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Vamp
anterior portion the easier to open the better
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Quarter
- the posterior sportion high or low
- low is better for orthotics
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Sole
bottom portion of shoe
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Heal
Beat are broad , low less than 1 inch
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Shoe Linings and Reinforcements
- Steel toes
- Toe box to protect the toes from traum
- Linings absorb perspiraion
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Longtudial Arch Support
Prevents depression of the subtalar joint
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Semiridge UCBL
to realign a flexable flat foot
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Metatarsal Pad
- convexity on semi-rigid insert to elevate the metetarsal heads
- can help to decrease tone
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Posterior Leaf Sping
Prevent foot drop
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Solid Ankle AFO
stabalize a weak ankle, doesn't allow movement
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Articulated with Plantar Flexion Stop
- high extensor tone
- prevents knee hyperextension
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Articulated withj dorsiflexion stop
Prevents knee flexion and crouched gait
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Floor Reaction Force
Prevents dorsi felxion and knee flexion
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KAFO
to aid a person with extensive paralysis or limb deformity
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HKAFO
- to aid control of the hip and knee
- restricts amb to swing to or swing through
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Craig Scott KAFO
- Anke knee with metal uprights
- wearere achieves hip stability by leaning back and resting on Y ligaments
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RGO
- Reciprocating gait orthoses
- Hips are joined by 2 metal cables
- Allow Pt to use a reciprocal gait pattern
- Parawalker
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Corset
- Provides abdominal compression
- an increases in intraabdominal pressure
- reminds Pt to limit thier motion
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Prefabricated Vs. Custom Molded
- Pre-Fab: less expensive, ordered in SML, works well if average size Pt, possibel to be temporary use
- Custom: more exprensive, reverse impression, better if Pt has unique proportion or lack or sensation
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Resting Position of the Hand
- midway between pronation and supination
- 12-20 degrees wrist extension
- All fingers slightly flexed
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Tenodesis Split
- Wrist extends
- fingers flexed
- Used for Quad
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Shoulder Slings
- Hemiplegia: double trough arm slings, cuff slings - helps approximate head or humerus without holding distal extremity in fixed postion
- Orthopedis Slings: airplane sling - used for post op shoulder surgeries allow structures to heal ina shortened position post operatively
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Basic Opponens
Designed to position thumb in abduction/opposition and maintain thumb web space, while leaving hand in functional position for use
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Wrist Flexion Control (cock up splint)
used to maintain functional position of the hand used for a variety of diagnosis
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Wrist Driven Prehensile Orthosis (Tenodeisi Splint)
- Stabilizes the thumb index and middle fingers when Pt extends wrist, splint causes the fingers to close. SCI Pt without innervation of finger flexors
- Only works with the forearm pronated
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Places to watch For slints
- Wrist Splits
- Web Space
- Base of Thumb
- Knuckles
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