fabricating for tone reduction n tony wickman r.t.(o,p) n freedom fabrication inc
TRANSCRIPT
Fabricating for Tone Fabricating for Tone Reduction Reduction
Tony Wickman Tony Wickman R.T.(O,P)R.T.(O,P)
freedom freedom fabrication inc.fabrication inc.
What Is Tone?What Is Tone?
Tone literally Tone literally means activation means activation of a muscle.of a muscle.
Spasticity is Spasticity is derived from the derived from the Greek word Greek word meaning to pull or meaning to pull or draw.draw.
Cast Correction:Cast Correction:
Cast may require greater than Cast may require greater than normal correctionnormal correction
Make sure to correct cast at the Make sure to correct cast at the articulating surfacesarticulating surfaces
Dorsiflexion AngleDorsiflexion Angle
Maximum Maximum dorsiflexion dorsiflexion deviation should deviation should be no more than be no more than 20 degrees.20 degrees.
Watch for cavus Watch for cavus arch !arch !
Plantarflexion AnglePlantarflexion Angle
Plantarflexion Plantarflexion angle should be angle should be no more than no more than forty degrees.forty degrees.
Watch for Watch for plantarflexed plantarflexed metatarsalsmetatarsals
Inversion/Eversion AngleInversion/Eversion Angle
+/- 15 degrees+/- 15 degrees Cast corrections Cast corrections
are difficultare difficult
Mold ModificationMold Modification
The model must The model must accurately mimic accurately mimic the patients the patients physiologyphysiology
You have to have You have to have intimate intimate knowledge of knowledge of skeletal skeletal structures!structures!
Maleoli BuildupsMaleoli Buildups
Buildups should Buildups should be more be more “extreme” than “extreme” than usualusual
Take into Take into consideration consideration varus valgus varus valgus tendenciestendencies
Medial Maleoli/NavicularMedial Maleoli/Navicular
Two apexes Two apexes Blend well into Blend well into
surrounding soft surrounding soft tissuetissue
Calcaneal Cuboid BuildupCalcaneal Cuboid Buildup
Include achilles Include achilles tendon extensiontendon extension
Be sensitive to Be sensitive to prominent heelsprominent heels
Heel BuildupHeel Buildup
Heel should be Heel should be roundedrounded
Heel should be Heel should be symmetricalsymmetrical
S.T. GrooveS.T. Groove
Anatomy rules Anatomy rules Blend into Blend into
longitudinal archlongitudinal arch
Medial/Lateral ArchesMedial/Lateral Arches
Smooth transitionSmooth transition Connect around Connect around
to plantar surface to plantar surface of calcaneusof calcaneus
Cuboid/ Lateral Fifth Met Cuboid/ Lateral Fifth Met Head Head
Relieve 1.5-3.0 Relieve 1.5-3.0 mmmm
Be careful to Be careful to maintain radius of maintain radius of plantar lateral plantar lateral surfacessurfaces
Metatarsal Relief Metatarsal Relief
Proximal edge Proximal edge relief relief
Distal edge reliefDistal edge relief
Padding TechniquesPadding Techniques
Bony Bony prominences onlyprominences only
Blend edges Blend edges smoothlysmoothly
Colored foamsColored foams
Material Selection Material Selection
PolypropylenePolypropylene PolyethylenePolyethylene CopolymerCopolymer
Pulling Plastic Pulling Plastic
Focused stretchFocused stretch Proper Proper
temperaturetemperature Maximum vacuum Maximum vacuum
Trimming PlasticTrimming Plastic
Establish trim Establish trim lineslines
Poly posting is Poly posting is ground first ground first
Trim lines must Trim lines must be smooth be smooth
Finishing & DecoratingFinishing & Decorating
Colored VelcroColored Velcro FoamsFoams RibbonRibbon TransfersTransfers
For additional information For additional information on this subject:on this subject:
Tony Wickman at Freedom Tony Wickman at Freedom Fabrication 815-B north main St. Fabrication 815-B north main St. Havana Fl. 32333Havana Fl. 32333
1800.304.37331800.304.3733 [email protected]@aol.com or visit our web site at: or visit our web site at:
www.freedom fabrication.comwww.freedom fabrication.com