类别 全部 - features - components - prosthetics

作者:Ashley DeSimone 3 年以前

306

Lower Extremity Prosthetics

Lower extremity prosthetics and orthotics are critical for addressing various conditions affecting the knee, ankle, and foot. These devices are designed to provide stability and improve gait for individuals with conditions such as abnormal knee varus or valgus, excessive genu recurvatum, and hypertonicity.

Lower Extremity Prosthetics

Lower Extremity Prosthetics

Knee Orthotics

FNMES

history of phlebitis

defibrillators

healing fracture

metal implants

pacemakers

PD

MS

Stroke

Intact common peroneal nerve

Dorsiflexion

Conventional KO

Malalignment

Genu varum

Genu valgum

Genu recurvatum

Insufficiency of lesser devices

Protection from loading/stress

Control hypermobility

Preventative/corrective tx

Foot Orthotics

Ankle and Foot Orthotics

Solid
Floor Reaction Orthosis (FRO)

Cruciate ligament insufficiency

Recurvatum during stance

Post polio syndrome

Children with CP

Restriction of tibia rolling forward over foot

Hold ankle in slight plantarflexion

Solid AFO

Limitations

Sit to stand

Uneven Surfaces

Stairs

Preposition foot for initial contact

Assist swing foot clearance

Holds ankle in fixed position

Dynamic
Metal (single or double) Upright

Indication

Transition from IC to LR

Edema/swelling

Assist foot clearance

BICAAL (locking mechanism)

Posterior Leaf Spring AFO

Contraindications

moderate to severe hypertonicity

LMN flaccid paralysis of DFs

impaired motor control

Dorsiflexion weakness

Allow ankle rocker function

Preposition foot for IC

Assist limb clearance

Hinged thermoplastic AFO

Neuro

Children w/ CP

Post-stroke

MSK

Ankle protection

Weak ankle mms

Knee hyperextension

Actions

Reduce energy expenditure of walking

PF/DF stop

Hip, Knee, Ankle, and Foot Orthotics

Reciprocal Gait Orthosis

traumatic SCI

hip joint motion for swing phase

rigid stability for stance

Conventional HKAFO

Progressive NM disorders

Myelomeningocele

Action

Extension for upright standing

Restore functional mobility

Knee, Ankle, and Foot Orthotics

Populations
Neurologic

Post-polio

SCI

TBI

CVA

Excessive hypertonicity that overpowers external moments
Abnormal knee varus or valgus
Late stance phase excessive genu recurvatum
Inability to control early stance phase knee flexion
When AFO cannot provide gait or standing stability
Stance Control KAFO

Assists knee flexion

Allows flexion during swing phase

Prevents knee flexion during stance phase

Harder to adjust
Can be hot
Lightweight
Better cosmoses
Interchangability
Locking
Features

Control knee hyperextension

Drop lock knee joints

Bail locking

Single axis joints

Control of knee buckling

Conventional Non-Locking
Indications

Posterior offset joints

Control of mild/moderate varus/valgus angulations

Reduction of knee hyperextension

Strong
Durable
Easy to adjust
Heavier
Less cosmetic
Must be attached to shoe
Components
Superstructure
Knee Control
Ankle Control
Footplate
Shoe