Question 1

What are the MOST direct causes of excessive hip hiking in a patient walking with a knee-ankle foot orthosis?&#10;A)Weak dorsiflexors,orthotic malalignment&#10;B)Weak abductors,not enough dorsi flexion assist&#10;C)Weak hip flexors,orthosis too long&#10;D)Weak plantarflexors,faulty posterior stop

Accepted Answer

Excessive hip hiking can occur if the orthosis is too long, causing the patient to lift the hip to clear the foot during swing phase. Weak hip flexors can also contribute to difficulty in advancing the limb, leading to compensatory hip hiking.

Question 2

Which type of gait is MOST effective in increasing gait speed and efficiency in patients with amputation?&#10;A)Drag-to&#10;B)Swing-to gait&#10;C)Two-point gait&#10;D)Swing-through gait

Accepted Answer

The swing-through gait is the most effective in increasing gait speed and efficiency in patients with amputation. This gait involves the use of crutches or a walker to swing the affected limb through while stepping forward with the unaffected limb. This allows for a more rapid and fluid gait pattern, leading to increased speed and efficiency.

Question 3

What are the areas of increased forces when a high heel is prescribed to correct gait pathology?&#10;A)Metatarsals and heel&#10;B)Metatarsals and knee&#10;C)Knee and medial tibia&#10;D)Heel and lateral tibia

Accepted Answer

High heels shift the center of gravity forward, causing increased forces on the metatarsals and knee. There is not necessarily an increased force on the heel or tibia.

Question 4

Which of the following BEST describes the indications for a medial heel wedge?&#10;A)Rigid pes valgus,rigid pes varus&#10;B)Rigid pes valgus,flexible pes varus&#10;C)Flexible pes valgus,rigid pes varus&#10;D)Flexible pes valgus,flexible pes varus

Accepted Answer

A medial heel wedge is used to correct or accommodate flexible pes valgus (flatfoot) by providing medial support to the arch, and it can also be used in cases of rigid pes varus to help redistribute pressure away from the medial side of the foot.

Question 5

Which of the following is LEAST important to take into account when prescribing an orthosis?&#10;A)Pathology&#10;B)Activity limitations&#10;C)Impairments&#10;D)Prognosis

Accepted Answer

The answer of Which of the following is LEAST important...

Question 6

Which of the following is the MOST important responsibility of the physical therapist in the management of pathologies that require orthotic devices?&#10;A)Pre-orthotic examination&#10;B)Patient education on the different types of orthosis&#10;C)Correction of misfitting components&#10;D)Maintaining the orthosis

Accepted Answer

The pre-orthotic examination is the most important responsibility of the physical therapist because it involves a comprehensive assessment of the patient's condition, functional abilities, and medical history. This information is critical to determining the appropriate type of orthotic device to use and designing an effective treatment plan. Patient education, correction of misfitting components, and maintaining the orthosis are all important responsibilities as well, but they are secondary to the initial assessment in terms of importance.

Deck 30: Orthotics