Purpose of the Device .com



Pediatric Foot OrthosesMost orthoses made for children are motion-controlling or motion-altering, often referred to as functional foot orthoses. The presenting pathology in the child’s lower extremity often requires a device to reduce excessive motion in a foot . Accommodative devices are less frequently required in this age group. It is much more common in adults than in children to require accommodation of reduced joint motions, prominences and pressure points. If some accommodation is needed in a child, you can usually add it to a motion-controlling device as a soft-tissue supplement, creating a “hybrid” device.The relatively light weight of a child means materials that are more forgiving — with increased flex in a heavier individual such as an adult — will resist collapse more readily in a child. This allows you to choose from a wide range of material properties, shell thicknesses and filler options while still achieving the desired goal of motion control.The ideal orthosis for a child will limit excessive or undesired motions while still allowing normal motions that are so important for ideal development.Key Posting ConsiderationsVarus deformities of the rearfoot and leg should be identified at an early age. Dynamic compensations for these imbalances require posting, which effectively angles the surface the patient walks on a corresponding number of degrees to the measured deformity. This reduces or eliminates compensations in the foot and reduces the symptoms and gait changes associated with them.The amount of control a post provides is determined by numerous factors:the number of degrees the post is angledthe stiffness or resistance to compression of the posting materialanterior-posterior length of the post and the width of the postA longer, wider post made of a stiffer material will offer the most control to the rearfoot and legThere is a reduced need for forefoot posting in children under the age of 6. Be Aware Of Predisposing Risk Factors In The Pediatric Pronated FootA child may exhibit a weak foot structure leading to pronation, but may also have additional predisposing risk factors that may affect the foot in its overall development and function. These risk factors include, but are not limited to, ligamentous laxity, obesity, rotational and angular disorders and ankle equinus.Shells made of more rigid materials and/or of increased thickness are the best choices for treating children who have generalized ligamentous laxity. Other modifications such as a deep heel seat, increased calcaneal pitch to lock the oblique midtarsal joint axis and medial and lateral flanges to reduce transverse plane compensations of the midfoot will aid in control of the foot with notable laxity. Due to the significant medial and lateral instability of children with ligamentous laxity, employing an orthotic device capable of supramalleolar control in the frontal and transverse plane is often necessary to exert adequate control over the closed-chain foot and leg complex. Thicker shells and more rigid materials are also necessary in managing the pronated foot in the obese child. Longitudinal arch fillers will help reduce the increased compression of the arch area of the shell you’ll typically see in overweight patients. Soft tissue supplementation at the foot/orthosis interface may help reduce the hard feel of such devices and increase shock absorption necessary for sports.How To Handle Rotational And Angular DisordersRotational and angular disorders that produce both in-toeing and out-toeing, bowing and knock-knees may contribute to a compensatory pes valgus. Orthoses for angular disorders benefit from high posting and out-flared or wide posts to stabilize the post plate in the frontal plane.Treatment Tips For Ankle EquinusThe fully compensated equinus foot, often characterized by pronation of the subtalar joint with consequent unlocking of the oblique midtarsal joint axis to allow for dorsiflexion and abduction to occur at the midfoot, is a major cause of pediatric pronation. It may be a primary cause or an aggravating factor that produces significant adverse effects on the foot.Childhood ankle equinus may be developmental or pathologic. Developmental equinus typically accompanies a rapid bone growth spurt, resulting in relative shortening of the muscles. If you re-evaluate the foot and it has not shown improvement after four to