Orthoses

Which intervention would be the most appropriate to apply to the shoe of a patient with calcaneal spurring?

heel cushion

The most appropriate shoe modification for a patient with hammer toes is:

high toe box

A Pavlik harness would result in the hip being positioned in:

hip flexion and abduction

Which of the following is the least restrictive type of ankle foot orthosis?

posterior leaf spring orthosis. this provides a dorsiflexion assist during swing phase. The trim line is posterior to the malleoli and as a result the device offers minimal medial or lateral ankle support.

Which variable would be the most compelling to warrant use of a scoliosis brace?

rapid progression of an existing curve. Bracing is typically used in patients with 20-40 degree scoliotic curves. Rapid progression of an existing curve often warrants utilization of a scoliosis brace even if the magnitude of the curve does not reach the typical 20 degree threshold.

What is the primary purpose of wearing a shoe with a medial sole flare?

resist eversion

primary purpose of wearing a shoe with a lateral sole flare?

resist inversion

Which of the following is the most appropriate for daytime use by a 14-year-old female with a mid-thoracic curve of 25 degrees?

Boston thoracolumbosacral orthosis. This is used for daytime bracing and is most effective for curves below 35 degrees. A spinal orthosis is often warranted for scoliotic curves ranging from 25-40 degrees. Surgical intervention may be necessary for curves over 40 degrees.

Which cervical orthosis effectively limits motion in all planes and allows for early mobility and rehabilitation after a vertebral fracture?

Minerva orthosis

A solid ankle cushion heel is most likely to be prescribed to which patient requiring a prosthesis?

a senior citizen who wishes to return to household and community ambulation

A floor-reaction ankle-foot orthosis would be most appropriate for a patient that:

demonstrates difficulty with knee extension during gait. This promotes knee extension and can help reduce knee buckling with ambulation.

Pavlik Harness

the primary method of treating developmental dysplasia of the hip (DDH). DDH is a subluxed or dislocated hip in infancy as a result of abnormal congruency of the femoral head and acetabulum. The Pavlik harness maintains the infant's hips in flexion and abduction to enhance acetabular development.