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Prosthetics, Orthotics. EXAM (POAT) Questions and Answers 100% Solved

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Prosthetics, Orthotics. EXAM (POAT)

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  • August 17, 2024
  • 53
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • POAT
  • POAT
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Prosthetics, Orthotics. EXAM (POAT)

What is the participation criteria for the use of an ambulation trial for a bilateral KAFO? -
answer No contractures in hip flexors, knee flexors, or ankle plantar flexors

SLR from 0-110 degrees

Independent in all transfers including w/c to floor

Max VO2 is >20 ml/kg/min

50 continuous full dips in parallel bars

Foot orthoses should be modular, what does this mean? - answer They should be
modified based on patient impairments

What are the 3 main concepts in Orthotics and Prosthetic Rehab process? - answer
Pressure Tolerances

Moments and Force transmissions

Alignment of Joint Axes

What is Force? - answer Mass x Acceleration

What is Torque? - answerMoments of force X Moment arm length

What is pressure? - answerForce/Area

What is linear static/dynamic equilibrium? - answerSum of the forces and how they are
balanced.

Resultant forces need to occur with movements

Define Orthosis? - answerAn external applied device applied to a part of the body to
correct deformity, improve function or relieve symptoms of disease

What is the purpose of an orthosis? - answerDevice which support or assists the
musculo-neuro-skeletal system

What are the 7 Fundamental purposes of Orthotic prescription? - answerImprove
performance of functional activities

,Improve/enhance mobility

Deformity prevention: primary and secondary

Correction of passively modifiable deformity

Immobilization/Control/protection

Regulating or reducing muscle tone

Stabilizing weak or flaccid muscles

What are the 3 main orthotic design purposes? - answerControl Movement

Assist Movement

Combination of both.

**Should be able to control in 1 plane and assist in another**

What are the main types of involvement with PTs and Orthoses? - answerAssessment
for identified purposes

Evaluation of fit

Education in orthotic fit and training in use

Assessment and quantification of functional benefits and uses

What is the difference between Temporary vs. Definitive Orthoses? - answerTemporary:
"Off the Shelf"
Non-specific, short term use for Healing, Function, contracture prevention
Generic fit
Usually costs less
Assess functional benefits/systems and practical applications

Definitive:
When permanent benefit is needed
Mechanically and Physiologically stable
Custom fit
Costly

What are the characteristics of a Temporary Orthoses? - answer"Off the Shelf"

Non-specific, and usually costs less:

,Short term use for Healing, Function, Contracture prevention

Generic fit

Assess functional benefits/systems and practical applications

What are the characteristics of a Definitive Orthoses? - answerPermanent benefit is
needed

Mechanically and Physiologically stable

Custom fit

Costly

What are the 3 main area of mechanics for prosthetic intervention? - answerForces and
Moments

Tissue Pressure tolerances

Joint axes Alignment

What is the difference between Fixed deformities vs. Dynamic Deformities? -
answerFixed Deformity: Can not be passively corrected

Dynamic deformity: Result from over-activity of muscle tendon groups but when at rest
are passively correctable

*Can also develop in adjacent joints in response to coupling effects of defomities above
and below

What is a fixed Deformity? - answerCan not be passively corrected

What is a dynamic deformity? - answerResult from over-activity of muscle tendon
groups but when at rest are passively correctable

*** These Can also develop in adjacent joints in response to coupling effects of
defomities above and below

What are the 3 ways that an orthotic can assist in postural change in a jointu? -
answerAltered Joint moments

Altered Joint shearing forces

Altered joint axial forces

, **most orthoses alter joints directly, but can also effect joints above and below

What are the Corrective control systems utilized by LE orthoses: - answerGround
Reaction Forces control systems

Or 3 point-pressure control systems

Force systems with orthoses generally act, in effect like what type of system? 1st/2nd or
3rd class levers? - answerFirst class lever system.

***Counter force, must be equal to initial force***

In regards to forces in orthotic design, each plane and direction of motion under orthotic
control MUST have at-least one what? - answer3-point loading system

What is the mechanical goal of orthotic intervention? - answerApply forces of specific
magnitude at specific points on a limb/trunk segment to achieve desired control

What does it mean to have a 3-point system orthoses? - answerRequires 3 different
points of force to control a specific joint abnormality

There are some general considerations in regards to short/long levers with short/large
contact areas. Describe the effects of each combination starting with short levers +
small contact areas - answerShort levers + small contact areas = increased local skin
pressures

Short levers + large contact areas = less increased local skin pressures

Long levers + small contact areas = less increased local skin pressure

Long levers + large contact areas = smaller local skin pressures

What is the effect of a short lever + small contact areas? - answer= increased local skin
pressures

What is the effect of a short lever + large contact areas? - answerLess increased local
skin pressure

What is the effect of a long level + small contact areas? - answerLess increased local
skin pressures

What is the effect of a long lever + large contact areas? - answerSmaller local skin
pressures

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