National Physical Therapy Examination (NPTE) Practice Exam

Which orthotic device is most therapeutic for a young child with excessive pronation that needs support for neutral alignment?

1. Hinged ankle-foot orthosis

2. Supramalleolar orthosis

3. Soft orthotic device

4. Custom molded orthotic

The correct answer is: Supramalleolar orthosis

The supramalleolar orthosis is particularly effective for a young child experiencing excessive pronation, as it provides targeted support around the ankle while still allowing for a degree of foot mobility. This type of orthosis is designed to stabilize the subtalar joint, which can help maintain neutral alignment of the foot and prevent excessive inward rolling. In young children, their feet are still developing, and the objective is to correct the alignment without overly restricting movement. The supramalleolar orthosis strikes this balance by offering support above the malleoli, which can control pronation effectively while allowing for normal gait dynamics. This is pivotal not only for function but also for preventing potential long-term musculoskeletal issues related to poor alignment. Other devices, such as a hinged ankle-foot orthosis, might offer increased stability but can also limit motion excessively, which may not be ideal for a child whose movement patterns are still developing. Soft orthotic devices offer minimal support and may not sufficiently address the alignment issues associated with excessive pronation. Custom molded orthotics can provide excellent support but often come at a higher cost and may not be necessary for all cases of alignment issues. Therefore, the supramalleolar orthosis is often the most balanced and therapeutic choice in supporting proper