Over the past decade, technology and research have greatly expanded the functionality and aesthetics of prosthetic feet. Today, amputees have a wide array of feet from which to choose. Various models are designed for activities ranging from walking, dancing and running to cycling, golfing, swimming and even snow skiing.
This presentation is very beneficial for those who are in the field of prosthetics & orthotics. I have covered the basics of prosthetic foot, its mechanisms & its types. I have mentioned advanced prosthetic foot also. Hope this will help you all.
Over the past decade, technology and research have greatly expanded the functionality and aesthetics of prosthetic feet. Today, amputees have a wide array of feet from which to choose. Various models are designed for activities ranging from walking, dancing and running to cycling, golfing, swimming and even snow skiing.
This presentation is very beneficial for those who are in the field of prosthetics & orthotics. I have covered the basics of prosthetic foot, its mechanisms & its types. I have mentioned advanced prosthetic foot also. Hope this will help you all.
A complete description of the lower limb orthosis is available in the following presentation with an in depth understanding of the same.It covers the ankle foot orthosis,Knee orthosis the knee ankle foot orthosis and hip orthosis.
presentation is about Orthosis and prosthesis. It gives Classification of Orthosis. It describes structure, function, Indication and uses of Orthosis. Also describes different types of Prostheses, their parts and function.
Orthotic management of stroke for mobility --- Madeshanaika (India)CRP
This PPT was made to teach about the Orhtotic management of stroke for Mobility purpose when i was working in Bangladesh .And design was done by considering the sponsors for the programme. If this PPT is useful please go ahed and i am happy if you use this information for teaching....Madesh
A complete description of the lower limb orthosis is available in the following presentation with an in depth understanding of the same.It covers the ankle foot orthosis,Knee orthosis the knee ankle foot orthosis and hip orthosis.
presentation is about Orthosis and prosthesis. It gives Classification of Orthosis. It describes structure, function, Indication and uses of Orthosis. Also describes different types of Prostheses, their parts and function.
Orthotic management of stroke for mobility --- Madeshanaika (India)CRP
This PPT was made to teach about the Orhtotic management of stroke for Mobility purpose when i was working in Bangladesh .And design was done by considering the sponsors for the programme. If this PPT is useful please go ahed and i am happy if you use this information for teaching....Madesh
disability is a physical or mental condition that limits a person’s movement , sense or activities.
It is an important public health problem especially in developing countries like India . Any form of disability cannot be fully restored but measures and efforts can be put in to improve the conditions.
prosthetic devices are an artificial device that replaces a missing body part which may be lost through trauma, diseases or congenital conditions.
Purpose- used to replace a missing limb to perform functional tasks.
The importance of Rehabilitation explains about the trends in development of prosthetic and orthotic devices and how, the technology can be used to improve the current devices in the market. Devices for mobility, Devices for visual impairment and hearing impairment and its uses are explained.
Orthoses, an integral part of assistive technology, are specially made splints which are being used to align abnormal joints or muscles. These are never bought from ready made shops. Each and every pediatric orthosis should be made by qualified orthoticians. In selected cases, orthoses should be made after taking a POP cast. In a developing child, the orthoses should be changed after every six to nine months and for older children, the splint should be changed after every 9-15 months. Most of the orthoses require modifications so consult your orthotician after every three months or as recommended. Please note, a faulty orthosis always harm the child.
We at ICD, Delhi provide orthotic support to the following condition whenever there is a need
CTEV (Club Feet)
Cerebral palsy
Spina bifida
Erb’s palsy
Brain injury
Spinal cord injury
Post-polio paralysis
Meningomyelocele
Arthrogryposis
Congenital Hip dislocation
Genu recurvatum / Genu varum / Genu valgum
Flat feet / Hallux valgus / Flexed wrist / thumb in palm, etc
Orthotic aids are an integral part of habilitation / rehabilitation therapy. It helps
• To correct and/or prevent deformity
• To provide a base of support
• To facilitate training in skills
• To improve the efficiency of gait
• To improve function
At ICD New Delhi , we have
• Provision for Orthoses for Lower Limbs
• Provision for Orthoses for neck, spine and trunk
• Provision for Orthoses for Upper Limbs
In this presentation, I have added evidence based practice ankle joints which are frequently used in orthotic treatment. Hope it reaches to every person out there seeking information regarding the same.
