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Topic: Orthoses


  
  WE MOVE - Orthoses
Orthoses, also known as casts, braces, or splints, include any device that is used to support, align, prevent, or correct deformities or to improve the function of movable parts of the body.
The primary goals in treating spasticity with orthoses include reducing tone, increasing or maintaining range of motion, and preventing the breakdown of skin, such as the breakdown that can develop on the palm of the hand when the fist is continuously clenched.
In addition, orthoses are described by their intended biomechanical function and whether they are dynamic (which, by virtue of their moving parts, allow movement) or static (meaning that they keep the body part in a fixed position).
www.wemove.org /spa/spa_orth.html   (412 words)

  
 Dr. Stege talks about Foot Orthoses
Orthoses, or orthotic devices, are shoe inserts that are intended to correct an abnormal, or irregular, walking pattern.
Orthoses are not truly or solely "arch supports," though some people use those words to describe them, and they perhaps can best be understood with those words in mind.
Various other orthoses may be used for multidirectional sports or edge-control sports by casting the foot within the ski boot or ice skate boot or roller skate boot.
www.stege.com /topics/orthoses.htm   (790 words)

  
 PodiatryNetwork.com - Foot Orthoses
Accommodative foot orthoses are used to cushion, pad or relieve pressure from a painful or injured area on the bottom of the foot.
Accommodative orthoses are fabricated from a three dimensional model of the foot which may be made by taking a plaster mold of the foot, stepping into a box of compressible foam, or scanning the foot with a mechanical or optical scanner.
Accommodative orthoses are useful in the treatment of painful callouses on the bottom of the foot, diabetic foot ulcerations, sore bones on the bottom of the foot and other types of foot pathology.
www.podiatrynetwork.com /r_foot_orthoses.cfm   (1545 words)

  
 Orthoses
Orthoses (frequently called 'orthotics') are special shoe inserts which provide control of the mechanical functions of the foot and leg, or accommodate for bony prominences on the bottom of the foot.
Orthoses are frequently used in conjunction with other conservative (non-surgical) treatments, such as corticosteroid injections, self-administered home physical therapy, short-term analgesics of the aspirin class, and changes in shoewear.
Orthoses are used to alleviate pain and to establish or restore normal foot function.
www.zianet.com /foot-doc/html/orthoses.html   (554 words)

  
 KLM Orthotics - Prescribing Foot Orthoses for Hallux Limitus   (Site not responding. Last check: 2007-08-16)
Orthoses also can act as a postoperative tool to limit the biomechanical influences that cause hallux limitus, reducing the chance of reoccurrence of symptoms.
The main concept is to have the presciption orthoses induce an increase in the range of motion at the 1mpj by causing resupination of the foot from midstance through propulsion.
The orthoses prescription for a structural hallux limitus is basically the same as functional hallux limitus, except that a first metatarsal head accommodation should be added.
www.klm-lab.com /klm_article11.htm   (1159 words)

  
 02/01 BioMechanics: Orthoses:
Rigid foot orthoses may be uncomfortable in such instances because the lack of deformation results in smaller contact areas for the heel and higher magnitude contact force at the heel.
We also advise that they have their supportive shoes (with orthoses in them) next to the bed so that they can protect the plantar fascia from excessive tensile stress during the first few minutes of early morning weight-bearing.
Semirigid foot orthoses, therefore, may be a cost-effective intervention for plantar fasciitis considering the limited number of clinic visits required to fabricate and adjust the orthoses.
www.biomech.com /db_area/archives/2001/0102orthoses.43.bio.html   (2191 words)

  
 The Effectiveness of Four Contemporary Cervical Orthoses in Restricting Cervical Motion - Journal of Prosthetics and ...
Johnson and co-workers evaluated the effectiveness of five cervical orthoses in restricting sagittal motion in normal subjects using roentgenograms and found the cervicothoracic orthosis with rigid connections between the anterior and posterior components and fixation to the chest to be superior (9).
With the advent of cervical orthoses that allow long-term periods of use, it was felt necessary to investigate the effectiveness of these "newer generation" cervical orthoses.
Although not as effective as the poster-type or halo-vest orthoses, this study demonstrates that collar orthoses are effective in limiting cervical motion (40 to 60 percent).
www.oandp.org /jpo/library/1994_04_093.asp   (3574 words)

