Orthotic devices are generally used by patients who have polio, stroke, cerebral palsy, muscular sclerosis, spina bifida, traumatic brain or spinal injury, spinal surgery, osteoarthritis, scoliosis, conditions like carpal tunnel syndrome, tennis elbow, plantar fasciitis, stress fractures and arch pain.
An orthosis is generally prescribed to correct or alleviate neuromuscular or musculoskeletal dysfunction, disease, injury, or deformity.
Orthotics is the practice of evaluating, measuring, designing, fabricating, assembling, fitting, adjusting, or servicing of an orthosis (brace).
The objectives of orthotic treatment include providing support and stability; preventing and/or correcting deformities; providing joint alignment; and improving function and/or gait. Some of the goals that an orthotist strives to achieve in creating an orthotic for a patient include making a lightweight device; a functional device; something that will help a patient conserve energy; and a comfortable device that improves quality of life.
- Control, guide, limit and/or immobilize an extremity or joint for a particular reason
- To restrict movement
- To assist movement
- To reduce weight bearing forces
- To aid rehabilitation from fractures after the removal of a cast
- To otherwise correct the shape and/or function of the body, to provide easier movement capability or reduce pain
Most of the orthoses use medical grade plastic and foams, light weight carbon fiber, metal etc.
A custom fitted, pre-fabricated orthotic device is one that is ready ‘off the shelf’. These devices are available in several sizes. They are either kept in stock, or they may be ordered following evaluation. During the fitting, the practitioner ensures that the device properly fits and that it addresses the patient’s orthotic needs. If necessary, the practitioner may adjust and/or modify the device. Some of the pre fabricated orthoses include
- Some types of Ankle Foot Orthoses
- Shoulder immobilizers
- Wrist/hand splints/Cock-up splints
- post-operative knee immobilizers
- Spinal/Back braces
A custom orthotic device is fabricated based on a mold, or model, of the user’s affected body part. A mold may be obtained by using one of two methods: physically casting the patient or obtaining detailed measurements. The practitioner then fabricates the orthotic device around the model of the affected body part. Once the device is complete, the practitioner fits the device to the patient. Some examples are:
- Solid & articulating Ankle Foot Orthotics (AFO)
- Knee Ankle Foot Orthotics (KAFO)
- Hip Knee Ankle Foot Orthotics (HKAFO)
- Microprocessor technology for leg braces
- Leg extension devices for extreme leg length discrepancies
- Toe filler inserts for partial foot amputation
- Custom foot orthotics
Lower Limb Orthoses
Carbon Composite AFO
Carbon Composite AFO with energy storing composite footplate and strut, custom-fit anterior or posterior shell and footplate.
The Fuzion AFO was designed primarily for challenging foot deformations vs. traditional AFOs. The circumferential wrap of the Fuzion holds the foot firmly and comfortably in a more structured biomechanical position instead of trying to seat the foot with two or three straps. The Fuzion’s design and materials ensure greater patient compliance for a variety of challenging clinical indications.
Townsend Design KAFO
Knee Ankle Specialty Bracing using solid core graphite shell designs combined with patented knee and ankle hinge technology. The result is a rigid, durable bracing solution that achieves more effective and consistent control. Ultra light, extremely low profile, and cosmetically appealing, these designs optimize patient compliance and satisfaction.
Otto Bock FreeWalk Stance Control System was developed for patients who, due to a partial paralysis or a complete failure of the knee extensors, are unable to stabilize their knee without compensatory measures. Their innovative design creates a more natural gait cycle by locking during stance phase and unlocking during swing phase. The automatic lock is initiated by knee extension, and is only released to swing freely when a knee extension moment and dorsiflexion occur simultaneously during terminal stance. The result is a more secure, efficient gait that also reduces the incidence of typical gait compensations.
- Free swing phase, secure stance phase
- Smooth gait patternIndividually fabricated
- Lightweight, thin, and stable
- Suitable for a weight of up to 120 kilograms / 265 pounds
- Unilateral joint bar
Ossur Unloader One
The Unloader One is a lightweight, easy to use, non-surgical treatment option for the symptoms associated with osteoarthritis (OA) of the knee. Unlike many other knee-pain treatment options, this innovative knee brace has been clinically proven to demonstrate the following benefits: decreased knee pain, reduced reliance on pain medication, improved knee function helping to avoid or postpone surgery. (view ossur‘s reports on clinical research findings on the Unloader One)
Upper Limb Orthotics
Upper limb orthotics deals with the fitting of orthoses to treat conditions in your shoulder, elbow, arm, hand or wrist. It either provides support or immobilises a part of your limb in order to help your condition. Our orthotists helps people get custom fitted with orthoses to help with carpal tunnel, fractures, or to enhance tissue healing or help with post surgical recovery.
A back brace may be required due to acute injury, chronic pain, instability, degenerative disease or malformation of the spine. Our practitioners work closely with physicians to determine the most appropriate orthotic design.
- Lumbosacral orthotics (LSO)
- Thoraco-lumbosacral orthotics (TLSO)
- Back supports
- Scoliosis orthoses
- Cervical orthoses