SRT Orthotic Reference Guide Online - Prosthetic …€¦ · AFO, Ankle Foot Orthosis, Articulated...
Transcript of SRT Orthotic Reference Guide Online - Prosthetic …€¦ · AFO, Ankle Foot Orthosis, Articulated...
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ORTHOTIC REFERENCE GUIDE
srtprosthetics.com
1.866.633.3961
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AFO, Ankle Foot Orthosis, Articulated (Custom-Molded)
Purpose of the Device
• Provides adjustable control of the ankle and foot
• Designed with an articulated ankle and plantarflexion stop
Indications
• Medial/lateral instability
• CVA
• Drop foot
• Paralysis
• Stress fracture
Common Additions
• Ankle joints
• Full foot plate
• Varus/Valgus corrective straps
• Pre-tibial shell
• Posterior stops
• Walking base
Special Considerations
• Patient needs to wear a laced or velcro-closure type shoe
Contraindications include diabetes and fluctuating edema
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AFO, Ankle Foot Orthosis, Floor Reaction (Custom-Molded)
Purpose of the Device
• To provide ground forces to the knee which assist in stabilizing the knee during
ambulation
Indications
• Crouch gait
• CVA w/ quadricep weakness
• Quadracep weakness
• Multiple Sclerosis
Common Additions
• Dorsiflexion assist for foot drop
• Solid ankle designs available
• Can be made with carbon graphite for light weight needs such as multiple
sclerosis
Special Considerations
This design can be incorporated into a KAFO for patients with severe weakness
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AFO, Ankle Foot Orthosis, Metal
Purpose of the Device
• Provides support to ankle and controls motion of the ankle joint
Indications
• Medial/lateral instability
• Paralysis
• Drop foot
• CVA
Common Additions
• Extra-depth shoes
• Varus/valgus ankle corrective strap
• Steel shank
• Rocker sole
Special Considerations
• This is the most versatile of AFOs
It can be used for patients whose conditions or abilities are changing
This orthosis allows a therapist to work with a patient and gradually change the orthosis
to accommodate the patient's abilities
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AFO, Ankle Foot Orthosis, Solid
Purpose of the Device
• Provides support to the ankle and foot in any or all of the three
planes of motion
Indications
• Medial/lateral ankle instability
• Severe pronation
• Post-operative stability
• Mild knee hyperextension
• Achilles tendon repair
Common Additions
• Ankle joints
• Dorsiflexion assist
• Plantarflexion stops
Anterior shell, for maximum control
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Ankle/Foot Support, Bledsoe Walking Boot
Purpose of the Device
• Provides support and control to the lower extremity for a wide variety of
applications
• Ankle motion is controlled by a range of motion ankle joint
Indications
• Distal tibial/fibula fractures (post cast-removal)
• Fractures in the foot and ankle
• Post ankle fusions
• Tendon tears/ruptures/repairs
Common Additions
• Rigid anterior and posterior shells for tibia and fibula fracture applications
Special Considerations
• This brace is contraindicated for unstable fractures.
Liners can be hand washed
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KAFO (Knee-ankle-foot-orthosis), Metal, Custom
Purpose of the Device
• Provides variable control of the knee and ankle
• Ankle motion may be fixed or adjustable
• A manual lock may be added to the knee joint
Indications
• Instability of knee and ankle
• Paralysis
• CVA
• Knee replacement
• Quad weakness
Common Additions
• Range-of-motion knee joints
• Varus/Valgus correction strap
• Step lock knee joints
• Offset knee joints
• Full kneecap
• Thigh lacer
Special Considerations
Will not control the hip joint
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Knee Brace, CTI, Custom
Purpose of the Device
• Provides maximum support for moderate to severe ligamentous injuries or deficiencies
Is suitable for both non-operative and post-operative knee reconstruction patients
• Is suitable for both non-operative and post-operative knee reconstruction patients and CCL
instabilities or deficiencies
• The custom, lightweight, rigid-material construction provides maximum protection for athletes
involved in contact sports
Indications
• Moderate to severe ACL, PCL, MCL or LCL instabilities/deficiencies
• Medial-lateral, anterior-posterior instabilities of the knee
• Varus, valgus and other deformities requiring a customized fit
Common Additions
• Extension or flexion stops
• ACL cable system
• Patella cup
• Ski boot attachment
• PCL strap
• Undersleeves
• Sports cover
Special Considerations
• Pro sport model with its additional graphite reinforcement is recommended for high-impact
contact sports such as football, hockey and basketball