Hi trac industries launches information page on cruciate ligaments of the kneeDavid Miller
Hi-Trac Industries just made public an informative web page about the recovery from ACL surgery. Injuries to the cruciate ligaments of the knee can easily occur and the healing can take up to ten months.
Orthosis
The aim of orthotics is to increase the efficiency of function during acute or long-term injury. This includes soft-tissue and bony injury, as well as changes as a result of neurological changes. They can be an effective adjunct alongside physiotherapy techniques such as muscle strengthening and stretches, gait and balance retraining and reach and grasp strategies.
Definition :An orthosis is generally an individually designed or customised device, which is applied to the external part of the body to provide support and protection for that particular area of the body. It uses integrates biomechanical principles to realign joints and reduce pain. The design, materials and function of the orthosis are based on a patient assessment, including their medical history, biomechanical principles and the individual needs of the user.
Commonly prescribed orthoses include:
Foot Orthoses (FOs), for various foot, leg or postural problems; there is significant variety in terms of their design and manufacturing methods[1][2]
Ankle Orthoses (AOs) and Knee Orthoses (KOs), for joint protection, pain reduction or support after surgery
Ankle-Foot Orthoses (AFOs) and Knee-Ankle-Foot Orthoses (KAFOs), to improve mobility, support rehabilitation and biomechanical goals
Various upper-limb orthoses, to provide positional and functional support to the upper limb
Fracture orthoses, modern alternative to plaster or fibreglass casts
Spinal Orthoses, to correct or control spinal deformities and injuries and to provide immobilisation or support to spinal injuries
Advantages
Lower limb: Influence both swing and stance phase of gait[10].
Prevent or correct deformity and reduce pain during weight-bearing
Improve the efficiency of gait and maintain balance
Improve base of support / lateral support
Reduce need for compensation of ipsilateral and contralateral limbs and secondary pain
To facilitate training in skills
Upper limbs: Can be used after an injury to prevent further injury, or reduce pain by supporting an injured limb.
Prevent or correct deformity reducing pain and maximising function in reach and grasp tasks.
Improve the efficiency of reach and grasp tasks
Offload an injured limb to allow healing
Reduce need for compensation of ipsilateral and contralateral limbs and secondary pain
Improve role of the upper limb in maintaining balance
Spine: Stabilise spinal fractures to allow the patient to return to some normal activities (although they may be restricted) and protect the spinal cord
And It's Principles
Classification of Orthosis
Types Of Orthosis
Upper Limb Orthosis
Spinal Orthosis
Lower Limb Orthosis
Possible Complications
Loss of sensation (check skin regularly- risk of pressure areas)
Compensations in ipsilateral or contralateral limbs.
Impact on spasticity (is the patient utilising spasticity to allow some function in absence of muscle strength?)
Complications of casting at incorrect angle: Foot deformitie, increased knee flexion in stanc
Goniometry is the measuring of angles created by the bones of the body at the joints.1, 2, 3
The term goniometry is derived from two Greek words, gonia meaning angle and metron, meaning measure. 1, 2, 3, 4, 5,
System to measure the joint ranges in each plane of the joint is termed goniometry. 4
These measurements are done with instrument such as goniometer, a tape measure, inclinometers or by visual estimate.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
3. Floor Reaction Orthosis
Floor Reaction Orthosis is revolutionary
orthosis: Custom fabricated, moulded plastic
device that supports the ankle and foot area of
the body and extends from below the knee
down to and including the foot.
9/22/2018 INDRA VIJAY SINGH( LECTURER P&O)
4. Floor Reaction Orthosis
• It was described by Saltiel for the use of weak
quadriceps or plantar flexors in 1969.
• It holds the ankle in equinus to prevent the
heel from touching the ground. As the body
weight brings the heel downwards, the supra
patellar band will press the knee back
preventing knee from buckling during stance
phase. It allows the knee to flex during swing
phase when the foot is off the ground.
9/22/2018 INDRA VIJAY SINGH( LECTURER P&O)
5. Stage in evaluation of FRO
Salitial FRO Pressing over the sensitive
patella .
PTB contours Provided by differentiating
between pressure sensitive & pressure
tolerance zone or areas.
Deep infrapatellar groves and proximally trim
line extending to the mid- patella level gives
no problem.
9/22/2018 INDRA VIJAY SINGH( LECTURER P&O)
6. Component of FRO
• FRO has a posterior shell like solid ankle foot
orthosis.