six months, a pathologic equinus is likely. Pathologic equinus may be congenital or result from other etiologic causes. Developmental and pathologic equinus both exert harmful forces on the foot, either initiating abnormal pronation or aggravating pronation already present in the child.In addition to stretching the tight musculature, orthotic control of the abnormal midfoot is usually necessary. Adding heel raises to an orthotic device to plantarflex the foot and increasing the amount of available dorsiflexion of the ankle for midstance are effective at helping to reduce compensation in this foot type. In addition, the presence of equinus may limit the degree of control that can be tolerated by the child. If this is the case, selecting a more flexible, forgiving shell may be a better choice for the equinus patient.Other Helpful Treatment InsightsPatients with a talocalcaneal coalition have reduced subtalar joint motion and frequent peroneal spasm. Employing a rigid orthosis from a pronated cast with a deep heel seat and a 0-degree rearfoot post is often successful at reducing painful motion. When you treat children with a calcanonavicular coalition, keep in mind that reduced subtalar joint motion and peroneal spasm are less common. Therefore, using a more controlling device with high posting made from a neutral cast has a higher success rate.Calcaneal apophysitis (Sever’s disease) is an inflammation (sometimes considered an osteochondrosis) of the secondary growth center of the calcaneus. It is frequently accompanied by a tight heel cord and may be aggravated by high loads through the heel. When treating this condition, you should consider using a device with a more flexible shell to maintain the calcaneal fat pad beneath the apophysis and a heel raise to reduce the strain from the tendo-Achilles.PEDIATRIC OTHORSES:LOWER EXTREMITIESD-DAFO“Dynamic Ankle-Foot Orthosis” (also called “Tone Reducing AFO” and “Total Contact AFO”)A dynamic, total contact orthosis which works exceptionally well for children with spasticity. Maintains the correct alignment of the bones in the foot and ankle. Application: Cerebral palsy, hemiplegia, spastic diplegiaDescription: Thin, flexible, molded thermoplastic orthosis covering the entire foot; custom-contoured footplate; designed to distribute weight-bearing forces over large areaFunction: Reduce ankle hypertonicity, increase ankle stability and provide proper alignment21621759906000Low Profile D-DAFOProvides dynamic alignment and support for the foot and ankle 160972532575500Allows plantar flexion and dorsiflexionFull Length D-DAFOThe dynamic design and material work on volume and will remain very comfortable even as children begin to outgrow them. This feature allows more time in the orthoses and a decrease in the likelihood that the patient will be unable to wear them before a new, larger D-DAFO is needed. 166687531686500Blocks plantar flexion and allows dorsiflexion.Solid Ankle AFOApplication: Varum and valgus deformitiesDescription: Custom-fabricated thermoplastic, metal or composite device designed and trimmed for a patient’s unique needsFunction: Provide proper alignment, block plantar flexion and dorsiflexion20955009652000Solid Ankle AFO w/ pre-tibial shell (anti-crouch)This Solid Ankle AFO with anterior panel is designed to prevent dorsiflexion and plantar flexion. The 'ground reaction' will also help to push the knee into extension during weight bearing.1885950000Articulating AFOAllow flexion at the ankle and has an adjustable/removable plantar flexion stop. It is also possible to add dorsiflexion assist or check straps.153352515240000UCBLCustom made insert for controlling a hyper-mobile pes-planus or cavus. It supports the arches of the foot and maintains the relative position of the hindfoot, midfoot, and forefoot.175260013525500 Reciprocating Gait Orthosis This orthosis provides parlalitic patients with the support and ability to stand and take steps with assistance. The entire system can wiegh as little as 3.5 lbs. for smaller patients. Reciprocating Gait Orthosis or RGO is the most frequently used brace for the ambulatory needs of a paralyzed child or adult. patients can be fitted as early as 18 months of age, giving them a better chance for walking and standing and therefore enjoying earlier the physiological, skeletal and psychological benefits of being upright.Description:HKAFO incorporating cable