5.7 Optimising the alignment of prostheses and orthoses
INFORMATION
The information in this document provides a brief overview of the possibilities offered by the 3D L.A.S.A.R. Pos
ture for optimising the static alignment of prostheses and orthoses. Ottobock training for the 3D L.A.S.A.R. Pos
ture imparts theoretical and practical knowledge for using it successfully.
Optimum static alignment makes it possible for the patient to stand in a relaxed posture and establishes the basis
for optimisation during the dynamic trial fitting.
1.0 Nm
60.8 %
1.0 Nm
60.8 %
1.0 Nm
50.0 %
1.0 Nm
1.0 Nm
40.5 kg
50.0 %
743L500 3D L.A.S.A.R. Posture
1.0 Nm
39.2 %
1.0 Nm
39.2 %
Live view
Live view
1.0 Nm
1.0 Nm
50.0 %
50.0 %
1
1
2
2
Live view
Live view
Live view
1.0 Nm
1.0 Nm
1.0 Nm
50.0 %
40.5 kg
50.0 %
1
1
1
2
2
2
Optimising the alignment of prostheses and orthoses is
performed in the following sequence:
1. Optimisation
Page 113) – 3D symbol: green
2. Optimisation with 3D mode deactivated (see
Page 116) – 3D symbol: dark grey
It is important that the patient stands on the force meas
urement plate with a relaxed body posture as far as
possible (section "Positioning the patient" - see
Page 89). If this is the case, it can be assumed that
deviations from the characteristics for optimum, relaxed
standing are caused by sub-optimal static alignment
and can be changed through corresponding correc
tions.
The following characteristics indicate optimum, relaxed
standing:
•
Sagittal load line
3D mode activated and deactivated: parallel to each
other, overlapping, bottom end of the load line (load
transmission point or force transmission point) in
1.0 Nm
the centre of the foot
50.0 %
•
Frontal load lines
3D mode activated: runs through knee centre
3D mode deactivated: runs along the lateral patella
edge
•
Load ratio between the plates
~ 50:50 (load ratio for prosthetics: section "Posi
tioning the patient" - see Page 89
The symbol and value are shown in red if the value
is less than 40%.
1.0 Nm
50.0 %
with
3D
mode
activated
Use
(see
111