Procedures -
CPM/Orthotics/Prosthetics
orthotics - ANS*define*
Biotechnology that utilizes force applications to body through mechanical device to restore
function
orthosis - ANS*define*
External device worn on the body
1. increase in inflammation, pain, or edema (stop treatment if this happens)
2. active infection
3. unstable fracture - ANSWhat are the contraindications for the CPM machine? (3)
Hematoma from blood thinners - ANSWhat are the precautions for the CPM machine? (1)
1. immobilization after a fracture
2. tendon or ligament repair
3. TKA or hip arthroplasty - ANSWhat are the indications for the CPM machine? (3)
1. educate!
2. towels for comfort
3. Remember it is not the only part of the rehab process. PT is still warranted
4. reassess pt after use (pain, edema, skin, ROM and CPM compliance) - ANSWhat are
special considerations for the CPM machine? (4)
continuous passive motion - ANS*define*
Uninterrupted passive motion through a set ROM administered by a mechanical device
1. increase in ROM, nutrition, and circulation to the joint
2. increase in tissue healing
3. Decrease in contractures, pain (gate theory), adhesions, edema, and joint effusion -
ANSWhat are the effects of the CPM machine? (3)
1-4 minutes - ANSWhen using the CPM machine, what is the typical amount of time for one
cycle?
20-40, 5-10 - ANSFor knees when using the CPM machine, how many degrees of flexion
should you start with? How many degrees do you increase each day?
, 110-120 degrees - ANSHow many degrees of knee flexion is typically the goal when using
the CPM?
1 hour, 3x a day up to 24 hours - ANSWhat are the typical treatment times for the CPM?
FO - ANS*name the orthosis*
-can be internal or external support
-rigid or semirigid
-metatarsal pads, arch supports, heel lifts
AFO - ANS*name the orthosis*
-short leg orthosis, below the knee
-fixed or dynamic ankle
-internal or external to shoe
KAFO - ANS*name the orthosis*
-long leg orthosis, above knee
-knee locked or limited motion
-ankle stays in alignment
-Craig-Scott (paraplegia, allows standing with posterior lean of trunk)
HKAFO - ANS*name the orthosis*
-pelvic suspension
-can control rotation at hip and add/abd
-can restrict swing to or swing through
reciprocating gait orthosis - ANS*name the orthosis*
system enhancing gait patterns
THKAFO - ANS*name the orthosis*
encompasses trunk as well as lower extremity
halo vest - ANSWhat is an example of a cervical orthosis?
TLSO - ANSWhat is an example of a spinal orthosis that controls flexion and extension?
1. provide input
2. preorthosis assessment by PT/orthotist
3. contribute to orthotic prescription
4. orthosis assessment
5. facilitate acceptance
CPM/Orthotics/Prosthetics
orthotics - ANS*define*
Biotechnology that utilizes force applications to body through mechanical device to restore
function
orthosis - ANS*define*
External device worn on the body
1. increase in inflammation, pain, or edema (stop treatment if this happens)
2. active infection
3. unstable fracture - ANSWhat are the contraindications for the CPM machine? (3)
Hematoma from blood thinners - ANSWhat are the precautions for the CPM machine? (1)
1. immobilization after a fracture
2. tendon or ligament repair
3. TKA or hip arthroplasty - ANSWhat are the indications for the CPM machine? (3)
1. educate!
2. towels for comfort
3. Remember it is not the only part of the rehab process. PT is still warranted
4. reassess pt after use (pain, edema, skin, ROM and CPM compliance) - ANSWhat are
special considerations for the CPM machine? (4)
continuous passive motion - ANS*define*
Uninterrupted passive motion through a set ROM administered by a mechanical device
1. increase in ROM, nutrition, and circulation to the joint
2. increase in tissue healing
3. Decrease in contractures, pain (gate theory), adhesions, edema, and joint effusion -
ANSWhat are the effects of the CPM machine? (3)
1-4 minutes - ANSWhen using the CPM machine, what is the typical amount of time for one
cycle?
20-40, 5-10 - ANSFor knees when using the CPM machine, how many degrees of flexion
should you start with? How many degrees do you increase each day?
, 110-120 degrees - ANSHow many degrees of knee flexion is typically the goal when using
the CPM?
1 hour, 3x a day up to 24 hours - ANSWhat are the typical treatment times for the CPM?
FO - ANS*name the orthosis*
-can be internal or external support
-rigid or semirigid
-metatarsal pads, arch supports, heel lifts
AFO - ANS*name the orthosis*
-short leg orthosis, below the knee
-fixed or dynamic ankle
-internal or external to shoe
KAFO - ANS*name the orthosis*
-long leg orthosis, above knee
-knee locked or limited motion
-ankle stays in alignment
-Craig-Scott (paraplegia, allows standing with posterior lean of trunk)
HKAFO - ANS*name the orthosis*
-pelvic suspension
-can control rotation at hip and add/abd
-can restrict swing to or swing through
reciprocating gait orthosis - ANS*name the orthosis*
system enhancing gait patterns
THKAFO - ANS*name the orthosis*
encompasses trunk as well as lower extremity
halo vest - ANSWhat is an example of a cervical orthosis?
TLSO - ANSWhat is an example of a spinal orthosis that controls flexion and extension?
1. provide input
2. preorthosis assessment by PT/orthotist
3. contribute to orthotic prescription
4. orthosis assessment
5. facilitate acceptance
