2
Orthotics CPM Newest Updated Exam with verified || || || || || || ||
detailed solutions ||
AFO casting - ✔✔1. Don gloves and gather materials
|| || || || || || || ||
2. Take measurements either on form or calf circumference, ankle
|| || || || || || || || || ||
circumference, fib head height, foot length || || || || ||
3. apply 2 layers of stockinette
|| || || || ||
4. mark landmarks: fib head/neck, tibial crest, malleoli, calcaneal tuberosity if
|| || || || || || || || || || ||
prominent, base of 5th met head, navicular, cuboid, met heads 1 and 5, to
|| || || || || || || || || || || || || ||
sulcus, any other prominent/painful areas
|| || || ||
5. apply cut tube anteriorly and insert into cut slits of stockinette
|| || || || || || || || || || ||
6. wrap with fiberglass, ensure fib head is captured
|| || || || || || || ||
7. Use foot board to align foot as neutrally as possible
|| || || || || || || || || || ||
8. As fiberglass sets draw vertical cut line and horizontal match lines
|| || || || || || || || || || ||
9. Use cast saw to cut the cast off. Warn patient of vibration and loud noise. Use
|| || || || || || || || || || || || || || || || ||
2 hands and thumb as a guide
|| || || || || ||
10. cut top layer of stockinette and remove cast
|| || || || || || || ||
11. clean patients leg and remove 2nd layer stockinette. don shocks and shoes
|| || || || || || || || || || || ||
12. Clean area and answer questions about patient considerations
|| || || || || || || ||
KAFO: Knee joint too distal - ✔✔1. pressure at anterior distal and posterior
|| || || || || || || || || || || || ||
proximal thigh ||
2. thigh band shifts proximal
|| || || ||
3. cant rotate as much as anatomical knee
|| || || || || || ||
,2
KAFO: knee joint too proximal - ✔✔1. pressure at posterior distal and anterior
|| || || || || || || || || || || || ||
proximal of thigh || ||
2. thigh band shifts distal
|| || || ||
3. bends too much
|| || ||
KAFO: knee joint too posterior - ✔✔1. pressure at anterior proximal and
|| || || || || || || || || || || ||
posterior distal thigh || ||
2. orthosis shifts proximally
|| || ||
KAFO: knee joint too anterior - ✔✔1. pressure at anterior distal and proximal
|| || || || || || || || || || || || ||
posterior thigh ||
2. orthosis shifts distally
|| || ||
KAFO: proper knee joint location - ✔✔1. bisection of adductor tubercle and
|| || || || || || || || || || || ||
medial tibial plateau
|| ||
2. 60:40 anterior: posterior
|| || ||
KAFO Trimlines: - ✔✔1. medial proximal 30 mm distal to perinneum
|| || || || || || || || || ||
2. proximal lateral distal to greater trochanter
|| || || || || ||
3. proximal posterior thigh set at 15 deg slant connecting lateral to medial
|| || || || || || || || || || || ||
4. popliteal region allows 105 deg knee flexion
|| || || || || || ||
KAFO knee joint clearances - ✔✔6mm medial 3 mm lateral
|| || || || || || || || ||
,2
KAFO ankle clearances - ✔✔6 mm medial and 5 mm lateral
|| || || || || || || || || ||
KAFO analysis - ✔✔1. Correct side and foot plate
|| || || || || || || ||
2. proper strapping materials
|| || ||
3. plastic thickness
|| ||
4. rivets-- speedy rivets not durable for attaching metal uprights
|| || || || || || || || ||
5. plastazote /p-cell packs down quickly
|| || || || ||
6. check measurements
|| ||
7. Check proper ankle and knee joints
|| || || || || ||
8. If KAFO doesn't meet patient's needs do not deliver
|| || || || || || || || ||
KAFO : varus moment control - ✔✔AFO section: 3 pt pressure 1) prox medial
|| || || || || || || || || || || || || ||
(medial chafe at tibial strap) 2) proximal lateral malleoli (lateral flange) 3) 1st
|| || || || || || || || || || || || ||
met head (encompass)
|| ||
KAFO hyperextension control after delivery - ✔✔1) add padding to calf section
|| || || || || || || || || || ||
2) increase dorsiassist power (stiffer joints, adjust double action)
|| || || || || || || ||
3) increase plantarflexion resistance (pf stop, adjust double action)
|| || || || || || || ||
4) add heel wedge to AFO
|| || || || ||
KAFO joints that prevent hyperextension (without limiting ADLs) - ✔✔1.