• Involved leg should be rehabilitated to a point where it is close to its original size, due to the
precise custom fit of the brace
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Knee Brace, Donjoy Playmaker (Pre-Fabricated)
Purpose of the Device
• Provides mild to moderate knee stability for various ligamentous insufficiencies
Indications
• ACL/PCL and MCL/LCL insufficiencies
Common Additions
• Extension stops at 0, 10, 20, 30 and 40 degrees
• Flexion stops at 45, 60, 75 and 90 degrees
• Special order with ROM joints
Special Considerations
Low-profile neoprene construction provides intermediate-level support in sporting
activities
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Knee Brace, Ossur, Osteoarthritis Unloader, Custom
Purpose of the Device
Reduce pressure on the medial or lateral compartment of the osteoarthritic knee to
provide symptomatic pain relief
• and reduce inflammation
• The orthosis facilitates increased patient activity and replaces or delays surgery
Indications
• Mild to severe unicompartmental osteoarthritis
Common Additions
• Undersleeves or oversleeves
• Adjustable dynamic joint system that allows for fine-tuning of the varus/valgus
angulation
• KAFO design for geriatric and obese patients
Special Considerations
Recommended for patients who are too young for total knee arthroplasty
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Knee Orthosis, Swedish Knee Cage
Purpose of the Device
• Prevents mild knee hyperextension
Indications
• Mild knee hyperextension secondary to a variety of causes
Common Additions
• Available in articulated model
Special Considerations
Not recommended for lower or moderate functional levels
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Ossur Innovator ®
Indications
• Post-op injury range of motion control or immobilization.
Features
• Knee joint settings can be free motion, or locked to allow 0, 10, 20, 30, 45, 60,
75, or 90 degrees of flexion
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AFO Lite
Indications
• Mild to moderate drop foot. Patients under 220 lbs.
Contraindictions:
• Severe ankle-foot deformities, M-L instability, sever spasticity, extreme activity
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Hip Abduction Orthosis
Purpose / Indications
• Provides firm support and stabilization for non-operable hip disorders, and
postoperative, primary or revision total hip arthroplasty.
Special Considerations
• Can be used bilaterally
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Back Brace, Chairback Lumbosacral Orthosis
Purpose of the Device
• Provides rigid support of the lumbosacral spine in the coronal plane and maximum
resistance to extension
Indications
• Instability of spinal levels L 2 - L 5
• Lumbar spinal fractures
• Osteoarthritis
• Spondylolisthesis
• LBP (lower back pain)
• Degenerative disc disease
• Spinal stenosis
• Post-operative stabilization
• Disc herniation
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Back Brace, LSO, Two-Piece Design, Custom
Purpose of the Device
• Provides rigid support of the lumbosacral region in all three planes
Indications
• Instability of spinal levels L2 - L5
• Osteoarthritis
• Low back pain
• Spinal stenosis
• Disc herniation
• Spinal fracture
• Spondylolisthesis
• Degenerative disc disease
• Post-operative support required
Common Additions
• Thigh extension, with hip joint and drop lock
• Pantaloon design (no joint added - solid plastic piece is part of the posterior section), to
limit pelvic motions
Special Considerations
For L5 and S1 involvement, add a thigh cuff for increased control
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Back Brace, Lumbosacral Corset
Purpose of the Device
• Provides mild control of the lumbosacral spine in all three planes
Indications
• Low back pain
• Transverse and/or spinous process fracture
• Degenerative disc disease (DDD)
• Post-operative support
Common Additions
Paraspinal steel stays contoured to the patient’s spine
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Back Brace, Scoliosis Orthosis, Boston Back Brace
Purpose of the Device
• Provides corrective forces to the thoraco-lumbar spine • Incorporates abdominal intercavity pressure to reduce lumbar lordosis • Most commonly used for patients prior to skeletal maturity
Indications
• Scoliosis for T8, L5 apex • Excessive lumbar lordosis and associated conditions
Common Additions
• Thoracic, lumbar and trochanteric corrective pads • Thoracic gussets
Special Considerations
Obesity hinders proper fit and effectiveness of the orthosis
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Back Brace, TLSO, CASH (Cruciform Anterior Sagital Hyperextension)
Purpose of the Device
• Provides rigid support of the thoraco lumbar spinal region in the anterior/sagittal
plane