system or similar method of mechanically translating hip extension on one side into hip flexion on the contralateral side.Application:Lower-body neurologic impairment indicated in L1-L3 lesions in children with functioning iliopsoas and hip adductors.Function:Provides standing and ambulation ability thereby raising physical and psychological horizons. HKAFO (hip-knee-ankle Foot Orthosis)The HKAFO is a KAFO (knee-ankle-foot-orthosis) with an extension of hip joint and pelvic components.? This device is used on patients requiring more stability of the hip and lower torso, due to paralysis and weakness, in addition to the lower extremity involvement.? The brace will provide pelvic stability in several planes, from rotation, to side-to-side, and front-to-back motions.? Primarily the hip section and hip joint of the brace stabilizes and aligns the lower leg underneath, reducing unwanted motion, while increasing steps per minute and reducing energy expenditure.Purpose of the DeviceProvides adjustable control of the hip, knee and ankle.Manual locks maybe added to hip and knee jointsAnkle motion maybe fixed or adjustableIndicationsHip fractures/replacementFemur fracturesORIF’s, Hip, Femur, TibiaCommon AdditionsAnterior tibia shellLocking kneeRange of motion knee jointRange of motion Hip jointPadded linersPRAFO foot plateLocking HipSpecial ConsiderationsPatients who will be bed-to-chair for an extended time should be fit with a PRAFO distally to prevent heel breakdown. Counter Rotation systemAn improvement on the Denis Browne splint for post club foot release splintingDescription:plastic multihinged orthosis with bilateral footplates; three hinged joints and eight circular rotation joints.Application: internal tibial torsion, maintenance of post-operative clubfoot or metatarsus adductus correction.Function: hold feet in corrected external or internal rotated position while allowing independent leg movement and free hip and knee motion. Developmental dysplasia of the hip (DDH) orthosisDescription: Pelvic band connected to thigh cuffs by aluminum joint with 20 degree extension stop and 90 degree flexion stop or free motionApplication: Hip dysplasia in children beyond pre-walking stageFunction: Provide positive abduction positioning Floor reactions orthosisis generally used with patients affected by neurological conditions such as spina bifida, cerebral palsy, brain injury, spinal cord injury, and post-polio paralysis. In these cases, the floor reaction AFO functions to maintain the affected joints in proper alignment, to accentuate knee extension at midstance, and compensate for weak or absent gastroc soleus (calf) muscles. A floor reaction AFO places the extension force closer to the knee than other AFO’s and uses a rigid anterior shell with paddingDescription: Rigid thermoplastic or laminate AFO with neutral ankle position and a broad anterior panel just below the kneeApplication: Cerebral palsy “crouch gait” - Knee instabilityFunction: Apply knee extension moment during stance phase to prevent knee buckling and excessive flexion associated with crouch gait. Orthopedic shoes Shoes that are specially designed shoes that provide support and?pain relief?for people suffering with some type of pain in the legs, ankles, or feet.Description: Specially shaped extra-depth designApplication: Correction and accommodation of foot deformitiesFunction: Accommodate for internal modifications ParapodiumApplication: Paraplegic patient, spastic cerebral palsyDescription: ?lightweight, high-strength aluminum and footplate, used to lock and unlock the hip and knee joints.Function: For stability, the footplate, sidebars, and back panel form a continuous rigid loop, cross-braced by a bar at the level of the knee. The shape of the bar virtually eliminates side-to-side movement, thus improving the anterior-posterior and medial-lateral stability of the unit.14) Scoliosis JacketApplication: Idiopathic scoliosisDescription: Custom thermoplastic TLSOFunction: Limit curve progression and need for surgical correction15) Scottish Rite OrthosisApplication: Legg-CalvePerthes diseaseDescription: Lightweight orthosis consisting of metal pelvic band, plastic thigh cuffs, aluminum hip joints with thrust-bearing hip joints or a telescoping spreader bar (older design)Maintain hips in abduction containing femoral head in the acetabulum16) SWASH (Standing, Walking and Sitting Hip Orthosis)Application: Cerebral palsy; any child whose adduction and/or internal rotation at hip joint interferes with function or induces lateral migration of the femoral headDescription: Plastic padded waist band and two joint assemblies connected by shaped leg bars to adjustable plastic thigh bandsFunction: Stabilize hip and oppose excessive adduction and internal rotation; reduce scissor gait while walking and improve balance while standing17) Tibial Fracture OrthosisApplication: In lieu of plaster cast to provide greater freedom of activity during healing, reduced muscle atrophy and shorter disability timeDescription: Total contact, usually thermoplastic, brace with plastic or metal ankle joints and heel insert. Most often custom-molded for pediatric applicationsFunction: Allow mobilization of the leg during fracture healing; minimize rotation and sheer forces support tibia and fibula18) Wheaton BraceApplication: Metatarsus adductus; clubfoot; tibial torsion. Used in place of serial casting or corrective shoesDescription: Molded thermoplastic and Velcro knee ankle-foot orthosisFunction: Applies direct corrective rotational force on the tibia without any torque on the femur or hip.19) Dennis Brown BarThe Dennis Brown Bar attaches to corrective shoes to maintain proper hip and foot position. The adjustable rotation allows for desired external/internal rotation.17621253175020) Ponseti Orthosis164782567119500Abduction device similar to Dennis brown bar with total contact AFO section that delivers excellent correction of clubfoot (deformity with a downward and inward pointed foot) without the risk and complications of foot surgery.21) Pediatric UFOThe pediatric UFO? from Orthomerica is a comfortable, prefabricated orthosis for stretching and maintaining dorsiflexion range of motion. This unique lower-limb orthosis positions the foot and ankle in optimal alignment for placing stretch on the soleus while the patient is sleeping. When used in conjunction with a knee immobilizer, this orthosis can also stretch the two-joint gastrocnemius group.Clinical IndicationsCerebral Palsy or other neuromuscular diseasesIdiopathic toe walkingSevers diseaseTightness at the foot and ankleFollowing achilles tendon lengtheningPediatric SizeUniversal Model No.Youth Shoe SizeBrace HeightUSEUUKSmall3614<0-716-230-66.5"Medium36157-1023-276-98"Large361610-13>27-319-1310.5"?Universal sizing fits right or left. For replacement liners add .01 suffix, (e.g., 3614.01). For Purple Butterflies transfer pattern add .02 suffix. For Tornado transfer pattern add .03 suffix. Surcharge applies for all transfer patterns. Butterflies and Tornado transfers are stock items and available for same-day shipment. Other transfer options are subject to additional upcharge and require a two-day lead-time.NIGHT TIMENight Stretching Orthoses Designed to increase and maintain ROM and maintain joint alignment during the night. Dynamic orthoses provide an adjustable stretch that will follow the patient’s ROM as it increases. It also allows for flexion/ extension within the orthosis when the patient is awake and provides a long term, low-load stretch while they are relaxed. Roosterboot2167255136842547339251338580The Rooster boots are available in varying colors which each patient can choose at their casting appointment. Rubber sole on the Rooster boots so that children can get up to use the restroom during the night without slipping and falling or having to remove the orthosis. It is designed to provide an adjustable, dynamic stretch to the heel cords. The custom-overlapping padding provides total contact for pressure reduction and maintaining correct alignment. KAFO with the D-DAFO -34290079375This KAFO has a dynamic stretching joint at the knee and incorporates the D-DAFO. This design is made for children with severe spasticity and/or malalignment throughout the foot and ankle. The D-DAFO provides a very intimate, total contact hold for correction and pressure distribution.Holding the ankle at 90 degrees and maintaining correct alignment throughout the foot is crucial for achieving an effective stretch on the gastrocnemius.Roosterboot with KO attachmentThis “KAFO” is in two parts. The knee orthosis snaps onto the Roosterboot. Both the knee and ankle have dynamic adjustable joints for comfort and stretch. Making this in two parts allows parents the option of using only the Rooster boots at certain times. The KO section also be fabricated at a later date once need is determined. 