Pediatric Lower Limb Extremity Orthoses

Lower-Limb Extremity Orthoses

Dynamic Ankle Foot Orthosis(DAFO)

A DAFO (Dynamic Ankle Foot Orthosis) is a lower extremity braces that provide thin, flexible, external support to the foot, ankle and/or lower leg. They have the particularity to fit firmly the ankle and correct concisely the foot deformity within special pressure points. It is designed to help in improving mobility and stability of the ankle joint and evidence shows that immediate gross motor function improved with the use of DAFO’s as well. Designed to help a patient maintain a functional position, a DAFO can improve stability for successful standing and walking.

Conditions Treated: cerebral palsy, spina bifida, muscular dystrophy, clubfoot and autism.

Dynamic Ankle Foot Orthosis
Dynamic Ankle Foot Orthosis

SureStep Orthosis

SureStep has revolutionized orthotic management for children. Through the use of extremely thin, flexible thermoplastic, the SureStep compresses the soft tissues of the foot with its patented design; stabilizing children while still allowing for natural development. SureStep helps to stabilize the foot and relieve stress on ankles, knees and hips so your child can grow and develop as a happy and healthy kid.

Condition Treated: pronation, hypotonia, triplanar instability in weight bearing, Inability to stand independently, mild toe-walking, developmental delay, gross motor skills, poor coordination or balance

Sure Step Orthosis
Sure Step Orthosis

Reciprocal Gait Orthosis(RGO)

A knee – ankle – foot orthosis (KAFO) is an orthosis that encumbers the knee, ankle and foot. Motion at all three of these lower limb areas is affected by a KAFO and can include stopping motion, limiting motion, or assisting motion in any or all 3 planes of motion in a human joint: saggital, coronal, and axial. Mechanical hinges, as well as electrically controlled hinges have been used.

Conditions Treated: spina bifida, traumatic paraplegia, muscular dystrophy, and osteogenisis imperfecta

Reciprocating gait orthosis (RGO)
Reciprocating gait orthosis (RGO)
An RGO is full body orthotic device that makes it possible to have a pelvic rotation that imitates natural biomechanics and gait – physiological rotation during walking. Rehabilitation training is intense with big rewards but requires dedication and encouragement.

foot Orthosis

Foot Orthoses are shoe inserts that are designed to provide cushioning, support, stability, and/or relief to pressure areas of the foot. They can be soft, semi-rigid, accommodative, or rigid; they can be custom-made from a mold or impression of the foot.

Conditions Treated: flat foot, high arch, biomechanical foot issues

Knee braces may also help by improving symmetry, enhancing the position and movement of the knee while reducing pain so a person may remain active.

Pediatric Foot Orthosis
Pediatric Foot Orthosis

Helmet Therapy/Cranial Orthosis

Helmet molding therapy, or cranial orthosis, is a type of treatment in which a baby is fitted with a special helmet to correct the shape of the skull. Helmet molding therapy is not painful or uncomfortable for your baby. Duration of treatment can vary based on your baby’s needs, but average treatment is 3 months.

Conditions Treated: Postional Plagiocephaly

Cranial Remolding
Pediatric Cranial Remolding


Pediatric Upper Limb Extremity Orthoses

Upper-limb (extremity) orthoses are devices applied externally to restore or improve functional and structural characteristics of the musculoskeletal and nervous systems. In general, musculoskeletal problems include those resulting from trauma, sports, and work-related injuries.

Upper Limb Extremity Orthoses

Static Orthoses

As the term implies, these devices do not allow motion. They provide rigid support for fractures, inflammatory conditions of tendons and soft tissue, and nerve injuries.

Dynamic/functional Orthoses 

In contrast to static orthoses these devices permit motion, on which their effectiveness depends. These types of upper-extremity orthoses are used primarily to assist movement of weak muscles. Some dynamic splints have a dual or bilateral mechanism for providing tension, safely accommodating moments of spasm and thus limiting (or avoiding) soft-tissue injuries.

Types Of Upper-Limb Orthoses

In contrast to static orthoses these devices permit motion, on which their effectiveness depends. These types of upper-extremity orthoses are used primarily to assist movement of weak muscles. Some dynamic splints have a dual or bilateral mechanism for providing tension, safely accommodating moments of spasm and thus limiting (or avoiding) soft-tissue injuries.

Clavicular and shoulder Orthoses

Arm Orthoses

Functional arm Orthoses

Elbow orthoses

Pediatric Spinal Orthoses

Scoliosis BracE

Scoliosis Brace The brace is made of plastic and is contoured specifically for each patient in order to give the straightest possible shape. It extends from below the armpit to the beginning of the pelvic areas in the front and just below the shoulder blade in the back. Pads are placed to provide pressure on the curve and areas of relief are provided opposite the areas of pressure. The brace is worn under clothing and is not visible. Those who wear a brace lead very normal lives, and participate in activities, physical education, and sports. Any activity that the wearer can do in a brace is allowed.

Condition Treated: Idiopathic Scoliosis

Scoliosis Brace
Scoliosis Brace
Boston Brace:
The brace is normally used with growing adolescents to hold a 20° to 45° advancing curve. The brace is made of high density polypropylene lined with polyethylene foam and it opens in the back via a series of Velcro straps. Daily use of the brace ranges from 16–23 hours a day. The brace is intended to minimize the progression to an acceptable level, not to correct the curvature.
Charleston Brace:
This type of brace is also called a “nighttime” brace because it is only worn while sleeping while the child is sleeping. A Charleston back brace is molded to the patient while they are bent to the side, and thus applies more pressure and bends the child against the curve. Many studies have shown that the Charleston brace is as effective as the 23-hour-a-day brace wear. Curves must be in the 20 to 40 degree range and the apex of the curve needs to be below the level of the shoulder blade for the Charleston brace to be effective.
Milwaukee Brace:
The Milwaukee brace is similar to the (TLSO)Thoraco-Lumbo-Sacral-Orthosis , but also includes a neck ring held in place by vertical bars attached to the body of the brace. It is usually worn 23 hours a day, and can be taken off to swim, play sports or participate in gym class during the day. This type of brace is often prescribed for curves in the thoracic spine.
SpineCor Spinal Brace:
is the first and only truly dynamic brace, which provides a progressive correction of Idiopathic Scoliosis from 15 degree Cobb angles and above. Spinecor is the only brace that preserves normal body movement and growth and allows normal activities of daily living. In fact, patients with the SpineCor brace are encouraged to be physically active while wearing the brace. The revolutionary Soft Flexible Scoliosis Brace has been proven to re-educate the muscles. It can miraculously reduce, stabilize and often completely reverse both a child’s scoliosis and an adult’s scoliosis.