• Provides three-point pressure support
Indications
• Anterior vertebral body fracture at spinal levels T5 through L5
• Degenerative joint disease
• Ankylosing spondylitis
• Kyphosis as a result of osteoporosis
• Rheumatic arthritis
• Scheuerman’s kyphosis
Common Additions
• Superior pad may be changed to a dual pad resting in the subclavicular fossa
Special Considerations
Severe obesity may require use of a jewett to accommodate pendulous abdomen
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Back Brace, TLSO, Jewett
Purpose of the Device
• Provides rigid support of the thoraco lumbar spinal region in the anterior/sagittal
plane
• Provides three-point pressure support
Indications
• Anterior vertebral body fracture at spinal levels T5 through L5
• Degenerative joint disease
• Ankylosing spondylitis
• Kyphosis as a result of osteoporosis
• Rheumatic arthritis
• Scheuerman’s kyphosis
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Back Brace, TLSO, Thoraco Lumbo Sacral Orthosis, Custom
Purpose of the Device
Provides rigid support of the thoracolumbar spine in all three planes
Indications
• Instability
• Degenerative disc disease
• Spinal stenosis
• Spinal fracture
• Low back pain
• Disk herniation
• Osteoarthritis
• Post-operative stability
• Mild kyphosis
Common Additions
• Cervical attachment, for supported T5-T1
• Halo superstructure, for added cervical stability
Special Considerations
• Severe respiratory problems may require a soft
• TLSO or TLSO with corset front, or TLSO with window cutouts in chest or abdomen
Severe obesity may require an additional abdominal binder for tissue containment
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Back Brace, TLSO, Thoraco Lumbo Sacral Orthosis, Soft, Custom
Purpose of the Device
• Supports the thoracolumbar spinal region in all three planes
• Used for elderly patients and patients who cannot tolerate a rigid TLSO
Indications
• Instability of spinal levels T5 through L5
• Osteoarthritis
• Low back pain
• Minimal scoliosis support required
• Spinal fracture
• Degenerative disc disease
• Post-operative
Common Additions
• Not very adaptable to additions
Special Considerations
• Allows for cutouts in soft foam area for patient access
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TLSO Fast Wrap
Indications
• Mild to moderate injuries/conditions of the thoracic, lumbar, and sacral spine.
Features
• Provides compression and stabilization
• Padded adjustable shoulder straps
• Separated elastic side sections
• 4 posterior slots for two 17” contoured steel stays
• Hook and loop closure for easy donning and doffing
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Cervical Collar, Miami J
Purpose of the Device
• Limits cervical motion in all three planes
• Mechanically restricts forward flexion and extension and, to a lesser degree,
lateral flexion and extension
Indications
• Minor cervical instability
• Degenerative disc disease
• Post-operative stability is required
Common Additions
• Thoracic extension can be applied
• Can be attached to custom-molded TLSO to increase control of upper thoracic
and cervical spine
Special Considerations
• Comes in various sizes and can be easily modified to fit the vast majority of
patients
Extra set of soft, washable liners for hygiene purposes
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Occian Back ®
Indications
• Patients with poor skin assessment on admission to ICU
• Patients who remain supine for extended periods of time due to neurological
instability, pulmonary instability, hemodynamic instability, pelvic fractures,
skeletal traction.
• Burn patients
Features
• Soft foam pad to encompass entire cervical to occipital region.
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Cervical Orthosis, Minerva, Pre-Fabricated
Purpose of the Device
• Off-the-shelf item helps restrict flexion and extension of cervical spine
Indications
• Cervical patient who cannot tolerate a custom-molded device or cannot be put
into a halo
Common Additions
• Forehead strap to help control motion
Special Considerations
Gross obesity is not suited for this device
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Cervical Spine Brace, SOMI
Purpose of the Device
• Limits flexion of cervical spine
• Extension is also controlled; however, some motion is possible because of
flexibility of the occipital uprights
Indications
• Prophylactic cervical management
• Post-operative management
Common Additions
• Can be attached to custom-made TLSO
• A prefabricated skull strap can be substituted for the mandibular support
Special Considerations
• Device can be applied to patient lying supine
Good control of cervical flexion instability, i.e., anterior cervical vertebral body
instability
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