MODULE 7 LOWER EXTREMITY ORTHOTICS LOWER EXTREMITY ORTHOTICS
- Slides: 79
MODULE 7 LOWER EXTREMITY ORTHOTICS
LOWER EXTREMITY ORTHOTICS Learning Objectives • Specific pathologies • Product application • Specialty products • Hands-on skills
LOWER EXTREMITY ORTHOTICS, 2 Agenda • Anatomy • Product applications • Product preview • Specialty products • Platform fitting • Fitting lab
LOWER EXTREMITY ORTHOTICS, 3 Agenda • Hip • Knee • • Ligamentous instabilities • Genu-recurvatum • OA Footdrop
HIP Anatomy • Hip
ILIUM Anatomy • Hip • Ilium
ILIOFEMORUM Anatomy • Hip • Ilium • Iliofemorum
OSTEONECROSIS Anatomy • Hip • Osteonecrosis
REPAIR Anatomy • Hip • Osteonecrosis • Repair
SEPTIC ARTHRITIS Anatomy • Hip • Osteonecrosis • Septic arthritis
HIP ABDUCTION ORTHOSIS Anatomy • Hip • Osteonecrosis • Septic arthritis • Hip abduction orthosis
GLUTEUS MAXIMUS Anatomy • Hip • Ilium • Iliofemorum • Gluteus maximus
GLUTEUS MINIMUS Anatomy • Hip • Ilium • Iliofemorum • Gluteus maximus • Gluteus minimus
GLUTEUS MEDIUS Anatomy • Hip • Ilium • Iliofemorum • Gluteus maximus • Gluteus minimus • Gluteus medius
HAMSTRINGS Anatomy • Hip • Ilium • Iliofemorum • Gluteus maximus • Gluteus minimus • Gluteus medius • Hamstrings • Semimembrinosis, Semitendinosis, & Biceps femoris
LATERAL COLLATERAL Anatomy • Hip • Knee • Lateral collateral
ANTERIOR CRUCIATE Anatomy • Hip • Knee • Lateral collateral • Anterior cruciate
POSTERIOR CRUCIATE Anatomy • Hip • Knee • Lateral collateral • Anterior cruciate • Posterior cruciate
MEDIAL COLLATERAL Anatomy • Hip • Knee • Lateral collateral • Anterior cruciate • Posterior cruciate • Medial collateral
MENISCUS Anatomy • Hip • Knee • Lateral collateral • Anterior cruciate • Posterior cruciate • Medial collateral • Meniscus
VASTUS MEDIALIS Anatomy • Hip • Knee • Vastus medialis
RETINACULUM Anatomy • Hip • Knee • Vastus medialis • Retinaculum
GASTROCNEMIUS Anatomy • Hip • Knee • Vastus medialis • Retinaculum • Gastrocnemius
HAMSTRING Anatomy • Hip • Knee • Vastus medialis • Retinaculum • Gastrocnemius • Hamstring
PATHWAY OF MOTION Anatomy • Hip • Knee • Pathway of motion
SPRAIN Anatomy • Hip • Knee • Grade II sprain
WEEKENDER Anatomy • Hip • Knee • Grade II sprain • Weekender
GRADE III SPRAIN Anatomy • Hip • Knee • Grade II sprain • Grade III sprain
UNHAPPY TRIAD Anatomy • Hip • Knee • Grade II sprain • Grade III sprain • Unhappy triad • ACL
UNHAPPY TRIAD MENISCUS Anatomy • Hip • Knee • Grade II sprain • Grade III sprain • Unhappy triad • ACL • Meniscus
UNHAPPY TRIAD MCL Anatomy • Hip • Knee • Grade II sprain • Grade III sprain • Unhappy triad • ACL • Meniscus • MCL
ROTATORY INSTABILITY Anatomy • Hip • Knee • Grade II sprain • Grade III sprain • Unhappy triad • Rotatory instability
TOTAL KNEE Anatomy • Hip • Knee • Grade II sprain • Grade III sprain • Unhappy triad • Total knee
DRAWER TEST Anatomy • Hip • Knee • Grade II sprain • Grade III sprain • Drawer test
ROM REHAB Anatomy • Hip • Knee • Grade II sprain • Grade III sprain • ROM rehab
RHEUMATOID ARTHRITIS Anatomy • Hip • Knee • Rheumatoid arthritis • Chronic systemic disease • Genetic or infection onset
OSTEOARTHRITIS Osteoarthritis is Most Common: • Form of arthritis • Joint disease • Musculoskeletal disease • Affects 17, 000 in U. S.
