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AFO Case 4

Quiz by Sandra Radtka

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Q 1/1
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2 year old child with spastic diplegic CP who creeps and pulls to stand, and stands, but not yet ambulatory. Stands with excessive hip & knee flexed & ankle in equinovalgus on right. Stands with normal hip & knee extension and moderate ankle pronation with heel in contact with floor on left. Bilateral LE hypertonus greater on right than left. PROM: WNL except right ankle dorsiflexion to 10 degrees. Limited selective control of right ankle dorsiflexors and plantar flexors. Full selective control of left ankle dorsiflexors and plantar flexors. What AFO is best for right and left LE?
29
HInged AFO on left; Dynamic AFO with plantar flexion stop on left
Solid AFO on right; Dynamic Foot Orthosis on left
Dynamic AFO with plantar flexion stop on right; Dynamic SMO on left
Anterior Floor Reaction AFO on right; Dynamic SMO on left

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Q1
2 year old child with spastic diplegic CP who creeps and pulls to stand, and stands, but not yet ambulatory. Stands with excessive hip & knee flexed & ankle in equinovalgus on right. Stands with normal hip & knee extension and moderate ankle pronation with heel in contact with floor on left. Bilateral LE hypertonus greater on right than left. PROM: WNL except right ankle dorsiflexion to 10 degrees. Limited selective control of right ankle dorsiflexors and plantar flexors. Full selective control of left ankle dorsiflexors and plantar flexors. What AFO is best for right and left LE?
HInged AFO on left; Dynamic AFO with plantar flexion stop on left
Solid AFO on right; Dynamic Foot Orthosis on left
Dynamic AFO with plantar flexion stop on right; Dynamic SMO on left
Anterior Floor Reaction AFO on right; Dynamic SMO on left
30s

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