179895592075Dynamic KAFOa. This parrticular KAFO has dynamic stretching joints at both the knee and ankle. Each joint can be adjusted for patient cofort and maximum stretch. b. This Dynamic KAFO has a dynamic joint at the knee only. The ankle is held at 90 degrees and in correct alignment. A B29622758699533528075565CRANIALCranial remolding orthoses is used to treat deformational plagiocephaly, brachycephaly, scaphocephaly and other head shape deformities in infants 3—18 months of age. Orthomerica applied for and received FDA clearance in 2002 for the STARlight designs and the Clarren Helmet. These orthoses can be used to effectively manage a broad spectrum of head shape deformities and clinical indications.?164782530734000OrthomericaOrthomerica's A-Flex Protective Headgear is an adjustable alternative to other hard protective devices. It is fabricated from a flexible plastic that readily conforms to varying head shapes, making it easy to fit upon demand. The protection is ideal for low impact forces that are distributed (like a shock absorber) across the entire surface without cracking or penetrating. The headgear is equipped with easy-to-adjust straps minimizing the need for chin straps. Optional chin straps are recommended for active and noncompliant patients. The posterior strap "locks" the device below the mastoids and accommodates size variations while the lateral straps are used for easy donning and doffing. Lateral straps and side-slits are also optional. The A-Flex features ventilation holes to reduce trapped heat. It can be easily trimmed with a pair of shop snips without the need for complex equipment and tools.SPINALComplementing the standard range, spinal orthoses have been designed to accommodate the unique clinical needs and anatomy of children, to provide the same high standards of protection and support.Specially designed to fit the head shape of young children, They ensure young patients enjoy the same quality of care.178117518669000New Options PL1 Elastic Double-side pull lumbar supportFeatures 6" wide elastic belt, two 2" wide adjustable side pulls that overlap in front to increase support and 1/16" nylon 2-sides neoprene pocket for insert.SHOULDER and ARM179070031115000Shoulder Abduction rotation orthosis (SARO)?? Increased adjustability at the shoulder and elbow joints ? Humeral cuff with raised posterior wall for additional control ? Lightweight, universal, design can be used for the left or right shoulder INDICATIONS: ? Paralysis or damage to the Brachial Plexus (Erb palsy) ? Prevention of upper extremity joint contactures ? Brachial Plexus exploration and nerve repair ? Soft tissue surgery including tendon transfers168592517716500F. WRIST AND HAND1) Deroyale Unique wrist, hand and finger orthosis applys low stretch therapy to contracted fingers, hand and wrist. Features dynamic inflatable air bladders. Fleece type liner helps reduce pressure points and provide comfortable fit.1552575219075002) ?Fillauer Pediatric Action Wrist Support1/8" nylon two sides neoprene. Circumferential adjustable wrist strap. Hook and loop closures. Removable splint for washing.1295400316230003) Comfy Splints Pediatric Hand Wrist OrthosisProvides support and positioning for weak or deformed hands at the wrist, hand and fingers. It serves as an excellent resting splint to prevent trauma to joints and positions to increase ROM. The wings on the side adjust to prevent ulnar or radial deviation and to allow for custom fit and comfort.?1666875311785004) Comfyprene Pediatric Separate Finger Hand OrthosisThe Comfyprene Pediatric Separate Finger Hand Orthosis unique splint allows for individualized finger adjustments. Excellent for many deformities, including; dupytrens, swan neck or boutonneire contractures, as well as sprains and fractures. Comes with Finger Separator and available in Left or Right.1666875309880005) Comfy Splints Pediatric Hand Thumb OrthosisIs uniquely designed to support the thumb without stressing the web space between the index finger and the thumb, known as the thenar eminence. The thumb tab functionally positions the thumb without stretching the thenar eminence like the traditional “C” bar opposition hand splints, making this splint excellent for use on patients with tightly adducted thumbs. The splint is adjustable and re-adjustable without the use of tools, making it