MODULE 7 LOWER EXTREMITY ORTHOTICS LOWER EXTREMITY ORTHOTICS

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MODULE 7 LOWER EXTREMITY ORTHOTICS

MODULE 7 LOWER EXTREMITY ORTHOTICS

LOWER EXTREMITY ORTHOTICS Learning Objectives • Specific pathologies • Product application • Specialty products

LOWER EXTREMITY ORTHOTICS Learning Objectives • Specific pathologies • Product application • Specialty products • Hands-on skills

LOWER EXTREMITY ORTHOTICS, 2 Agenda • Anatomy • Product applications • Product preview •

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 •

LOWER EXTREMITY ORTHOTICS, 3 Agenda • Hip • Knee • • Ligamentous instabilities • Genu-recurvatum • OA Footdrop

HIP Anatomy • Hip

HIP Anatomy • Hip

ILIUM Anatomy • Hip • Ilium

ILIUM Anatomy • Hip • Ilium

ILIOFEMORUM Anatomy • Hip • Ilium • Iliofemorum

ILIOFEMORUM Anatomy • Hip • Ilium • Iliofemorum

OSTEONECROSIS Anatomy • Hip • Osteonecrosis

OSTEONECROSIS Anatomy • Hip • Osteonecrosis

REPAIR Anatomy • Hip • Osteonecrosis • Repair

REPAIR Anatomy • Hip • Osteonecrosis • Repair

SEPTIC ARTHRITIS Anatomy • Hip • Osteonecrosis • Septic arthritis

SEPTIC ARTHRITIS Anatomy • Hip • Osteonecrosis • Septic arthritis

HIP ABDUCTION ORTHOSIS Anatomy • Hip • Osteonecrosis • Septic arthritis • Hip abduction

HIP ABDUCTION ORTHOSIS Anatomy • Hip • Osteonecrosis • Septic arthritis • Hip abduction orthosis

GLUTEUS MAXIMUS Anatomy • Hip • Ilium • Iliofemorum • Gluteus maximus

GLUTEUS MAXIMUS Anatomy • Hip • Ilium • Iliofemorum • Gluteus maximus

GLUTEUS MINIMUS Anatomy • Hip • Ilium • Iliofemorum • Gluteus maximus • Gluteus

GLUTEUS MINIMUS Anatomy • Hip • Ilium • Iliofemorum • Gluteus maximus • Gluteus minimus

GLUTEUS MEDIUS Anatomy • Hip • Ilium • Iliofemorum • Gluteus maximus • Gluteus

GLUTEUS MEDIUS Anatomy • Hip • Ilium • Iliofemorum • Gluteus maximus • Gluteus minimus • Gluteus medius

HAMSTRINGS Anatomy • Hip • Ilium • Iliofemorum • Gluteus maximus • Gluteus minimus

HAMSTRINGS Anatomy • Hip • Ilium • Iliofemorum • Gluteus maximus • Gluteus minimus • Gluteus medius • Hamstrings • Semimembrinosis, Semitendinosis, & Biceps femoris

LATERAL COLLATERAL Anatomy • Hip • Knee • Lateral collateral

LATERAL COLLATERAL Anatomy • Hip • Knee • Lateral collateral

ANTERIOR CRUCIATE Anatomy • Hip • Knee • Lateral collateral • Anterior cruciate

ANTERIOR CRUCIATE Anatomy • Hip • Knee • Lateral collateral • Anterior cruciate

POSTERIOR 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 •

MEDIAL COLLATERAL Anatomy • Hip • Knee • Lateral collateral • Anterior cruciate • Posterior cruciate • Medial collateral

MENISCUS Anatomy • Hip • Knee • Lateral collateral • Anterior cruciate • Posterior

MENISCUS Anatomy • Hip • Knee • Lateral collateral • Anterior cruciate • Posterior cruciate • Medial collateral • Meniscus

VASTUS MEDIALIS Anatomy • Hip • Knee • Vastus medialis

VASTUS MEDIALIS Anatomy • Hip • Knee • Vastus medialis

RETINACULUM Anatomy • Hip • Knee • Vastus medialis • Retinaculum

RETINACULUM Anatomy • Hip • Knee • Vastus medialis • Retinaculum

GASTROCNEMIUS Anatomy • Hip • Knee • Vastus medialis • Retinaculum • Gastrocnemius

GASTROCNEMIUS Anatomy • Hip • Knee • Vastus medialis • Retinaculum • Gastrocnemius

HAMSTRING 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

PATHWAY OF MOTION Anatomy • Hip • Knee • Pathway of motion

SPRAIN Anatomy • Hip • Knee • Grade II sprain

SPRAIN Anatomy • Hip • Knee • Grade II sprain

WEEKENDER Anatomy • Hip • Knee • Grade II sprain • Weekender

WEEKENDER Anatomy • Hip • Knee • Grade II sprain • Weekender

GRADE III SPRAIN Anatomy • Hip • Knee • Grade II sprain • Grade

GRADE III SPRAIN Anatomy • Hip • Knee • Grade II sprain • Grade III sprain

UNHAPPY TRIAD Anatomy • Hip • Knee • Grade II sprain • Grade III

UNHAPPY TRIAD Anatomy • Hip • Knee • Grade II sprain • Grade III sprain • Unhappy triad • ACL

UNHAPPY TRIAD MENISCUS Anatomy • Hip • Knee • Grade II sprain • Grade

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

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

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

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

DRAWER TEST Anatomy • Hip • Knee • Grade II sprain • Grade III sprain • Drawer test

