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orthotics exam CPM questions and answers A+ grade assured 2024/2025
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orthotics exam CPM questions and answers A+ grade assured 2024/2025
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orthotics exam CPManterior inferior trim (Boston) - ANSmidpoint should extend over pubis when standing or 1
cm superior to pubic symphysis
hips - should be able to flex to 90 degrees at hip
lateral inferior trim (Boston) - ANSflows from anterior to 1cm superior of greater trochanter
posterior inferior trim (Boston) - ANSflows from 1 cm superior of greater trochanter to one
finger width above seat when sitting at 90
opening (anterior/posterior/lateral)- Boston - ANSwidth no less than 2cm and no more than 5
cm and vertical
anterior superior trim (Boston) - ANSLSO- base of sternum, avoid impingement of xyphoid
process
TLSO- 2.5 cm inferior to sternal notch, flows to lateral
posterior superior trim - ANSLSO- just inferior to scapula /T8
TLSO- scapular spine
lateral superior trim - ANS5 cm inferior to level of axilla - should allow full ROM of arms or
3.8 cm inferior
Principles of Boston Bracing - ANSstandardized symmetric module
brace blueprint
lumbar and pelvic flexion ( moderate -15
degrees lumbar lordosis)
active and passive curve correction
pad pressure at apex and below
relief opposite every area of force
force couples
coordinated PT program
team approach
Chance fracture - ANSflexion and distraction (often seatbelt injury)
anterior column fails under compression, middle and posterior column fail under tension
(distraction)
can be boney and ligamentous
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