  
 Seeking Solutions With Suzanne
If you have orthoses, remember to wear them when shoe shopping to be sure they fit and don't slip in the shoes you want to buy.
Orthoses help decrease the risk of sores that may occur among patients with circulatory diseases or diabetes.
Orthoses are available in a wide variety of materials - from rigid plastic to soft foam.
www.suzanne.tv /show.asp?sid=83   (528 words)

  
 Orthoses
Sportspeople are often prescribed orthoses by their podiatrist to help maximise their performance, as well as to address mechanical problems.
Orthoses provide valuable long-term solutions in the treatment and prevention of corns, callous and ulceration by redistributing the pressure of the body's weight on the feet.
This plan will outline your diagnosis, the type of orthoses you have been prescribed, proposed footwear to wear with your orthoses, lifestyle changes you may need to make, as well as any additional treatment which may be required.
www.podiatryvic.com.au /Public/Facts12.htm   (399 words)

  
 Commonly Prescribed Orthoses for the Lower Limb
Orthoses are used to correct malalignments and deformities of the lower limbs, upper limbs, and spine.
The most commonly prescribed orthoses for the lower extremity are the various types of ankle-foot orthoses, foot orthoses, and knee orthoses.
Ankle-foot orthoses also restore foot stability during the stance and the swing phases of walking and compensate for quadriceps (thigh muscle) weakness to prevent knee buckling.
www.hughston.com /hha/a_13_4_2.htm   (719 words)

  
 Response of Eight Knee Orthoses to Valgus, Varus and Axial Rotation Loads - Journal of Prosthetics and Orthotics, 1990 ...
Knee orthoses have been used as an adjunct to the management of the post-traumatized knee and designed to immobilize after surgery or injury, and/or to protect joints that were painful due to trauma or disease.
To isolate the resistance to motion caused by the orthoses alone, the resistance due to the apparatus was subtracted.
The CTi and Lerman knee orthoses exhibited the overall best resistance to axial rotation torques (Table 4 and Figure 9), including the axial angles corresponding to the maximum comfortable rotation (25 degrees) and protected completely against the axial angle at which internal joint disruption occurs (37 degrees).
www.oandp.org /jpo/24/24274.asp   (4548 words)

  
 Assessment of spinal movement reduction by thoraco-lumbar-sacral orthoses   (Site not responding. Last check: 2007-08-16)
Orthoses are also used to protect internal fixation during mobilization in the postoperative stage (1).
To establish the mobility-reducing properties of thoraco-lumbar-sacral orthoses, analysis of the movement of the spine is necessary (21).
Because of the size of the inclinometer, space was created in the cushioning of the dorsal part of both orthoses, so the equipment could be applied and move freely underneath the orthoses.
www.vard.org /jour/00/37/4/vanleeuwen.htm   (4085 words)

  
 Foot orthoses
Orthoses are designed to address the patient's particular foot problems.
Pressure relief orthoses - to remove pressure spots (that could be responsible for complaints such as corns or calluses) by redistributing the person's body weight across the sole of the foot.
An orthoses will usually be prescribed with accompanying therapies, such as a tailored program of stretching and strengthening exercises to improve posture and alignment.
www.betterhealth.vic.gov.au /BHCV2/bhcarticles.nsf/pages/Foot_orthoses?OpenDocument   (607 words)

  
 Study Shows Expensive Custom Made Orthotic Devices No Better Than Off the Shelf Devices in Preventing Foot Problems
Foot orthoses may be fabricated from soft or semi- rigid materials, or a combination of both.
The orthoses were worn within high-top leather army shoes with a flat inner last and were given universally to the population, without regard to the presence or absence of foot pathology.
The semi rigid biomechanical orthoses were the most expensive, costing four times that of the soft prefabricated orthoses, almost three times that of soft custom orthoses, and twice that of the semi rigid prefabricated orthoses.
www.prnewswire.com /cgi-bin/stories.pl?ACCT=104&STORY=/www/story/07-23-2004/0002217149&EDATE=   (593 words)

  
 BioConcepts -Cervical Spinal Orthoses
Orthoses for the cervical spine are designed to immobilize cervical spinal segments that are unstable, deformed or have recently undergone spinal surgery.
For the upper cervical spine, extended wear collars, cervical-thoracic orthoses and the Halo are the primary alternatives.
The orthoses above are just examples of these devices as their are many alternatives to these orthoses.
www.orthotic.com /cervical.html   (347 words)