ROM REHAB Anatomy • Hip • Knee • Grade II sprain • Grade III

ROM REHAB Anatomy • Hip • Knee • Grade II sprain • Grade III sprain • ROM rehab

RHEUMATOID ARTHRITIS Anatomy • Hip • Knee • Rheumatoid arthritis • Chronic systemic disease

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

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

BRACE OBJECTIVE Osteoarthritis Brace Objective: • Relieve pain & enhance level of function

COMPARTMENT LOADING Brace Objective • Compartment loading

COMPARTMENT LOADING Brace Objective • Compartment loading

ORTHOTIC UNLOADING 3 Point Brace Objective • Compartment loading • Orthotic unloading

ORTHOTIC UNLOADING 3 Point Brace Objective • Compartment loading • Orthotic unloading

4 POINT BRACE OBJECTIVE 4 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

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 MOTION Functional • 4 axis joint • Mimics anatomical pathway of motion

MIMICS PATHWAY OF MOTION Functional • 4 axis joint • Mimics anatomical pathway of

MIMICS PATHWAY OF MOTION Functional • 4 axis joint • Mimics anatomical pathway of motion

MODULAR SYSTEM OAK Fitting • Modular system

MODULAR SYSTEM OAK Fitting • Modular system

MEASURE OAK Fitting • Modular system • Measure

MEASURE OAK Fitting • Modular system • Measure

OAK FITTING OAK Fitting • Modular system • Measure • Fit to existing shape

OAK FITTING OAK Fitting • Modular system • Measure • Fit to existing shape

TRACE OAK Fitting • Modular system • Measure – select parts • Fit to

TRACE OAK Fitting • Modular system • Measure – select parts • Fit to existing shape • Trace

ADD CORRECTION OAK Fitting • Modular system • Measure – select parts • Fit

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

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

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

KNEE HYPEREXTENSION Anatomy • Hip • Knee • Genu-recurvatum = knee hyperextension

SWEDISH KNEE CAGE Anatomy • Hip • Knee • Genu-recurvatum • Swedish knee cage

SWEDISH KNEE CAGE Anatomy • Hip • Knee • Genu-recurvatum • Swedish knee cage

CHECK Anatomy • Hip • Knee • Genu-recurvatum • Swedish knee cage • CHECK

CHECK Anatomy • Hip • Knee • Genu-recurvatum • Swedish knee cage • CHECK

DISTAL CONTROL Anatomy • Hip • Knee • Genu-recurvatum • Swedish knee cage •

DISTAL CONTROL Anatomy • Hip • Knee • Genu-recurvatum • Swedish knee cage • CHECK • Distal (AFO) control

FOOT DROP L 4 Anatomy • Hip • Knee • Genu-recurvatum • Footdrop •

FOOT DROP L 4 Anatomy • Hip • Knee • Genu-recurvatum • Footdrop • L 4

FOOT DROP L 5 Anatomy • Hip • Knee • Genu-recurvatum • Footdrop •

FOOT DROP L 5 Anatomy • Hip • Knee • Genu-recurvatum • Footdrop • L 4 • L 5

FOOT DROP Anatomy • Hip • Knee • Genu-recurvatum • Footdrop

FOOT DROP Anatomy • Hip • Knee • Genu-recurvatum • Footdrop

PLS Anatomy • Hip • Knee • Genu-recurvatum • Footdrop AFOs • PLS

PLS Anatomy • Hip • Knee • Genu-recurvatum • Footdrop AFOs • PLS

SOLID ANKLE 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 •

TOEOFF Anatomy • Hip • Knee • Genu-recurvatum • Footdrop AFOs • PLS • Solid ankle • Toe. OFF

STANDARD TIBIA Product Preview • Toe. OFF • Fracture bracing • Standard tibia

STANDARD TIBIA Product Preview • Toe. OFF • Fracture bracing • Standard tibia

SARMIENTO TYPE 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

TIBIOFIBULAR Specific Anatomy • Ankle sprain • Non-weight bearing • Post-op • Tibiofibular

AIR WALKER Specific Anatomy • Ankle sprain • Immobilization • Air walker

AIR WALKER Specific Anatomy • Ankle sprain • Immobilization • Air walker

SHORT LEG WALKER Specific Anatomy • Ankle sprain • Immobilization • Short leg 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

WEEKENDER FITTING PREVIEW Product Preview • Weekender • Fitting preview

FITTING PREVIEW 1 Product Preview • Weekender • Fitting preview • #1 = Below

FITTING PREVIEW 1 Product Preview • Weekender • Fitting preview • #1 = Below knee

FITTING PREVIEW 2 Product Preview • Weekender • Fitting preview • #1 = Below

FITTING PREVIEW 2 Product Preview • Weekender • Fitting preview • #1 = Below knee • #2 = Anterior

FITTING PREVIEW 3 Product Preview • Weekender • Fitting preview • #1 = Below

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

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

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

PLATFORM FITTING Product Preview • Weekender • Fitting preview • Platform fitting

SUPPORT GRID

SUPPORT GRID

LOWER ORTHOTICS Lower Orthotics • Applications Dx: • Hip dislocation • Grade II /

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

REVIEW • Anatomy • Conditions • Product preview • Specialty products

FITTING LAB Fitting Lab • Weekender

FITTING LAB Fitting Lab • Weekender

PATELLA STABILIZER Fitting Lab • Weekender, along with • E 122 or E 124

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

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.