|| || || || || || || || || ||
posterior offset ||
, 2
KAFO correct genuvarum/genuvalgum after delivery - ✔✔1. add pull strap
|| || || || || || || || || ||
proximal and distal to the knee joint so line of pull corrects deformity
|| || || || || || || || || || || ||
2. add padding proximal and distal to KC (if valgus add padding medially, and if
|| || || || || || || || || || || || || || ||
varus add padding laterally) to increase corrective force
|| || || || || || ||
KAFO: pain at at posterior distal thigh indicates what? - ✔✔knee joint is too
|| || || || || || || || || || || || || ||
proximal
KAFO: pain at anterior distal thigh and posterior proximal thigh indicates
|| || || || || || || || || || ||
what? - ✔✔knee joint is too distal
|| || || || || ||
KAFO: what may be the issue if knee joints will not fully lock? - ✔✔1. drop
|| || || || || || || || || || || || || || || ||
locks may be upside down
|| || || ||
2. mechanical KC not aligned with anatomical KC
|| || || || || || ||
3. The joints are not squared properly
|| || || || || ||
4. excursion length are uneven
|| || || ||
Scenario: pt with metal and leather KAFO with drop locks and double action
|| || || || || || || || || || || || ||
ankle joints feels unsteady and trips easily going down ramps. what
|| || || || || || || || || || ||
adjustments? - ✔✔1. allow more plantarflexion at the ankle || || || || || || || ||
2. provide dorsiassist with a spring in the posterior channel (will resist pf and
|| || || || || || || || || || || || || ||
smooth the foot flat transition) || || || ||
3. add cushioned heel to shoe
|| || || || ||
AFO 3 point force system for dorsiflexion weakness (resist PF in swing): - ✔✔1.
|| || || || || || || || || || || || || ||
anteriorly directed force at posterior calf || || || || || ||
Orthotics CPM Newest Updated Exam with verified || || || || || || ||
detailed solutions ||
AFO casting - ✔✔1. Don gloves and gather materials
|| || || || || || || ||
2. Take measurements either on form or calf circumference, ankle
|| || || || || || || || || ||
circumference, fib head height, foot length || || || || ||
3. apply 2 layers of stockinette
|| || || || ||
4. mark landmarks: fib head/neck, tibial crest, malleoli, calcaneal tuberosity if
|| || || || || || || || || || ||
prominent, base of 5th met head, navicular, cuboid, met heads 1 and 5, to
|| || || || || || || || || || || || || ||
sulcus, any other prominent/painful areas
|| || || ||
5. apply cut tube anteriorly and insert into cut slits of stockinette
|| || || || || || || || || || ||
6. wrap with fiberglass, ensure fib head is captured
|| || || || || || || ||
7. Use foot board to align foot as neutrally as possible
|| || || || || || || || || || ||
8. As fiberglass sets draw vertical cut line and horizontal match lines
|| || || || || || || || || || ||
9. Use cast saw to cut the cast off. Warn patient of vibration and loud noise. Use
|| || || || || || || || || || || || || || || || ||
2 hands and thumb as a guide
|| || || || || ||
10. cut top layer of stockinette and remove cast
|| || || || || || || ||
11. clean patients leg and remove 2nd layer stockinette. don shocks and shoes
|| || || || || || || || || || || ||
12. Clean area and answer questions about patient considerations
|| || || || || || || ||
KAFO: Knee joint too distal - ✔✔1. pressure at anterior distal and posterior
|| || || || || || || || || || || || ||
proximal thigh ||
2. thigh band shifts proximal
|| || || ||
3. cant rotate as much as anatomical knee
|| || || || || || ||
,2
KAFO: knee joint too proximal - ✔✔1. pressure at posterior distal and anterior
|| || || || || || || || || || || || ||
proximal of thigh || ||
2. thigh band shifts distal
|| || || ||
3. bends too much
|| || ||
KAFO: knee joint too posterior - ✔✔1. pressure at anterior proximal and
|| || || || || || || || || || || ||