easy to use and customize.HIPA-Frame OrthosisThe A frame orthoses correct the problems associated with rotational and angular malformations. ?This type of orthotic is used to apply corrective forces for more proximal malformations.Calf and thigh bands and pressure pads are attached to an “A”-shaped metal frame. All components are either adjustable or available in several sizes, so that children of varying heights and girths can be accommodated.”Indicated for femoral torsion, angular deformities, and rotational deformities.Becker Pediatric Hip Abduction OrthosisThis prefabricated hip orthosis is designed primarily for the treatment of Legg-Calve-Perthes disease. The preset hip abduction angle is intended to achieve maximum containment during ambulation. The hip joint allows the range of hip flexion and extension to be controlled in 20° increments.Becker Spherical Hip Abduction OrthosisThis orthosis is made with spherical joints in order to provide precise positioning of the hip in all planes. The hip band and calf cuffs are constructed of aluminum, which is padded and covered with naugahyde.FAST-WRAP Pavlik HarnessUtilizes the principle of flexion with free abduction to achieve reduction of hip dysplasia and dislocation in infants. Ideal alternative to hip casting. Hook and pile provides easy application, size adjustment and removal. Plastic quick-release buckle for secure closure.Ilfeld Pediatric Hip Abduction SplintThe Ilfeld Splint consists of two aluminum thigh bands fastened to a stainless steel cross bar with swivel joints. The metal thigh bands are covered with fabric or dipped in plastisol. The thigh bands are adjustable and are locked in place with a 3/16" hexagon wrench. The splint is adjustable for growth and progressive relaxation of abductor spasms. For treatment of congenital dislocation of the hip, congenital dyplasia of the hip and hip dysplasia and dislocation due to cerebral palsy and other neuro-muscular conditions.Pavlik HarnessA Pavlik harness is used in the treatment of hip dysplasia in infants. The Pavlik harness is fit to the baby and holds his or her hips in proper position. By flexing up the legs, and allowing the knees to fall outwards, the hips are held in proper position. By doing so, the hip joint is properly reduced, and the hips will form normally. A Pavlik harness that is too tight can do more damage to the baby's hips, and a Pavlik harness that is too loose will not hold the hips properly. Babies who are fit for a Pavlik harness should be checked regularly to ensure proper fit of the device and to ensure the hips are being held in the proper position.9) Pediatric Abduction BarIndicated postsurgically, or for conditions requiring abduction control of the hips. Adjustable bar provides abduction and adduction control during restricted ambulation. Nylon ball and socket joint duplicate the anatomical motion of the hip joint. Breathable neoprene liners prevent migration on the legs. 3-1/2" (8.9cm) cuff height.10) Pediatric Hip Abduction Splint Lightweight pediatric orthosis available in standard or adjustable styles. The standard model holds the infant in 90° hip flexion and 60° abduction. Adjustable model adjusts abduction from 40° to 180°. Sturdy polypropylene frame with closed-cell foam lining does not retain moisture. Fits infants from 3 months to 18 months. Open design facilitates diaper changes.11) Pediatric Hip Abduction Spreader Bar Maintains child in abducted position, For proper hip alignment.The Pediatric Hip Abduction Spreader Bar attaches by aligning the holes on the medial aspects of the thigh lacers with the holes in the swivel brackets on each end of the Spreader Bar. Adjustable positioning is achieved by loosening the dial located at the center of the adjustment bracket, and sliding the bracket to the desired width. Place the adjustment pin into the corresponding hole and tighten the dial.12) RCAI HD Pediatric Hip Orthosis –The Pediatric Hip Orthosis Bi-Lateral by RCAI is designed to provide the patient with hip stability and proper hip alignment. The orthosis also limits unwanted motion and will reduce the stress put on the pediatric hip. The orthosis is designed to allow for a controlled range of motion. This orthosis is ideal for patients that have suffered from hip problems that have required surgery.Features:? Provide hip stability and alignment following surgery.? Reduces stress on the pediatric