Purpose of orthoses for patients with neurological conditions
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Assist in limb posture realignment
Joint stabilization
Dynamic control of movement
Improving or restoring the function/safety of gait, transfers, standing
Protection from external forces
Orthotic Comfort
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, Maximize area- Greater body area à lower unit pressure
Snug fit-Too tight=decreased dissipation of heat; Too loose=skin irritation
Leverage-Longer leverage= less pressure at ends
Capitalize on 3-point pressure systems- To maximize effectiveness of
device
Knee Buckling- treatment intervention
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DF must be limited and PF must be improved (through exercises and/ot
orthoses)
Tounge
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Several types of tongues
Can protect from debris
Sewn in shoe or as one with the vamp
Allows the flexibility of the foot to get into the shoe
What would you recommend a patient with MS causing mild LE muscle weakness
wear?
,Give this one a try later!
lightweight stable footwear
Static Orthotic
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Highest degree of stability and foot clearance
Lower risk of pistoning or chaffing due to movement of orthosis
Orthotic device with no moveable joints incorporated into the design
-block motion(s)
-alter local pressures
Halo Orthosis
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involves direct pin fixation into skull with a rigid thoracic orthosis/vest
This orthosis provides MAXIMAL stabilization of the upper cervical spine
Often used for unstable odontoid fracture
Malalignment can lead to:
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, Skin breakdown
Poor control of device
Reduce use of device
Energy conservation
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Impacted by timing, muscle performance, coordination, balance, and
postural control of the gait cycle
How could tone or muscle extensibility impairments impact the fit?
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Tone or muscle extensibility impairments could lead to poor fit or
malalignment of orthosis à skin breakdown, limited use of device, reduced
effectiveness
Insole
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The insole is glued, stapled or sewn into place in a shoe.
The insole will be removed in a diabetic shoe and replaced with an insert.
Give this one a try later!
Assist in limb posture realignment
Joint stabilization
Dynamic control of movement
Improving or restoring the function/safety of gait, transfers, standing
Protection from external forces
Orthotic Comfort
Give this one a try later!
, Maximize area- Greater body area à lower unit pressure
Snug fit-Too tight=decreased dissipation of heat; Too loose=skin irritation
Leverage-Longer leverage= less pressure at ends
Capitalize on 3-point pressure systems- To maximize effectiveness of
device
Knee Buckling- treatment intervention
Give this one a try later!
DF must be limited and PF must be improved (through exercises and/ot
orthoses)
Tounge
Give this one a try later!
Several types of tongues
Can protect from debris
Sewn in shoe or as one with the vamp
Allows the flexibility of the foot to get into the shoe
What would you recommend a patient with MS causing mild LE muscle weakness
wear?
,Give this one a try later!
lightweight stable footwear
Static Orthotic
Give this one a try later!
Highest degree of stability and foot clearance
Lower risk of pistoning or chaffing due to movement of orthosis
Orthotic device with no moveable joints incorporated into the design
-block motion(s)
-alter local pressures
Halo Orthosis
Give this one a try later!
involves direct pin fixation into skull with a rigid thoracic orthosis/vest
This orthosis provides MAXIMAL stabilization of the upper cervical spine
Often used for unstable odontoid fracture
Malalignment can lead to:
Give this one a try later!
, Skin breakdown
Poor control of device
Reduce use of device
Energy conservation
Give this one a try later!
Impacted by timing, muscle performance, coordination, balance, and
postural control of the gait cycle
How could tone or muscle extensibility impairments impact the fit?
Give this one a try later!
Tone or muscle extensibility impairments could lead to poor fit or
malalignment of orthosis à skin breakdown, limited use of device, reduced
effectiveness
Insole
Give this one a try later!
The insole is glued, stapled or sewn into place in a shoe.
The insole will be removed in a diabetic shoe and replaced with an insert.
