Fabricating for tone reduction - Freedom Fabrication 1-800-304 制造制造1-800-304色调还原-自由.pptVIP

Fabricating for Tone Reduction Tony Wickman R.T.(O,P) freedom fabrication inc. What Is Tone? Tone literally means activation of a muscle. Spasticity is derived from the Greek word meaning to pull or draw. Cast Correction: Cast may require greater than normal correction Make sure to correct cast at the articulating surfaces Dorsiflexion Angle Maximum dorsiflexion deviation should be no more than 20 degrees. Watch for cavus arch ! Plantarflexion Angle Plantarflexion angle should be no more than forty degrees. Watch for plantarflexed metatarsals Inversion/Eversion Angle +/- 15 degrees Cast corrections are difficult Mold Modification The model must accurately mimic the patients physiology You have to have intimate knowledge of skeletal structures! Maleoli Buildups Buildups should be more “extreme” than usual Take into consideration varus valgus tendencies Medial Maleoli/Navicular Two apexes Blend well into surrounding soft tissue Calcaneal Cuboid Buildup Include achilles tendon extension Be sensitive to prominent heels Heel Buildup Heel should be rounded Heel should be symmetrical S.T. Groove Anatomy rules Blend into longitudinal arch Medial/Lateral Arches Smooth transition Connect around to plantar surface of calcaneus Cuboid/ Lateral Fifth Met Head Relieve 1.5-3.0 mm Be careful to maintain radius of plantar lateral surfaces Metatarsal Relief Proximal edge relief Distal edge relief Padding Techniques Bony prominences only Blend edges smoothly Colored foams Material Selection Polypropylene Polyethylene Copolymer Pulling Plastic Focused stretch Proper temperature Maximum vacuum Trimming Plastic Establish trim lines Poly posting is ground first Trim lines must be smooth Finishing Decorating Colored Velcro Foams Ribbon Transfers For additional information on this subject: Tony Wickman at Freedom Fabrication 815-B north main St. Havana Fl. 32333 1800.304.3733 freedomfab@ or visit our web site at: www.freedom The first place the technician comes in contact with