hip and limits motion.? Washable liner pads.? Ideal for use with universal leg braces.? Vertical adjustability for the hip and thigh.13) RCAI Pediatric Hip Abduction Orthosis Congenital Dysplasia of the Hip (CDH)Features:One piece design for ease of applicationDurable polypropylene construction with closed cell foam liningHolds infant in 90° hip flexion and 60° abductionAllows nappy changes without removal of the orthosisWashable14) Trulife Pediatric Hip Abduction Orthosis Ideal for congenital hip dysplasia. Made of easy-to-clean plastizote..?UPPER EX- ELBOW ORTHOSESDeRoyal pro-glide jr. Elbow OrthosisAddresses joint stiffness of the elbow by using a low load, prolonged stretch modality. Features include single hinge design and lightweight construction. The unit easily converts from an extension splint to a flexion splint with the simple turn of a screw. Fully adjustable. Liner is machine washable. Weight 1 lb 10 oz.184785077470002) Pediatric comfy elbow hand combo orthosisAdjustable and readjustable to individual patient without the use of heat or tools. Can be graded up to increase elbow extension.Lightweight and durable.1638300129540003) Pediatric comfy elbow orthosisProvides excellent support for flaccid or weak extremities Helps immobilize painful extremities. The splint spine can bend to the desired ROM and the cuffs can adjust to the wrists and MP joints for optimal fit. It can also be adjusted to provide for gradual extension of the non-fixed elbow contracture.1838325163195004) Pediatric comfy goniometer elbow orthosisDesigned to increase elbow extension following CVA, surgery, injury or neurological complications. Also excellent for individuals with strong flexor tone. Has the same benefits as serial casting and allows for progressive extension of the elbow in 10° increments, but does so in a comfortable, adjustable and removable splint form. The goniometer hinge allows one to set a range within which the elbow can flex and extend and it can also lock at a desired degree of extension.1438275107315005) Pediatric comfy spring loaded goniometer elbow orthosisDesigned to increase elbow extension following CVA, surgery, injury or neurological complications. It is also excellent for individuals with strong flexor tone. The orthosis has the same benefits as serial casting and allows for progressive extension of the elbow in 10° increments, but does so in a comfortable, adjustable and removable splint form. The goniometer hinge allows one to set a range within which the elbow can flex and extend and it can also lock at a desired degree of extension.16859258572500Pediatric comfyprene elbow orthosisProvides excellent support for flaccid or weak extremities and helps immobilize painful extremities. The splint spine can bend to the desired ROM and the cuffs can adjust to the wrists and MP joints for optimal fit. It can also be adjusted to provide for gradual extension of the non-fixed elbow contracture.1691005127000Pediatric comfyprene goniometer elbow orthosisDesigned to increase elbow extension following CVA, surgery, injury or neurological complications. The orthosis has the same benefits as serial casting and allows for progressive extension of the elbow in 10° increments, but does so in a comfortable, adjustable and removable splint form. The goniometer hinge allows one to set a range within which the elbow can flex and extend, and it can also lock at a desired degree of extension.1786255154940Dynapro pediatric flex elbow1847215666759) Elbow sleeveThe Pediatric Elbow Sleeve is made of 1/8" nylon 2-sides neoprene. Provides warmth, compression and protection.189611010350510) Pediatric universal arm brace The Universal Arm Brace has bilateral hinges, which provide increased flexion/extension elbow control from 0° to 120°. The lightweight stainless steel hinge construction aids in patient compliance. The precision length adjustment hinge arm assures a personalized fit and the unique forearm design provides protection of the olecranon process. The liner is made of a breathable laminate interface. 