE) and Lower Extremity (LE) strength for the intended activity, i.e. ambulation
Sufficient strength to advance the limb
Briefly describe the acromioclavicular joint? - CORRECT ANSWER: Planar joint that allows for rotation and anterior.posterior movement of acromion on clavicle
Briefly describe the carpometacarpal joint of the thumb - CORRECT ANSWER:
Articulation between trapezium and first ray. 2 / 4
Saddle joint
Briefly describe the distal radioulnar joint? - CORRECT ANSWER: Made up of ulnar notch of radius to head of the ulna. Pivot joints
Briefly describe the distal transverse arch of the hand - CORRECT ANSWER: More
mobile arch.
Located at level of metacarpal heads and provides hand ability to grasp objects of different objects
Briefly describe the glenohumeral joint? - CORRECT ANSWER: Ball and socket joint in glenoid fossa and head of humerus.
Allows for multiple planes of motions, at the expense of stability in arm
Briefly describe the humeroradial joint - CORRECT ANSWER: Connects the capitulum of distal humerus to head of radius.
Hinge joint and only allows for flexion and extension
Briefly describe the humeroulnar joint? - CORRECT ANSWER: Made up of proximal
ulna and trochlea.
Hinge joint and only allows for flexion and extension
Briefly describe the longitudinal arch of hand - CORRECT ANSWER: Runs from carpal level through four digital rays and adapts to meet needs for grasping activities
Briefly describe the midcarpal joint - CORRECT ANSWER: Between proximal carpal
joints and distal carpal row.
Lunate, scaphoid, trapezius and pisiform to the trapezium, trapezoid, capitate and hamate bones.
Allows for flexion, extension and radial/ulnar deviation.
Briefly describe the proximal radioulnar joint? - CORRECT ANSWER: Articulation of the radial head to the radial notch of the ulna. Pivot joint to permit radius to pivot around ulna for supination/pronation
Briefly describe the proximal transverse arch hand - CORRECT ANSWER: Rigid
arrangement at level of distal carpal row,
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Briefly describe the radiocarapal joint - CORRECT ANSWER: Between the Distal
humerus and the scaphoid and lunate bone.
condyloid joint
Briefly describe the scapulothoracic joint? - CORRECT ANSWER: Pseudo joint that
allows the scapula to glide along the thoracic wall as arm moves
Briefly describe the sternoclavicular joint? - CORRECT ANSWER: Saddle joint that allows motion in several directions
Briefly describe the transverse arch of hand - CORRECT ANSWER: Space between
distal and proximal transverse arches
Carbon fiber thermoplastic or conventional KAFO?
Interchangeability of shoes
Better cosmesis
Lightweight
Can be hot
Hard to adjust - CORRECT ANSWER: Thermoplastic carbon fiber KAFO
Carbon fiber thermoplastic or conventional KAFO?
Strong, durable, easy to adjust
Less cosmetic
Heavier
Must be attached to shoe - CORRECT ANSWER: Conventional KAFO
Compare and contrast the differences between GRF and 3 point force, systems of control - CORRECT ANSWER: GRF: dependent on contact with ground
3 point: functions in both swing and stance
GRF: Dependent on shoe structure
3 point: not dependent
GRF: Influence over joints within orthosis and proximal
3 point: only joints within orthosis
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