• Toe plate is stiff and long with slight plantar
flexion.
• Anterior shell comfortably capture the
resultant extension moment and stabilize the
knee
9/22/2018 INDRA VIJAY SINGH( LECTURER P&O)
7. Principles of FRO
Mechanical& Biomechanical:
Newton’s third law: For every action, there is
an equal and opposite reaction.
Body weight over the orthosis and over the
ground .
9/22/2018 INDRA VIJAY SINGH( LECTURER P&O)
8. GRF
The GRF has a point of application on the sole of the
foot, magnitude, a line of direction, GRF force offered
support surface, equaling and opposing force due to
body mass passing through the foot to the ground
surface; GRF is resolved into vertical (counteraction
body weight) and horizontal ( leading to forward
movement) components.
GRF is provide stability during stance phase.
9/22/2018 INDRA VIJAY SINGH( LECTURER P&O)
12. Force System
• FRO design 3 point force system. The 3 point
force system permits angular change or
control over a joint.
• The first force system is similar to control
plantar flexion (Leaf Spring AFO).
• Second force system is same as in case of
solid AFO to control inversion and eversion.
• Third force system controls dorsiflexion.
9/22/2018 INDRA VIJAY SINGH( LECTURER P&O)
13. Force System
Another set of Force system is working in this
FRO:
1. A posteriorly directed force on the upper tibia
or preferably on the patellar tendon.
2. A compression force in the plastic at the ankle
joint form mid stance to toe-off.
3. An upwardly directed force on the sole of the
foot during and after mid stance
9/22/2018 INDRA VIJAY SINGH( LECTURER P&O)
14. Principles of FRO
When feet absorb the reaction forces and keep
the knee and ankle straight.
Here the foot and orthosis absorb the forces and
keep knee straight.
FRO holds the ankle in slight equinus to
prevent the heel from touching the ground
when body brings the heel down, there is a
turning point at which orthosis joint press the
proximal leg back, making extension of knee
prevents knee from buckling during stance
phase allows to flex in swing phase and permits
ground clearance
9/22/2018 INDRA VIJAY SINGH( LECTURER P&O)
15. Functions of FRO
This orthosis is used to create an extension moment at
knee, generally in cases where patient is walking with
hand to knee gait.
This extension moment is generated when ankle is
locked in a position of plantar flexion.
Prevents knee flexion in weight bearing
Gives medio lateral support and roatatory stability to
knee
Helps to maintain the upright position in stance and
stabilized gait
Other functions are similar to that of a solid ankle
AFO
9/22/2018 INDRA VIJAY SINGH( LECTURER P&O)
16. Indication of FRO
• Lower limb weakness eg. Post polio paralysis
• Neurological conditions
• For assist knee extension at mid stance and
compensate for weak / absent gastro soleus
(places extension forces close to knee)
• Generally all the previous conditions with
quadriceps having a fair muscle power.
•
–
9/22/2018 INDRA VIJAY SINGH( LECTURER P&O)
17. Indication of FRO
• Indication- Management of a crouch gait,
which is characterized by excessive ankle
dorsiflexion, increased knee flexion, and
increased hip flexion in mid stance.
9/22/2018 INDRA VIJAY SINGH( LECTURER P&O)
19. CONTRA INDICATION
• fixed contracture of knee and ankle
• Can not be prescribed bilaterally
• Contraindications - Hip flexion contracture
>30°,
Knee flexion contracture
>20°
9/22/2018 INDRA VIJAY SINGH( LECTURER P&O)
21. DISADVANTAGES
Has to be custom made – do not function if
not correct fit
9/22/2018 INDRA VIJAY SINGH( LECTURER P&O)
22. Discussion
• The ankle joint is kept in 5 to 7 degrees of plantar
flexion in order to shift the line of floor reaction.
• By keeping ankle in plantar flexion, the resultant of
floor reaction passes posterior to the ankle joint and
anterior to the knee joint generating a posteriorly
directed moment which tends to push the knee in
extension thus controlling knee flexion allowing the
patient to remove his or her hand.
• If used in bilateral cases, tip-toe type of gait will be
achieved which is very uncomfortable for the patients
and hard to maintain the balance, hence
contraindicated in bilateral cases.
9/22/2018 INDRA VIJAY SINGH( LECTURER P&O)