18935706540511) Pediatric hyperextension elbow supportMade of 1/8" nylon 2-sides neoprene with two loop and lock criss-cross straps.172593083185CERVICALAspen Pediatric Cervical CollarHas been carefully designed to provide effective motion restriction without producing the painful pressure points that lead to skin breakdown and noncompliance. Three layers of polyethylene combine to produce a support structure that is extremely rigid yet able to flex at its edges to conform to each patient's anatomy. This layered design spreads the load over a large area, producing a true custom fit, which has been documented not to produce pressure in excess of capillary closing pressure, the underlying cause of skin breakdown.1868170-73660002) The Aspen CTO Combines highly effective immobilization of the cervical and upper thoracic spine with a level of comfort that makes it well tolerated by patients. Research has shown substantially progressive immobilization in going from a stand-alone cervical collar, to a two-post device, and then on to a four-post orthosis. 657225297180002695575130810003) Aspen Sierra Pediatric Collar2057400105537000With just one size, the Sierra provides substantial motion restriction for the vast majority of the pediatric patient population. Its flat back panel facilitates a safe application and the DYNA-Capture system contours to the back of the child's head, increasing motion restriction. Access to the tracheal area is unparalleled, allowing for visualization or any procedure on the anterior neck.4) Corflex Pediatric Ambu Perfit CollarFeatures one-piece flat design with flip out chin piece and trachea opening for easy access. Constructed of durable plastic laminated to foam with contact closure.1933575-95885005) Corflex Pediatric Ultra Cervical CollarFeatures anatomically contoured foam with soft cotton stockinette covering for maximum patient comfort. Manufactured from medium firm density foam with 2" contact closure.20002508255006) DeRoyal Comfo-Eze Cervical Collar200025035623500Highest quality medium density foam construction. Breathable synthetic stockinette liner. Removable cover can be washed for better patient hygiene.7) Infant Cranial InterfaceUsed to protect the skin, wick moisture, control rashes, and guard against dermatitis. If skin eruptions occur, changing interfaces two or three times a day and washing the head area and garments daily are helpful.1714500-152400008) Miami Jr.?CollarEngineered to fit the unique anatomies of patients age 12 and under.Indications for UseC-Spine precaution for trauma patientsImmobilization for pre and post c-spine surgerySCIWORA Syndrome (Spinal cord injury without radiographic abnormality in children)Degenerative disordersSpinal Stenosis (narrowing of the spinal column that causes pressure on the spinal cord, or narrowing of the openings where spinal nerves leave the spinal column.)Spondylolisthesis (condition in which a bone (vertebra) in the lower part of the spine slips out of the proper position onto the bone below it.)2009775161925009) NecLoc?Kids Collar212407549720500Immobilization of pediatric patients under the age of 12 during emergency transport and routine patient care.10) Papoose?Infant Spinal ImmobilizerDesigned for newborns up to 3 months, the Papoose cradles the baby's body, securely and gently immobilizing the head and spine while maintaining airway and spine alignment.Indications for?UseImmobilization of the head and spine in patients 0 – 3 monthsSuturesMR and other diagnostic imagingTreatment situations requiring temporary immobilization16713201320800011) Pediatric Halo Indications:Positioning of structurally stable spineFollowing complications of standard halo immobilizationPostoperative positioning following sternocleidomasatoid release for congenital muscular torticollisReduction of C1-C2 rotary instability2076450527050012) Pediatric one-piece extrication collar176212566548000It has an oversized trachea opening for quick access to carotid pulse monitoring and emergency tracheotomies. Chin support maintains patient in neutral alignment. Mandible support adapts to individual patient's unique jaw line.13) Torticollis Orthosis217170066167000Torticollis is a condition where the head is rotated and tilted to one side due to the shortening of the muscles of the neck. This orthotic supports the head after surgery and then slowly adjusts it into the proper position.PEDIATRIC ORTHOSESSubmitted by:Kaindoy, ChaelleLeteral, ThereseLocaylocay, KathleenMejarito, NicoleMorales, RosseliniPatalinghug, Christel KiraPo, LareinaRemedio, KarinaRosales, CandiceSecretaria, CyrilSerohijos, ChristineTaglucop, DeniseTan, KondradTeves, FrancesValleser, JezaSubmitted to:Sir Von Darcera ................
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