  
 A biomechanical perspective: do foot orthoses work? -- Heiderscheit et al. 35 (1): 4 -- British Journal of Sports ...   (Site not responding. Last check: 2007-08-16)
of foot orthoses may be ineffective in controlling tibial rotation.
orthoses are typically fitted on the basis of a static clinical
The effect of foot orthoses on transverse tibial rotation during walking.
bjsm.bmjjournals.com /cgi/content/full/35/1/4   (870 words)

  
 Orthics (Orthoses)   (Site not responding. Last check: 2007-08-16)
The most common reasons people use foot orthoses are for arch and heel pain (Plantar Fasciitis), lower leg tendonitis (Achilles, Posterior Tibial Tendon and “shin splint” conditions) and for knee pain, such as Chondromalacia Patellae, Iliotibial Band Syndrome and Runner’s Knee.
Foot orthoses are made from casts or scans of the feet, and incorporate measurements of your foot and legs, limb length assessment, along with your exact medical condition.
Most foot orthoses will last 5-10 years, and need to be changed if outgrown by 1 ½ shoe sizes, or you have trauma, surgery or arthritis of your feet.
straws.com /orthoses.htm   (404 words)

  
 Orthoses in the Treatment of Amyotrophic Lateral Sclerosis
The standard cervical orthoses are designed to limit or stop the motions in the neck because they produce pain or could produce further injury.
Since patients with muscle weakness alone are not being treated for either of these conditions, the standard cervical orthoses are usually lacking in one area or another.
The three most common complaints heard about the cervical orthoses worn by ALS patients is that they are too hot, not supportive enough and overly restrictive of movement.
www.ballert-op.com /newsletter_orthoses_in_the_treatment_of_als.htm   (1881 words)

  
 [No title]
According to the medical literature, there are three primary main reasons for using foot orthoses with a child with flat feet and hypotonia: (a) prevent future foot deformity, (b) prevent future pain, and (c) improve stability and energy expenditure during walking.
Another important reason orthoses may be beneficial for young children with flat feet and hypotonia is to improve efficiency of walking.
The gait-plate design of orthoses with the rigid bottom was associated with an increased step length and speed of walking compared to either the orthoses with the regular toe design without the rigid bottom or the baseline of not wearing orthoses.
www.boyercc.org /docs/print/EBP_Orthotic_Treatment.doc   (1716 words)

  
 NAAOP Cover Letter to Comments to Knee Orthoses LCD and Policy Article
As we witnessed with the policy clarification in December 2003, this new policy is contrary to the history and fundamental nature of the L Code system and, we believe, should not be implemented without substantial revision.
The risk of overutilization of orthoses can clearly be addressed without sacrificing access to, and the safety of, professional orthotic clinical care and related orthotic technology.
Unfortunately, the current draft knee orthoses medical policy implicitly rejects a more focused response to the risk of overutilization and, instead, proposes sweeping changes to the entire L code system that, in our view, are inappropriate and potentially harmful to patients.
www.oandp.com /resources/organizations/naaop/102604a.htm   (2108 words)

  
 Biomechanical analysis of cervical orthoses in flexion and extension: A comparison of cervical collars and cervical ...   (Site not responding. Last check: 2007-08-16)
It is important that the prescribing physician recognizes the differences between the function of cervical orthoses, so they may make informed decisions as to which orthosis is most appropriate for a specific condition.
For maximum flexion angle data in all four orthoses, the average percent difference between the Optotrak data and the C0 data calculated from the VF digitized measurements was 8.8 percent.
Since cervical orthoses are designed to restrict the motion occurring between cervical vertebrae, our observations suggest that a radiographic technique provides a more accurate assessment of the performance of these devices.
www.vard.org /jour/03/40/6/gavin.html   (5760 words)

  
 Back Orthoses Add to the Surgeon’s Toolbox in Treating Disorders of the Back - Neurological Technology Spotlight - ...
One of their proven back orthoses is the SofTec Lumbo, a modular lumbar support used for the stabilization of the lumbar spine and the lumbosacral transition.
As back orthoses come in many shapes, sizes, materials, and colors, the physician has a tough decision to make in selecting the right orthosis for her patient.
Orthoses are also available with a Milwaukee superstructure.
www.medcompare.com /spotlight.asp?spotlightid=152   (942 words)

