《An Introduction to Orthotic Therapy and its use in Rehabilitation Medicine》.pptVIP

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2017-07-12 发布于浙江
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《An Introduction to Orthotic Therapy and its use in Rehabilitation Medicine》.ppt

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* * * Step 4: Leg Length Leg length measurement is of vital importance in the prescription of an orthotic device. If an undiagnosed leg length discrepancy exists and an orthotic is prescribed to correct rear foot pronation, the orthotics will remove one of the only mechanisms the body has for compensating for a short leg. This will cause jamming of the long leg at the knee and hip. Since ICB Orthotics (2/3 Length, full length dress style) have an intrinsic rearfoot posting of 5° additional posting of the rear foot is not usually necessary. Remember that the aim of the orthotic is to limit excess pronation – a few degrees (approx 4°) of pronation is allowed for shock absorption. Step 5 6 : RCSP NCSP RCSP NCSP The Posterior lines are used to measure the range of Pronation. Measurement of the range of Pronation uses either a protractor or goniometer. The lines are the bisection of the posterior lower one third of the tibia, posterior calcaneous The aim of the measurements is to obtain the range of Pronation. NCSP + RCSP = RoP (Range of Pronation) If RoP is unilateral check for a leg length discrepancy. Posterior line markings The Posterior lines are used to measure the range of Pronation. Measurement of the range of Pronation uses either a protractor or goniometer RCSP NCSP– Step 5 6 In measuring RCSP and NCSP you are looking to establish the Range of Pronation. RCSP + NCSP = RoP (Range of Pronation) This is an important measure as it provides an indication as to the severity of excess pronation and required orthotic control. Anterior line markings In addition to being a good clinical demonstration aid, the use of anterior lines is invaluable when assessing forefoot conditions and tibial torsion. The anterior lines also prove useful when heat moulding the orthotic to the patient in their footwear, or when casting the foot in the neutral position in a foam impression cast box A review of the measurements suggest the following: - Left Back pain – cl