Online Activity: LOWER Extremity Orthotic Examination

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Name: ______________________________

Date of Submission: __________________

Online Activity: LOWER Instructor: __________________________


EXTREMITY ORTHOTIC
EXAMINATION SCORE:_______________
RATING: ______________

Examination is an essential element of orthotic management. The physical therapist should be certain that
the orthosis fits and functions properly before attempting to train the patient to use it. Analysis may be
conducted under the aegis of a formal orthotic clinic team. If so, when the orthosis is delivered, the team
should determine the adequacy of the orthosis as pass, provisional pass, or fail. Pass indicates that the
orthosis is altogether satisfactory and the patient is ready for training. Provisional pass means that minor
faults exist, generally having to do with the cosmetic finishing of the appliance; the patient can wear the
orthosis in the training program without harmful effect. Failure signifies that the orthosis has a major defect
that would interfere with training; for example, shoes that are too tight for the patient. The problem must be
resolved before training can begin. If the orthosis is not prescribed by a clinic team, the physical therapist
should use the evaluation procedure to ensure that the orthosis meets the patient’s needs.

Instructions: After reviewing the modules and slides on Lower Limb Orthotics, research using different
respected sources and answer the following questions on Orthotic Examination.

1. STATIC EXAMINATION
- The static component examines the orthosis on the patient while standing and sitting, as well as
examination of the device off the individual.

A. general guidelines in lower extremity examination: (position, environment etc)


________________________________________________________________________________
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B. What are the things to be checked upon assessment of the following lower extremity components:
a. Shoe______________________________________________________________________
__________________________________________________________________________
b. OrthoticAnkleJoint:___________________________________________________________
__________________________________________________________________________
c. Calf band:__________________________________________________________________
__________________________________________________________________________
d. Mechanical Knee joint: :_______________________________________________________
__________________________________________________________________________
e. Knee lock:_________________________________________________________________
__________________________________________________________________________
f. Thigh band/shell: :__________________________________________________________
__________________________________________________________________________
g. Hip Joint: :_________________________________________________________________
__________________________________________________________________________
C. Upon doffing the orthosis, what are the points to be checked?
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
____________________________________________
2. DYNAMIC EXAMINATION: The dynamic component of the examination addresses analysis of the
wearer’s gait.

DEVIATION ORTHOTIC CAUSES ANATOMICAL CAUSES


Early Stance
Late Stance
Swing

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