BRACE OBJECTIVE Osteoarthritis Brace Objective: • Relieve pain & enhance level of function
COMPARTMENT LOADING Brace Objective • Compartment loading
ORTHOTIC UNLOADING 3 Point Brace Objective • Compartment loading • Orthotic unloading
4 POINT BRACE OBJECTIVE 4 Point Brace Objective • Compartment loading • Orthotic unloading
4 AXIS JOINT Functional • 4 axis joint • Mimics anatomical pathway of motion • Including translation during first 8 degrees of ROM
MIMICS MOTION Functional • 4 axis joint • Mimics anatomical pathway of motion
MIMICS PATHWAY OF MOTION Functional • 4 axis joint • Mimics anatomical pathway of motion
MODULAR SYSTEM OAK Fitting • Modular system
MEASURE OAK Fitting • Modular system • Measure
OAK FITTING OAK Fitting • Modular system • Measure • Fit to existing shape
TRACE OAK Fitting • Modular system • Measure – select parts • Fit to existing shape • Trace
ADD CORRECTION OAK Fitting • Modular system • Measure – select parts • Fit to existing shape • Trace • Add correction
FITTING SEQUENCE OAK Fitting • Modular system • Measure – select parts • Fit to existing shape • Trace • Add correction • Fitting sequence
FINAL FIT OAK Fitting • Modular system • Measure – select parts • Fit to existing shape • Trace • Add correction • Fitting sequence • Final fit
KNEE HYPEREXTENSION Anatomy • Hip • Knee • Genu-recurvatum = knee hyperextension
SWEDISH KNEE CAGE Anatomy • Hip • Knee • Genu-recurvatum • Swedish knee cage
CHECK Anatomy • Hip • Knee • Genu-recurvatum • Swedish knee cage • CHECK
DISTAL CONTROL Anatomy • Hip • Knee • Genu-recurvatum • Swedish knee cage • CHECK • Distal (AFO) control
FOOT DROP L 4 Anatomy • Hip • Knee • Genu-recurvatum • Footdrop • L 4
FOOT DROP L 5 Anatomy • Hip • Knee • Genu-recurvatum • Footdrop • L 4 • L 5
FOOT DROP Anatomy • Hip • Knee • Genu-recurvatum • Footdrop
PLS Anatomy • Hip • Knee • Genu-recurvatum • Footdrop AFOs • PLS
SOLID ANKLE Anatomy • Hip • Knee • Genu-recurvatum • Footdrop AFOs • PLS • Solid ankle
TOEOFF Anatomy • Hip • Knee • Genu-recurvatum • Footdrop AFOs • PLS • Solid ankle • Toe. OFF
STANDARD TIBIA Product Preview • Toe. OFF • Fracture bracing • Standard tibia
SARMIENTO TYPE TIBIA Product Preview • Toe. OFF • Fracture bracing • Standard tibia • Sarmiento type tibia
TIBIOFIBULAR Specific Anatomy • Ankle sprain • Non-weight bearing • Post-op • Tibiofibular
AIR WALKER Specific Anatomy • Ankle sprain • Immobilization • Air walker
SHORT LEG WALKER Specific Anatomy • Ankle sprain • Immobilization • Short leg walker with ROM control (Cam walker)
WEEKENDER FITTING PREVIEW Product Preview • Weekender • Fitting preview
FITTING PREVIEW 1 Product Preview • Weekender • Fitting preview • #1 = Below knee
FITTING PREVIEW 2 Product Preview • Weekender • Fitting preview • #1 = Below knee • #2 = Anterior
FITTING PREVIEW 3 Product Preview • Weekender • Fitting preview • #1 = Below knee • #2 = Anterior • #3 = Posterior
FITTING PREVIEW 4 Product Preview • Weekender • Fitting preview • #1 = Below knee • #2 = Anterior • #3 = Posterior • #4 = Anterior
FITTING PREVIEW 5 AND 6 Product Preview • Weekender • Fitting preview • #1 = Below knee • #2 = Anterior • #3 = Posterior • #4 = Anterior • #5 & 6
PLATFORM FITTING Product Preview • Weekender • Fitting preview • Platform fitting
SUPPORT GRID
LOWER ORTHOTICS Lower Orthotics • Applications Dx: • Hip dislocation • Grade II / III knee • Post-op • Moderate sprain/strain • CVA / MS foot-drop
REVIEW • Anatomy • Conditions • Product preview • Specialty products
FITTING LAB Fitting Lab • Weekender
PATELLA STABILIZER Fitting Lab • Weekender, along with • E 122 or E 124 • Patella stabilizer
Pedorthic Program of Study This workforce product was funded by a grant awarded by the U. S. Department of Labor’s Employment and Training Administration. The product was created by the grantee and does not necessarily reflect the official position of the U. S. Department of Labor. The U. S. Department of Labor makes no guarantees, warranties, or assurances of any kind, express or implied, with respect to such information, including any information on linked sites and including, but not limited to, accuracy of the information or its completeness, timeliness, usefulness, adequacy, continued availability, or ownership. Produced 2016. HOPE Careers Consortium is a partnership of five institutions of higher education that is building exciting new programs that will provide valuable career education and training in the Orthotics, Prosthetics, and Pedorthics (O&P) sector. The five institutions are: Baker College—Flint, Michigan; Century College—White Bear Lake, Minnesota; Oklahoma State University Institute of Technology —Okmulgee, Oklahoma; Spokane Falls Community College—Spokane, Washington; and St. Petersburg College—St. Petersburg, Florida. Although the authoring institution of this educational resource has made every effort to ensure that the information presented is correct, the institution assumes no liability to any party for any loss, damage, or disruption caused by errors or omissions. Except where otherwise noted, this work by St. Petersburg College is licensed under the Creative Commons Attribution 4. 0 International License. To view a copy of this license, click on the following link: Creative Commons Licenses 4. 0.
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