1. What are the areas of increased forces when a high heel is prescribed to correct gait
pathology?
a. Metatarsals and heel
b. Metatarsals and knee
c. Knee and medial tibia
d. Heel and lateral tibia - answerb. Metatarsals and knee
When making footwear modifications, the physical therapist must understand what else
the modification can affect and what may have increased forces running through it to
determine whether other injuries need to be avoided.
2. Which of the following is the MOST important responsibility of the physical therapist
in the management of pathologies that require orthotic devices?
a. Pre-orthotic examination
b. Patient education on the different types of orthosis
c. Correction of misfitting components
d. Maintaining the orthosis - answera. Pre-orthotic examination
Physical therapists need to be aware that they play a much larger role in the orthosis
management than simply ordering the orthosis. They need to know everything about the
orthosis and how it fits, as well as what corrections may be needed.
3. Which of the following is LEAST important to take into account when prescribing an
orthosis?
a. Pathology
b. Activity limitations
c. Impairments
d. Prognosis - answera. Pathology
In preparing to practice autonomously, it is important to know that physical therapists do
not just treat from a diagnosis.
4. What are the MOST direct causes of excessive hip hiking in a patient walking with a
knee-ankle foot orthosis?
a. Weak dorsiflexors, orthotic malalignment
b. Weak abductors, not enough dorsi flexion assist
c. Weak hip flexors, orthosis too long
d. Weak plantarflexors, faulty posterior stop - answerc. Weak hip flexors, orthosis too
long
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