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A comprehensive guide for orthotic fitters, covering a wide range of topics related to prosthetics, orthotics, and patient care. It includes detailed questions and answers on various scenarios that an orthotic fitter may encounter, such as dealing with patient requests, selecting appropriate prosthetic components, and addressing common issues like discomfort or deformities. The document also provides information on the anatomy and function of the human body, particularly the musculoskeletal system, as well as the proper use and application of various orthotic devices and splints. Overall, this document seems to be a valuable resource for anyone studying or working in the field of orthotics and prosthetics, as it covers both theoretical knowledge and practical skills required for the profession.
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What is the best course of action when a long time patient asks to be referred to another practitioner? - ✔✔B. Provide him with a list of certified practitioners A 75 year old, quadruple bypass, obese patient who is also a transfemoral amputee come to you with a prescription for a suction socket with hydraulic knee unit and a dynamic response vertical shock pylon type prosthetic foot. You should: - ✔✔A. Call the physician and suggest an alternate prescription Records do not fulfill all of their purposes unless they: - ✔✔D. Are maintained and up to date A transtibial amputee has an anatomical A-P measurement of 95mm (3 - 3/4). What is the correct A-P measurement of the positive model for a PTB hard socket? - ✔✔C. 101mm (4) A Unilateral transradial prosthetic patient complains that the axilla loop of his harness is uncomfortable. The most common reason for this complaint is that the Cross point is: - ✔✔B. Too close to the sound side Venous return of the blood to the heart is assisted by the: - ✔✔A. Action of the skeletal muscles The anterior trim line of the Symes prosthesis usually extends to the level of the patellar tendon in order to: - ✔✔A. Provide a long lever arm to distribute force A 23 year old, wrist disarticulation amputee intends to return to work as a carpenter. Which terminal device will offer the largest range of tool handling capabilities? - ✔✔B. Dorrance 7 When the counter of the shoe fits too tightly on a SACH foot, which of the following problems can result? - ✔✔B. Less compression of the heel Which of the following muscles would be MOST suitable for myoelectric control of the 1. Elbow joint by a shoulder disarticulation amputee? - ✔✔C. Pectoralis major and trapezius
Custom fit versus custom fabricated - ✔✔Custom fit orthopedic are off-the-shelf, custom fabricated pet hoses are created from a custom mold of the patient. Five things to know before walking into a patient room - ✔✔Patient name, referring physician, prescription, diagnosis, insurance information Mallet finger deformity - ✔✔Forced hyperflexion of DIP MCC: volleyball or basketball Complication: Swan neck deformity Tx: Splint in extension 4-8 weeks Boutonniere deformity - ✔✔flexion of PIP joint and hyperextension of DIP joint Swan neck deformity - ✔✔hyperextension of PIP joint and flexion of DIP joint Arches of the hand - ✔✔Proximal transverse(heal of palm, CMC joint), distal transverse (MCP joint of palm, mobile), and longitudinal arches(dorsal arch of curved/cupped hand) Cock-Up Splint - ✔✔dorsal or volar immobilzation, maintain hand arches, full thumb and MP flex; carpal tunnel, radial nerve palsy, wrist extensor tendonitis, colles' fracture, RA, RSD Resting hand splint - ✔✔Static wrist-hand orthosis used to immobilize the wrist, fingers and thumb. Used b/c MCPs and IPs are kept stretched (minimizing future joint contractures) Static progressive splint - ✔✔-provides a constant static force, adjusted serially as tissues lengthen
Shoulder abduction orthosis - ✔✔Holds shoulder in slight abduction, decreases (g) force and contracture on shoulder. Side pillow and neck/wrist strap, ball for hand The hyoid bone - ✔✔U-shaped bone at the base of the tongue that supports the tongue and its muscles. Shoulder abduction rotation orthosis - ✔✔ Hyoid bone level - ✔✔C Sternal notch is level with - ✔✔T Xiphoid process of sternum - ✔✔(T10) Midline marker for superior level of liver, central tendon of diaphram inferior border border of heart cartilaginous in young people. Bone after 40. Spine of Scapula Level - ✔✔T Inferior angle of scapula level - ✔✔T Iliac crest level - ✔✔L4-L ASIS level - ✔✔S1-S thoracic vertebrae - ✔✔the second set of 12 vertebrae; form the outward curve of the spine and are known as T1 through T
lumbar vertebrae - ✔✔L1-L cervical vertebrae - ✔✔C1-C Tempomandibular Joint (TMJ) - ✔✔-articulation of madible and temporal bone