posterior distal thigh || ||
2. orthosis shifts proximally
|| || ||
KAFO: knee joint too anterior - ✔✔1. pressure at anterior distal and proximal
|| || || || || || || || || || || || ||
posterior thigh ||
2. orthosis shifts distally
|| || ||
KAFO: proper knee joint location - ✔✔1. bisection of adductor tubercle and
|| || || || || || || || || || || ||
medial tibial plateau
|| ||
2. 60:40 anterior: posterior
|| || ||
KAFO Trimlines: - ✔✔1. medial proximal 30 mm distal to perinneum
|| || || || || || || || || ||
2. proximal lateral distal to greater trochanter
|| || || || || ||
3. proximal posterior thigh set at 15 deg slant connecting lateral to medial
|| || || || || || || || || || || ||
4. popliteal region allows 105 deg knee flexion
|| || || || || || ||
KAFO knee joint clearances - ✔✔6mm medial 3 mm lateral
|| || || || || || || || ||
,2
KAFO ankle clearances - ✔✔6 mm medial and 5 mm lateral
|| || || || || || || || || ||
KAFO analysis - ✔✔1. Correct side and foot plate
|| || || || || || || ||
2. proper strapping materials
|| || ||
3. plastic thickness
|| ||
4. rivets-- speedy rivets not durable for attaching metal uprights
|| || || || || || || || ||
5. plastazote /p-cell packs down quickly
|| || || || ||
6. check measurements
|| ||
7. Check proper ankle and knee joints
|| || || || || ||
8. If KAFO doesn't meet patient's needs do not deliver
|| || || || || || || || ||
KAFO : varus moment control - ✔✔AFO section: 3 pt pressure 1) prox medial
|| || || || || || || || || || || || || ||
(medial chafe at tibial strap) 2) proximal lateral malleoli (lateral flange) 3) 1st
|| || || || || || || || || || || || ||
met head (encompass)
|| ||
KAFO hyperextension control after delivery - ✔✔1) add padding to calf section
|| || || || || || || || || || ||
2) increase dorsiassist power (stiffer joints, adjust double action)
|| || || || || || || ||
3) increase plantarflexion resistance (pf stop, adjust double action)
|| || || || || || || ||
4) add heel wedge to AFO
|| || || || ||
KAFO joints that prevent hyperextension (without limiting ADLs) - ✔✔1.
|| || || || || || || || || ||
posterior offset ||
, 2
KAFO correct genuvarum/genuvalgum after delivery - ✔✔1. add pull strap
|| || || || || || || || || ||
proximal and distal to the knee joint so line of pull corrects deformity
|| || || || || || || || || || || ||
2. add padding proximal and distal to KC (if valgus add padding medially, and if
|| || || || || || || || || || || || || || ||
varus add padding laterally) to increase corrective force
|| || || || || || ||
KAFO: pain at at posterior distal thigh indicates what? - ✔✔knee joint is too
|| || || || || || || || || || || || || ||
proximal
KAFO: pain at anterior distal thigh and posterior proximal thigh indicates
|| || || || || || || || || || ||
what? - ✔✔knee joint is too distal
|| || || || || ||
KAFO: what may be the issue if knee joints will not fully lock? - ✔✔1. drop
|| || || || || || || || || || || || || || || ||
locks may be upside down
|| || || ||
2. mechanical KC not aligned with anatomical KC
|| || || || || || ||
3. The joints are not squared properly
|| || || || || ||
4. excursion length are uneven
|| || || ||
Scenario: pt with metal and leather KAFO with drop locks and double action
|| || || || || || || || || || || || ||
ankle joints feels unsteady and trips easily going down ramps. what
|| || || || || || || || || || ||
adjustments? - ✔✔1. allow more plantarflexion at the ankle || || || || || || || ||
2. provide dorsiassist with a spring in the posterior channel (will resist pf and
|| || || || || || || || || || || || || ||
smooth the foot flat transition) || || || ||
3. add cushioned heel to shoe
|| || || || ||
AFO 3 point force system for dorsiflexion weakness (resist PF in swing): - ✔✔1.
|| || || || || || || || || || || || || ||
anteriorly directed force at posterior calf || || || || || ||
