![]() Patients with high muscle tone The heel of patients with high muscle tone can’t reach the appropriate position of AFO when wearing early .The heel will have localized swelling or bruising as the resisting pressure on the ankle-foot orthosis. Lateral malleolus and navicular bone or other prominent bone will have localized compression and bone pain when some children wear with severe foot varus and valgus . It can reduce and relieve tension when taking the position of back-support, knee, hip,ankle flexion so as to ensure the heel in place.In addition fixing straps shouldn’t be too tight.It is necessary to take off orthosis for some time.Wear again after rest and message.Gradually increase the time of wearing. Usually the problem of heel oppression will be improved when the child passes a period of adaptation.Please contact orthosis manufacture to work out if the child still can’t adapt. ![]() The athetosic children with Intermittent spasm and unstable tension will feel unwell when wearing in the beginning.The children will adapt soon according to the method above. The method of wearing lower limb orthosis when crawling:Children find it difficult to crawl with AFO as orthosis prevents ankle from plantar flexion. He can only flex knee further, increase the external rotation degree of hip to crawl forward. Crawling is the primary method that children can move meanwhile explore at the present stage. Children had better take off orthosis when training. AFO from MEDI-REHATEK is a classical design for patient with foot drop.| SWASH orthosis is very helpful for children with Cerebral Palsy when walking and sitting. Recently a good blog of How to wear AFO correctly,if you are interested,you should visit there.
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![]() 5. Compensation Dynamic orthotics can compensate the weak muscles by dynamic device, to promote physical activity. The electric wheelchair can compensate for driving power for wheelchair due to the weak muscle force of upper limb. 6. Enhance confidence Orthotics can correct deformity, improve various activities in daily living.That will reduce the psychological burden of patients, promote rehabilitation,restore the patient's self-confidence. 7. The treatment for hemiplegic patients AFO can prevent misuse and disuse syndrome for hemiplegic patients in early rehabilitation, also promote quick rehabilitation of sports function and ADL (activities of daily living). No.2 Orthotics classification 1. Upper limb Orthotics upper limb Orthotics includes hand Orthotics (HO), wrist Orthotics (WHO), elbow, wrist and hand orthosis (EWHO), shoulder, elbow, wrist hand Orthotics (SEWHO). Upper limb Orthotics mainly protects the paralysis muscle, prevents antagonist from spasm, corrects joint deformities, plays a role in supporting and correcting. Like arm sling from MEDI-REHATEK, it can offer support for elbow injuires. 2. The lower limb Orthotics Lower limb orthosis includes AFO (AFO), knee-ankle-foot Orthotics (KAFO), knee Orthotics (KO), Hip knee ankle foot Orthotics(HKAFO), foot Orthotics (FO). Lower limb orthosis fixes unstable joint ,compensates paralysis muscle, reduce load-bearing for the infected limb, correct deformities, and make up for the limb loss, control the involuntary motion. Lower limb orthosis,called as a "therapeutic" orthosis, prevents misuse and disuse syndrome of hemiplegic patients in current rehabilitation. That will promote the recovery of sports function and ADL ability.The therapeutic purposes of Lower limb orthosis: fix unstable joint, facilitate the patient to leave away from the bed early, correct abnormal walking patterns, prevent and correct deformities. 3. Spinal Orthotics Spinal orthosis including scoliosis orthosis, cervical orthosis, soft and hard thoracolumbar orthosis and so on. Its role is to limit the movement of the spine, prevention and correction of spinal deformities, relieve pain, reduce vertebral load, maintain the stability of the spine, protect paralyzing muscle. Like back brace is one of spinal orthoses as below,that will offer support to waist injuries. A good blog about Function and classification of orthotics I,you guys should be there.
![]() (C).The main indications of knee-ankle-foot orthotics for hemiplegic patients in clinical: (1) Severe flaccid paralysis; (2) Severe sensory disturbance; (3) Unilateral spatial neglect (4) Lower support of hip, knee (5) Joint deformity and contracture Treatment schedule for lower limb orthotics: (1) rehabilitation exercise begins from getting up, standing, includes the sitting balance training activities and daily living (ADL) training on bed.Write down a prescription for lower limb knee-ankle-foot orthosis (2) The fabrication of knee-ankle-foot orthotics finishes after one week of rehabilitation exercise.The injured part wearing knee-ankle-foot orthosis has the balance and weight-bearing training in the balance bar (3) patients with knee-ankle-foot orthoticswill be induced to move within training in balance bar (4) Strengthened by separate movement training, patient with knee-ankle-foot orthotics can carry out gait training within the balance bar (5) Patient with knee-ankle-foot orthotics and crutch can have walking training (6) Timely it changes orthotic prescription from knee-ankle-foot orthotics to AFO with improvement of lower extremity function.That will strengthen separate movement training of lower limb, walking and ADL training. In the early rehabilitation early seating and standing training will promote positive support reaction with lower limb orthosis. It must take into account that the possibility of increasing the lower limb extensor spasms and deteriorating gait. Therefore according to the functional recovery of patients, it should also strengthen basic operation training of the lower extremities , in training.And it can prevent spasms exacerbation based on a low frequency of little training principles . In addition, the prescription of lower limb orthotics needs updating with the recovery of lower limb motor function. Don’t impede the separate movement as the fixation of knee and ankle joint.Therefore it should strengthen the separation sports training meanwhile the use of knee-ankle-foot orthoses and AFO. The key to successful treatment is combining lower limb orthosis with physical therapy. MEDI-REHATEK offers quality of lower limb orthotics. Recently I stumbled on a good blog of Orthotics offers a treatment for patients with hemiplegia II,that is very useful for patients with hemiplegia,if you feel interested,should visit there. ![]() (A) The purpose of orthopedic brace for patients with hemiplegia Hemiplegic patients has the constant change for functional state from the onset of injury.There are a lot of patients who change from flaccid paralysis gradually more to spastic paralysis. The purpose of prescription for orthopedic brace is different from the beginning as some patients has relative complications like muscle contracture and deformities in the chronic phase.Mainly in the early stages the purpose is stable keeping body weight,recovering,supplementing and compensating the function ; and in the chronic phase the main purpose is suppression of contracture and correction and prevention of deformity. 1 main purpose of lower limb orthosis (1) to obtain a stable stance. (2) easily out of bed early training. (3) get close to normal walking pattern. (4) the prevention of deformity. 2, Upper limb orthotics main use of complementary and compensatory purposes (1) function. (2) Prevention and correction of deformity (3) of the auxiliary and control movement. (4) maintain limb fixation and limb position. Recently I stumbled on a blog of Orthotics offers a treatment for patients with hemiplegia I,that is very useful for patients with hemiplegia,if you feel interested,should visit there. Orthopedic brace is external device for changing the function or structure of many neuromuscular and skeletal systems. Many hemiplegia patients caused by stroke or traumatic brain need to wear orthopedic braces in order to prevent, correct deformities and compensate for lost function.With the development of modern materials science and biomechanics, modern orthopedic brace has upgraded in development, manufacture, assembly.While the development of orthotic technology and services promotes the development of rehabilitation medicine.Specially rehabilitation therapy for patients with hemiplegia, they can return to the family and society,treatment with orthopedic brace is necessary.
Like Ankle-Foot Orthosis is a good orthotics for patient with drop foot. Patients can wear Ankle-Foot Orthosis to do some rehabilitation exercises. Right now I read a blog about "The biomechanical principles of lower limb Orthotics",I would like to share with you guys. |