Supramalleolar Orthoses (SMO’s)
These orthoses are designed to encompass the foot and ankle and are used when foot orthoses are inadequate, generally due to gross instability. SMO’s may be accommodative or corrective in design and utilize the same principals as foot orthoses only the trimlines are extended above the ankle.
Ankle Foot Orthoses (AFO’s)
AFO’s are prescribed when an individual needs more support and/or correction than either an FO or SMO can provide. They are commonly used to treat neurological and musculoskeletal disorders as well as congenital deformities. AFO’s are intended to compensate for weakness, correct flexible deformities, prevent contractures, accommodate, increase balance, and can be designed to control the knee joint as well. Common styles include:
- • Rigid
- • Articulated
- • Anti-Crouch
- • Energy Storage and Return
- • Off-loading
- • Reinforced Posterior Leaf Spring
Knee Orthoses (KO’s)
KO’s are prescribed to treat various knee injuries and conditions and may be made out of soft (neoprene) or rigid (thermoplastic or carbon composite) material. Orthosis design will differ based on the condition being treated, however, most KO’s are designed to keep the knee stable, offload the knee and limit movement to assist in healing and/or provide improved function. Common styles include:
- • Compressive
- • Osteoarthritis Bracing
- • Ligamentous Instability Bracing
- • Sport Bracing
Knee Ankle Foot Orthoses (KAFO’s)
KAFO’s are sometimes referred to as “long leg” braces as the design incorporates a knee joint and a thigh cuff that is connected to an AFO section. KAFO designs are specific to patient needs and are used when an AFO cannot adequately support the affected limb. Different components are selected based on the patient’s joint instabilities, muscle strengths, activity level and other needs.
Spinal Orthoses (CO’s, TLSO’s, LSO’s, LO’s)
Spinal orthoses design vary in they may encompass the entire torso from the waist to the underarm to designs that are placed purely around the neck or lower back. Larger orthoses are often used in the treatment of scoliosis, lordosis, and kyphosis. Custom spinal orthoses are also used to improve seating positions for patients in wheelchairs and also provide improved posture for patients with osteoarthritis. Support may be flexible, semi-rigid, or rigid. Other uses for spinal orthoses include treatment of spinal fractures/instability, lower back pain or abnormal muscle tone.
Often referred to as cranial remolding bands, the bands are used as a dynamic treatment for skull asymmetry / flatness in infants. Treatment can start as early as 5 months in age. The band is used to redirect skull growth with the ultimate goal of creating skull symmetry and improved proportion. Our office uses the STAR Band System (Symmetry Through Active Remolding). More information can be found at: www.starbandkids.com. Fun options to personalize your infant’s band can be found at this company: www.blingyourband.com
Upper Extremity Orthoses
Upper extremity orthoses are available in varying designs made out of many different materials and we provide both off-the-shelf and custom made. They may be static or dynamic. Custom orthoses may be designed to provide support for patients with muscular weakness due to a neurological condition, prevent contracture development, assist in post surgical/fracture healing and maintain optimal alignment during daily activities.