CO Treatment Planning & Protocols 2

Question 1

A patient with post-polio syndrome presents with knee hyperextension during stance phase. Which orthotic intervention is most appropriate?

Accepted Answer

Knee-ankle-foot orthosis with posterior offset knee joint

Answer

A KAFO with a posterior offset knee joint places the knee joint axis behind the weight-bearing line, providing a knee extension moment to control genu recurvatum.

Question 2

During the treatment planning process, which factor should be evaluated FIRST before selecting an orthotic design?

Accepted Answer

Pathomechanics and biomechanical assessment

Answer

Pathomechanical and biomechanical assessment must occur first to identify functional deficits and guide appropriate orthotic intervention.

Question 3

A child with cerebral palsy (spastic diplegia) benefits most from which orthotic treatment goal?

Accepted Answer

Improving gait pattern and preventing contractures

Answer

For spastic diplegia, orthotics aim to improve functional gait patterns and prevent secondary musculoskeletal deformities such as contractures.

Question 4

When developing a treatment protocol for a patient with diabetic peripheral neuropathy, which consideration is MOST critical?

Accepted Answer

Pressure distribution and skin integrity

Answer

Patients with diabetic neuropathy have impaired sensation, making pressure distribution and prevention of skin breakdown the paramount orthotic concern.

Question 5

A patient requires a cervical orthosis following a C5 fracture that is deemed stable. Which device provides the MOST appropriate immobilization for this scenario?

Accepted Answer

Cervicothoracic orthosis (CTO)

Answer

A cervicothoracic orthosis provides superior immobilization compared to cervical-only collars by incorporating thoracic fixation, appropriate for stable mid-cervical fractures.

(CO) Certified Orthoptist Practice Test

(CO) Certified Orthoptist Practice Test

CO Treatment Planning & Protocols 2