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Pediatric Orthoses Most

orthoses. made for children are motion-controlling or . motion-altering. Accommodative . devices are less frequently required in this age group. .. The relatively light weight of a child means materials that are more forgiving .

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Pediatric Orthoses Most






Presentation on theme: " Pediatric Orthoses Most "— Presentation transcript:

Slide1

Pediatric

Orthoses

Slide2

Most

orthoses

made for children are motion-controlling or

motion-altering

Accommodative

devices are less frequently required in this age group

.

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

Slide3

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

Slide4

Key Posting Considerations

Dynamic

compensations for

Varus

deformities of the

rearfoot

and leg require

POSTING

The amount of control a post provides is determined by numerous factors

:

the

number of degrees the post is angled

the stiffness or resistance to compression of the posting material

anterior-posterior length of the post and the width of the post

A longer, wider post made of a stiffer material will offer the most control to the

rearfoot

and leg

There is a reduced need for forefoot posting in children under the age of 6.

Slide5

Be Aware Of Predisposing Risk Factors In The Pediatric Pronated Foot

A 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

Slide6

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

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

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.

Slide7

How To Handle Rotational And Angular Disorders

Rotational

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.

Slide8

Treatment Tips For Ankle Equinus

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

Childhood ankle

equinus

may be developmental or

pathologic:

Developmental

equinus

typically accompanies a rapid bone growth spurt, resulting in relative shortening of the

muscles

Pathologic

equinus

may be congenital or result from other

etiologic causes

Both

exert harmful forces on the foot, either initiating abnormal

pronation

or aggravating

pronation

already present in the child.

Slide9

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

Slide10

Other Helpful Treatment Insights

Patients 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

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.

Slide11

PEDIATRIC OTHORSES

A. LOWER

EXTREMITIES

D-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

diplegia

Description

: Thin, flexible, molded thermoplastic

orthosis

covering the entire foot; custom-contoured footplate; designed to distribute weight-bearing forces over large area

Function

: Reduce ankle

hypertonicity

, increase ankle stability and provide proper alignment

Slide12

D-DAFO

Slide13

1 Low Profile D-DAFOProvides dynamic alignment and support for the foot and ankle Allows plantar flexion and dorsiflexion

Slide14

2 Full 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 neededBlocks plantar flexion and allows dorsiflexion.

Slide15

3 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 dorsiflexion

Slide16

4 Solid 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.

Slide17

5 Articulating AFOAllow flexion at the ankle and has an adjustable/removable plantar flexion stopIt is also possible to add dorsiflexion assist or check straps

Slide18

6 UCBLCustom 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.

Slide19

7

Reciprocating Gait

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

RGO

is the most frequently used brace for the ambulatory needs of a paralyzed child or

adult

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.

Slide20

8

HKAFO (hip-knee-ankle Foot

Orthosis

)

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

Purpose of the Device

Provides adjustable control of the hip, knee and ankle.

Manual locks maybe added to hip and knee joints

Ankle motion maybe fixed or adjustable

Slide21

Indications

Hip fractures/replacement

Femur fractures

ORIF’s, Hip, Femur,

Tibia

Common Additions

Anterior tibia shell

Locking knee

Range of motion knee joint

Range of motion Hip joint

Padded liners

PRAFO foot plate

Locking

Hip

Special Considerations

Patients who will be bed-to-chair for an extended time should be fit with a PRAFO distally to prevent heel breakdown.

 

Slide22

9 Counter

Rotation system

An improvement on the Denis Browne splint for post club foot release splinting

Description

: 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.

Slide23

10 Developmental

dysplasia of the hip (DDH)

orthosis

Description: Pelvic band connected to thigh cuffs by aluminum joint with 20 degree extension stop and 90 degree flexion stop or free

motion

Application: Hip dysplasia in children beyond pre-walking

stage

Function: Provide positive abduction positioning

Slide24

11 Floor

reactions

orthosis

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

padding

Description: Rigid thermoplastic or laminate AFO with neutral ankle position and a broad anterior panel just below the

knee

Application: Cerebral palsy “crouch gait” - Knee

instability

Function: Apply knee extension moment during stance phase to prevent knee buckling and excessive flexion associated with crouch gait.

Slide25

12 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 design

Application: Correction and accommodation of foot deformities

Function: Accommodate for internal modifications

Slide26

13

Parapodium

Application: Paraplegic patient, spastic cerebral palsy

Description:  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.

Slide27

14 Scoliosis Jacket

Application: Idiopathic scoliosis

Description: Custom thermoplastic TLSO

Function: Limit curve progression and need for surgical

correction

15 Scottish

Rite

Orthosis

Application: Legg-

CalvePerthes

disease

Description: 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

acetabulum

Slide28

16 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 head

Description: Plastic padded waist band and two joint assemblies connected by shaped leg bars to adjustable plastic thigh bands

Function: Stabilize hip and oppose excessive adduction and internal rotation; reduce scissor gait while walking and improve balance while

standing

17

Tibial

Fracture

Orthosis

Application: In lieu of plaster cast to provide greater freedom of activity during healing, reduced muscle atrophy and shorter disability time

Description: Total contact, usually thermoplastic, brace with plastic or metal ankle joints and heel insert. Most often custom-molded for pediatric applications

Function: Allow mobilization of the leg during fracture healing; minimize rotation and sheer forces support tibia and fibula

Slide29

18 Wheaton

Brace

Application: Metatarsus

adductus

; clubfoot;

tibial

torsion. Used in place of serial casting or corrective shoes

Description: Molded thermoplastic and Velcro knee ankle-foot

orthosis

Function: Applies direct corrective rotational force on the tibia without any torque on the femur or hip

.

