patricia mccotter orthotic clinical specialist dm orthotics the use of orthoses in neuromuscular...

PATRICIA MCCOTTERPATRICIA MCCOTTERORTHOTICORTHOTIC

CLINICAL SPECIALIST CLINICAL SPECIALIST DM ORTHOTICSDM ORTHOTICS

THE USE OF ORTHOSES IN THE USE OF ORTHOSES IN NEUROMUSCULAR NEUROMUSCULAR

DISORDERSDISORDERS

THE PATIENT’S ORTHOTIC THE PATIENT’S ORTHOTIC JOURNEYJOURNEY

• FOOTFOOT

• FOOT AND ANKLEFOOT AND ANKLE

• KNEEKNEE

• SPINESPINE

• UPPER LIMBUPPER LIMB

TOTAL CONTACT INSOLESTOTAL CONTACT INSOLES

• PROPRIOCEPTIVE PROPRIOCEPTIVE FEEDBACKFEEDBACK

• USE OF USE OF RECTIFICATION + RECTIFICATION + MATERIALSMATERIALS

• S.T RECTS.T RECT

• KIRBY SKIVEKIRBY SKIVE

• STABILITY OF BASESTABILITY OF BASE

• EXTERNAL EXTERNAL POSTINGS/WEDGINPOSTINGS/WEDGINGG

SOFT ANKLE SUPPORTSSOFT ANKLE SUPPORTS

NIGHT A.F.OsNIGHT A.F.Os

• COMFORT AND COMPLIANCECOMFORT AND COMPLIANCE

• CHOICE OF MATERIALSCHOICE OF MATERIALS

• STATIC/STRETCHSTATIC/STRETCH

• STOCKSTOCK

• CUSTOMCUSTOM

COMFORT/ COMPLIANCECOMFORT/ COMPLIANCE

THE MOST EXPENSIVE THE MOST EXPENSIVE ORTHOSIS IS THE ONE THAT ORTHOSIS IS THE ONE THAT

SITS IN A CUPBOARD.SITS IN A CUPBOARD.

STATIC / STRETCH BESPOKESTATIC / STRETCH BESPOKE

STATIC/STRETCH STOCKSTATIC/STRETCH STOCK

A.F.O.A.F.O.

• DESIGN, MATERIALS AND TRIMSDESIGN, MATERIALS AND TRIMS

• PADDING AND STRAPPINGPADDING AND STRAPPING

• POSTINGS, WEDGING AND POSTINGS, WEDGING AND RECTIFICATIONRECTIFICATION

• NORTHVANE DAFO INSERTSNORTHVANE DAFO INSERTS

• SAFOS (CMT)SAFOS (CMT)

NORTHVANE AND SAFOSNORTHVANE AND SAFOS

CMT ALTERATIVESCMT ALTERATIVES

• MATRIX MEDIALMATRIX MEDIAL • DORSIFLEXION DORSIFLEXION SOCKSOCK

CCDs Gas Spring and Torque CCDs Gas Spring and Torque SpringSpring

OCSI DYNAPRO KNEEOCSI DYNAPRO KNEE

SPINAL ORTHOTICSSPINAL ORTHOTICS

HEAD CONTROL - HEAD CONTROL - HENSINGERHENSINGER

UPPER LIMBUPPER LIMB

• SELDOM ASKED FOR SELDOM ASKED FOR ORTHOTIC INPUTORTHOTIC INPUT

• STABILISING WRIST STABILISING WRIST AND THUMB FOR AND THUMB FOR USE WITH CONTROL USE WITH CONTROL OF ELECTRIC OF ELECTRIC WHEELCHAIRWHEELCHAIR

• CMT GLOVECMT GLOVE