Did You
Know?
Did you
know your leg has 88 ligaments and 54
muscles
Did you
know your foot has 26 bones, plus a
few sesamoid bones.
Did you
know your trunk has 86 ligaments and
62 muscles.
Did you
know your arm has 34 ligaments and 42
muscles.
Did you
know 80% of lower limb deformities
are Ligimentus in nature.
Did you
know 20 % of lower limb deformities
are skeletonal in nature.
Did you
know it requires 20% more energy to
walk with a locked knee.
Did you
know it requires over 40% more energy
to walk with two locked knees.
Did you
know it requires 6% more energy to
walk with a locked ankle.
Did you
know you will have a better outcome
with triplanar control than without
Did you
know there are only 10 &endash; 20
practitioners in the USA that can practice triplanar control
effectively in their designs.
Did you
know Achilles Tendon Contractures are
the most common contracture in the lower extremities. The
proper way to check for an achilles tendon contracture, is
to isolate the Talo-crurial joint (Ankle Joint). The motion
of moving your foot up and down should take place at the
ankle joint. A false reading is commonly incorporated into
this test by measuring all the midfoot motion, many times
masking the contracture. The foot is made up of 26 bones and
each of the bones are held together by ligaments. If an
Anchilles Tendon contracture prevents motion at the ankle
joint, then the little ligaments get repetitive stress on
each step. The abnormal motion that develops by stretching
ligaments is called a deformity. This deformity requires
triplanar control.
Did you
know conventional bracing cannot
provide triplanar control. Conventional bracing are those
that are open in the front, made of Polypropylene and or
Metal and leather. Some practitioners utilize conventional
designs but laminate with carbon graphite. The outcome is
similar.
Did you
know, that the reason clients tend to
roll their ankle into the edge of an orthosis, is that the
orthosis is not controlling the structural deficits well
enough. Heat molding the Orthosis is not the best way to
take care of the real problem?
Did you
know, that the majority of orthotic
devices are not strong enough to control the structural
deficits that a patient has, mainly because the failure of
the clinical team, to recognize all the structural needs in
all three planes, and demand that they are met in the final
outcome.
Did you
know, a Polypro AFO & Double
Upright AFO can only control effectively in the Sagittal
plane (Front & back)?
Did you
know most stability is required from
side to side (Coronal Plane).
Did you
know, that video is an excellent way
to document functional outcomes of P&O clients?
Did you
know, even though you have tried
several AFO's and had Physical Therapy, that there are new
Technologies helping clients get out of wheelchairs and
walking securely.
Did you
know, when educated, most clients
will pick an orthosis based on functional outcomes and not
on;cheapest, lightest, and smallest..
Did you
know, the shoe plays a very important
role when wearing a dynamic brace from
DynamiicBracingSolutions.
It must be fit as snug as possible to hold the device and
the foot together. The shoe must control the heel from
slipping or pulling out the dynamic device. When the brace,
leg and foot work as one, the better the outcome.
What Do We
Know!
- …a mal aligned extremity that
has not been addressed under weight bearing conditions
will proceed to increase the deformity.
- …the greater the deformity, the
less balance, decreased velocity, more need for assistive
devices and aid from others.
- …humans are not meant for
walking on their upper extremities.
- …rotational deformities need to
be de-rotated back to the anatomic position.
- …for an object to maintain an
upright position, it needs a good foundation.
- …insufficient bracing does not
work. (Each structural and functional deficit needs to be
addressed to prevent further deformities and increase
functional outcomes.)
- …the cost of preventing
debilitating problems is far less than the cost after
compounding problems have developed.
- …we can predict and prevent many
deformities, even under weight bearing
situations.
- …we can improve Functional
Outcomes, if we can properly address the problem and
everyone is committed.
…we know that the majority of
clients require some degree of rotational control and don't
get it.
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