Physical Medicine and Rehabilitation Pocketpedia by Howard Choi, Ross Sugar, David E. Fish, Matthew Shatzer,

By Howard Choi, Ross Sugar, David E. Fish, Matthew Shatzer, Brian Krabak

The Physical medication and Rehabilitation Pocketpedia is a pocket-sized, quick-reference software for the busy resident or clinician. It includes charts, tables, diagrams, and illustrations that current key proof and issues crucial for day by day sufferer care. The booklet was once ready and field-tested by means of citizens within the PM&R division on the Johns Hopkins collage college of medication, who recognize from adventure what details clinicians must have at their fingertips. assurance encompasses all problems, diagnostic assessments, and therapy modalities and encompasses a pharmacopeia.

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Sample text

For varus deformity or laxity, use a lateral T-strap. 4 c. Patellar tendon bearing (PTB) AFO The proximal component is designed to support weight on the patellar tendon and tibial flares with the load being transmitted to the shoe by metal uprights. , calcaneal fractures), or AVN of the foot or ankle. d. 5 Foot drop - Options include a posterior leaf spring AFO or a double metal upright AFO with Klenzak joint. A double metal upright AFO with a posterior stop at 90° is another option; however, the lack of plantarflexion during early stance phase may destabilize the knee.

This knee joint is not to be used with a knee or hip contracture or PF stop. Drop-ring (C) - Gravity brings the ring(s) into the locked position when the user stands erect with knee(s) in full extension. Ambulation may be stabilized. The rings can be manually released to allow knee flexion during sitting. Pawl lock with bail release (D) - A spring loaded projection (pawl) locks both medial and lateral joints. The semicircular lever (bail), which attaches posteriorly, is easily engaged to unlock both joints.

The Six Determinants of Gait1 Saunders et al. began by assuming that gait is most efficient when vertical and lateral excursions of the body’s center of gravity (COG) are minimized. They identified 6 naturally occurring “determinants” in normal gait that reduced these excursions and suggested that pathological gait could be identified when these determinants were compromised. 1. Pelvic rotation in the horizontal plane - The pelvis rotates 4o to each side, which occurs maximally during double support, elevating the nadir of the COG pathway curve about 3/8”.

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