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Designs Enhance Ankle-Foot Orthosis (AFO) Function
Aug

01

2017

Designs Enhance Ankle-Foot Orthosis (AFO) Function

Is an ankle-foot orthosis incorporating tone-inhibiting features effective in managing patients with spastic cerebral palsy and other upper motor neuron disorders? There is considerable evidence that abnormal tone in proximal muscle groups can be influenced by joint position and cutaneous stimulation. For cerebral palsy management, maintaining a neutral position of the ankle and subtalar joint and stimulating key reflexogenous areas of the plantar surface (see...

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Orthosis Solves Multiple Cerebral Palsy Bracing Needs
Jul

31

2017

Orthosis Solves Multiple Cerebral Palsy Bracing Needs

Managing children born with cerebral palsy is a challenging business as clinicians strive to address a variety of issues, such as dystonia, hip migration, scissoring gait that interferes with ambulation, and hip adduction that limits independent sitting. The SWASH (Standing, Walking And Sitting Hip) orthosis tackles these difficult aspects of ambulating C.P. kids. Though its primary application has been to benefit C.P. patients, this system...

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Building Blocks To Upper-Limb Restoration With Prosthetics
Jul

12

2017

Building Blocks To Upper-Limb Restoration With Prosthetics

Patients referred to our practice for evaluation and restoration of an upper-limb deficiency, whether congenital or acquired, undergo a detailed process designed to provide the most practical and functional prosthesis for their individual needs, preferences and capabilities. Definitive upper-limb prostheses cannot be pulled complete from a box but are unique combinations of socket type, suspension method, control scheme, perhaps wrist and/or elbow units, and a...

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Shock Pylons Enable More Normal Gait For Amputees
Jul

12

2017

Shock Pylons Enable More Normal Gait For Amputees

Prosthetic ambulation can be quite painful and damaging as impact forces at heel strike are transmitted up the prosthetic limb through the socket to the residual limb and on to the upper leg, hips and back. Undampened, these unfriendly forces can discourage even the fittest amputees from achieving their functional potential. An increasingly applied tool in the effort to reduce impact stress is the shock...

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When Are Off-the-Shelf Orthoses Appropriate?
Jun

24

2017

When Are Off-the-Shelf Orthoses Appropriate?

An enduring debate in the rehabilitation specialties centers on the feasibility and applicability of prefabricated, aka “off-the-shelf” or “OTS,” orthopedic braces. From decades ago when virtually all orthotic components were custom-made, the field has evolved to today’s state in which an estimated 35 percent, perhaps more, of all orthoses are prefab, spurred by advanced materials and fabrication technology, aggressive cost containment measures, and Americans’ desire...

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