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