  
 Custom Foot Orthoses Instruction Sheet   (Site not responding. Last check: 2007-08-16)
Of wearing your orthoses full time, it is not unusual to be comfortable with your orthoses on, but unable to get around without them.
You should discontinue use of the orthoses for at least two weeks, from that point on wear the orthoses only on an as need, when need basis.
If the orthoses were applied to a size 3 shoe to start, then after the size 5 shoe has been outgrown the orthoses should be checked for fit).
www.ralphsbraceplace.com /info-ar.html   (325 words)

  
 Gait Analysis and Foot Orthoses
We are specialists in Gait Analysis, clinical biomechanics and the prescription and manufacture of functional foot orthoses.
Orthoses are shoe inserts prescribed to help feet maintain better body alignment.
As experts in the field of podiatry and gait analysis, AJF LABORATORIES have been established since 1982 and have experienced state registered podiatrists who can diagnose and treat abnormalities of the lower limb, giving professional advice on the prevention of common problems and on proper care of the foot.
www.ajflaboratories.co.uk   (416 words)

  
 John Knecht, D.P.M., FACFAS
Both types of prescription foot orthoses are used to correct the foot plant of the patient so that the pain in their foot or lower extremity will improve.
Functional foot orthoses are used to correct abnormal foot function and also correct for abnormal lower extremity function.
Since abnormal foot function causes abnormal leg, knee and hip function, functional foot orthoses are commonly also used to treat painful tendinitis and bursitis conditions in the ankle, knee and hip.
www.gulfcoastpodiatry.com /resources.html   (3690 words)

  
 KLM Orthotics - How to Evaluate the Orthoses Prescription   (Site not responding. Last check: 2007-08-16)
Second in the evaluation process is examination of the orthoses relative to the contour of the foot.
With the foot held in the neutral position, the orthoses is held softly to the foot and its shape compared to the shape of the patient's neutral foot.
The orthotic is then held to the foot and the relation of the anterior edge of the orthoses and the theoretical weight-bearing surface is examined These coordinates should be close to parallel.
www.klm-lab.com /klm_article12.htm   (449 words)

  
 Podiatry Arena - Prefabricated vs custom made foot orthoses
Although there has been considerable research evaluating the effectiveness of orthoses for this condition, there is still a lack of scientific evidence that is of suitable quality to fully inform clinical practice.
From the evidence to date, it seems that foot orthoses do have a role in the management of plantar fasciitis and that prefabricated orthoses are a worthwhile initial management strategy.
It is worthwile to consider that orthoses may well be only part of the prescribed therapy for this condition depending on the presenting aetiology.
www.podiatry-arena.com /podiatry-forum/showthread.php?t=141   (2010 words)

  
 CIGNA Medicare DMERC Dialogue: Spinal Orthoses   (Site not responding. Last check: 2007-08-16)
As defined in the medical policy on spinal orthoses, a body jacket type orthosis is characterized by a rigid plastic shell that encircles the trunk and provides a high degree of immobility.
Any orthoses that does not meet the definition of a custom fabricated orthoses is considered prefabricated.) For items without a specific code, code L1499 must be used.
While it is certainly appropriate and common practice for these orthoses to be fabricated prior to the hospital admission, if the orthosis is needed after surgery and is applied during the patient’s inpatient hospital stay, reimbursement is included in the Diagnosis Related Group (DRG) payment.
www.cignamedicare.com /dmerc/dlog/summer_2000/000202a.html   (495 words)

  
 Podiatry Arena - Sensory effects of foot orthoses
The third was with an identical pair of foot orthoses, but covered in 40 grit sandpaper (considered to increase the sensory input from the foot orthoses).
Prior to the fourth trial, the foot of the subject was immersed in a container of ice and iced water for 10 mins to reduce plantar cutaneous sensation.
Foot orthoses may provide more signals that the CNS can combine with proprioceptive signals and other inputs ---- this may be how foot orthoses improve balance ---- but as we showed above there are no differences in the mechanical function of the device, that affect the patients symptoms.
www.podiatry-arena.com /podiatry-forum/showthread.php?t=379   (4109 words)

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