AFO Prescription
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 9 January 2019
⏱️ 12 minutes
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Summary
Kelli presents with spastic cerebral palsy and plantarflexor spasticity.
The physical therapist is challenged with determining the correct AFO to utilize with the current patient.
How well do you know your AFO's and their uses? Let's test your understanding in this excellent episode about ankle-foot orthotics
Are you looking for an awesome cheatsheet to help you with AFO's and their functions? Look no further: https://www.nptecheatsheet.com/npte-afo
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Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.DestroytheNPTE.com, to learn about the #1 solution to STOP getting stuck.
Transcript
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| 0:00.0 | You are now tuning in to the MPTE Clinical Files, two mock MPTE-based questions told and solved |
| 0:07.0 | week by week. Thank you for tuning in to the MPT Clinical Files. My name is Kyle Rice, the MPT |
| 0:12.3 | PrEPP Coach, the founder of the PT Hustle and the creator of the MPT Prep Success Coaching |
| 0:17.3 | Program. And if you would like a free cheat sheet that goes along with this specific |
| 0:22.4 | question, tune in to the end of this episode. And I'm going to give you more information on how to |
| 0:27.7 | get that. All right. So for our next MPT clinical file, we have our patient Kelly. And Kelly presents |
| 0:33.2 | with Planner Flexor spasticity of a 2 plus modified ashore scale that's on the modified |
| 0:39.6 | actual scale the patient is active and demonstrates fair plus medial lateral ankle stability |
| 0:46.8 | the therapist would like to provide the most effective and least restrictive orthotic to assist |
| 0:53.3 | with gait which of the following orthotics is the most |
| 0:57.0 | appropriate for this patient? So we have a solid ankle foot orthotic or a sefo. B, ground reaction |
| 1:06.5 | aFO, also known as a grafo. C, posterior leaf spring AFO. And then D is an articulated |
| 1:15.1 | AFO with a posterior stop. All right. So we got our question here. Again, it's AFOs that we're |
| 1:23.0 | really looking at. Let's go ahead and start breaking this down. So Kelly presents with planter flex or spasticity. |
| 1:28.3 | Okay. So that's pretty straightforward, y'all, right? But I love this question because it does give us |
| 1:34.0 | a little bit more information about how severe this is. It's based upon the modified ashworth scale. |
| 1:40.2 | It says it's at a 2 plus. Now, it's really important that we understand what the modified |
| 1:45.1 | ashore scale is. And it's a simple measure that we use to test for spasticity and determine how |
| 1:52.0 | severe the spasticity is. And we do that through doing a quick stretch, which allows us to grade |
| 1:58.4 | a person from zero to four on this modified actual scale. |
| 2:03.8 | Now, my question to you, as we chill out for a second, my question to you is a two plus, |
| 2:10.4 | what does that mean? Because in order for you to get this question right with confidence, |
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