Treatment Planning & Protocols Flashcards
7 cards from real CO practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Treatment Planning & Protocols flashcards as text
A patient with post-polio syndrome presents with knee hyperextension during stance phase. Which orthotic intervention is most appropriate?
Answer: Knee-ankle-foot orthosis with posterior offset knee joint
A KAFO with a posterior offset knee joint places the knee joint axis behind the weight-bearing line, providing a knee extension moment to control genu recurvatum.
During the treatment planning process, which factor should be evaluated FIRST before selecting an orthotic design?
Answer: Pathomechanics and biomechanical assessment
Pathomechanical and biomechanical assessment must occur first to identify functional deficits and guide appropriate orthotic intervention.
A child with cerebral palsy (spastic diplegia) benefits most from which orthotic treatment goal?
Answer: Improving gait pattern and preventing contractures
For spastic diplegia, orthotics aim to improve functional gait patterns and prevent secondary musculoskeletal deformities such as contractures.
When developing a treatment protocol for a patient with diabetic peripheral neuropathy, which consideration is MOST critical?
Answer: Pressure distribution and skin integrity
Patients with diabetic neuropathy have impaired sensation, making pressure distribution and prevention of skin breakdown the paramount orthotic concern.
A patient requires a cervical orthosis following a C5 fracture that is deemed stable. Which device provides the MOST appropriate immobilization for this scenario?
Answer: Cervicothoracic orthosis (CTO)
A cervicothoracic orthosis provides superior immobilization compared to cervical-only collars by incorporating thoracic fixation, appropriate for stable mid-cervical fractures.
Which gait deviation is directly addressed by a plantarflexion stop built into an AFO?
Answer: Foot drop during swing phase
A plantarflexion stop prevents the foot from dropping into plantarflexion during swing, eliminating foot drop and reducing tripping risk.
In developing a treatment plan for lateral epicondylitis (tennis elbow), what is the primary mechanical goal of a counterforce brace?
Answer: Decrease tensile forces transmitted to the lateral epicondyle
A counterforce brace applies circumferential compression to the forearm musculature, redirecting muscle forces and reducing stress at the lateral epicondyle attachment.