Slide30

19 Dennis Brown Bar

The Dennis Brown Bar attaches to corrective shoes to maintain proper hip and foot position. The adjustable rotation allows for desired external/internal rotation.

Slide31

20 Ponseti OrthosisAbduction 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

Slide32

21 Pediatric UFO

The 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.

Slide33

CLINICAL INDICATIONS

Cerebral

Palsy or other neuromuscular diseases

Idiopathic toe walking

Severs disease

Tightness at the foot and ankle

Following

achilles

tendon lengthening

Slide34

B. NIGHT TIME

Night

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.

Slide35

1. RoosterbootThe 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 orthosisIt 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.

Slide36

Rooster Boots

Slide37

2. KAFO

with the

D-DAFO

This 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

.

Slide38

Slide39

3 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.

Slide40

4 Dynamic 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.

Slide41

C. Cranial

Cranial remolding

orthoses

is used to treat deformational

plagiocephaly

,

brachycephaly

,

scaphocephaly

and other head shape deformities in infants 3—18 months of

age.

These

orthoses

can be used to effectively manage a broad spectrum of head shape deformities and clinical indications. 

Slide42

Orthomerica

Orthomerica'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.

Slide43

D. Spinal

Complementing

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.

Slide44

New 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.

Slide45

E. SHOULDER

and ARM

Shoulder 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 transfers

Slide46

F. WRIST & HAND

1 DEROYALEUnique 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.

Slide47

Fillauer

Pediatric Action Wrist Support 1/8" nylon two sides neoprene. Circumferential adjustable wrist strap. Hook and loop closures. Removable splint for washing.

Slide48

Comfy Splints Pediatric Hand Wrist Orthosis Provides 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. 

Slide49

Comfyprene Pediatric Separate Finger Hand Orthosis

The 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.

Slide50

Comfy Splints Pediatric Hand Thumb Orthosis

Is 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.

Slide51

G. HIP

A-Frame

Orthosis

The 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.

Slide52

Becker Pediatric Hip Abduction

Orthosis

This 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.

Slide53

Becker Spherical Hip Abduction

Orthosis

This

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

Harness

Utilizes 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.

Slide54

Ilfeld Pediatric Hip Abduction Splint

The

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

Slide55

Pavlik

Harness

A

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.

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.

Slide56

Pediatric Abduction Bar

Indicated

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.

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.

Sturdy

polypropylene frame with closed-cell foam lining does not retain moisture.

Slide57

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.

Slide58

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.

Slide59

RCAI Pediatric Hip Abduction

Orthosis

Congenital Dysplasia of the Hip (CDH)

Features:

One piece design for ease of application

Durable polypropylene construction with closed cell foam lining

Holds infant in 90° hip flexion and 60° abduction

Allows nappy changes without removal of the

orthosis

Washable

Trulife

Pediatric Hip Abduction

Orthosis

Ideal for congenital hip dysplasia.

Made of easy-to-clean

plastizote

.. 

Slide60

H. UPPER EX- ELBOW ORTHOSES

DeRoyal 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.

Slide61

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.

Slide62

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.

Slide63

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.

Slide64

Pediatric comfy spring loaded goniometer elbow

orthosis

Designed 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.

Slide65

Pediatric

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.Pediatric 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.

Slide66

Dynapro

pediatric flex elbowElbow sleeveThe Pediatric Elbow Sleeve is made of 1/8" nylon 2-sides neoprene. Provides warmth, compression and protection.

Slide67

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. Pediatric hyperextension elbow supportMade of 1/8" nylon 2-sides neoprene with two loop and lock criss-cross straps.

Slide68

I. CERVICAL

Aspen Pediatric Cervical Collar Has 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.

Slide69

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.

Slide70

Aspen Sierra Pediatric Collar

With 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.Corflex Pediatric Ambu Perfit Collar - Features 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.

Slide71

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. DeRoyal Comfo-Eze Cervical CollarHighest quality medium density foam construction. Breathable synthetic stockinette liner. Removable cover can be washed for better patient hygiene.

Slide72

Infant Cranial Interface

Used to protect the skin, wick moisture, control rashes, and guard against dermatitis. NecLoc Kids CollarImmobilization of pediatric patients under the age of 12 during emergency transport

Slide73

Miami Jr. Collar

Engineered to fit the unique anatomies of patients age 12 and under.Indications for Use:C-Spine precaution for trauma patientsImmobilization for pre and post c-spine surgerySCIWORA Syndrome Degenerative disordersSpinal Stenosis Spondylolisthesis

Slide74

Papoose Infant Spinal Immobilizer

Designed 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 Use:Immobilization of the head and spine in patients 0 – 3 monthsSuturesMR and other diagnostic imagingTreatment situations requiring temporary immobilization

Slide75

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 instability

Slide76

Pediatric one-piece extrication collar

It 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.

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Torticollis

OrthosisTorticollis 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.END 