orthoses made for children are motioncontrolling or motionaltering Accommodative devices are less frequently required in this age group The relatively light weight of a child means materials that are more forgiving ID: 776611
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Slide1
Pediatric
Orthoses
Slide2Most
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
Slide3This 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
Slide4Key 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.
Slide5Be 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
Slide6Other
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.
Slide7How 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.
Slide8Treatment 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.
Slide9In 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
Slide10Other 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.
Slide11PEDIATRIC 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
Slide12D-DAFO
Slide131 Low Profile D-DAFOProvides dynamic alignment and support for the foot and ankle Allows plantar flexion and dorsiflexion
Slide142 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.
Slide153 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
Slide164 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.
Slide175 Articulating AFOAllow flexion at the ankle and has an adjustable/removable plantar flexion stopIt is also possible to add dorsiflexion assist or check straps
Slide186 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.
Slide197
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.
Slide208
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
Slide21Indications
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.
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.
Slide2310 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
Slide2411 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.
Slide2512 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
Slide2613
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.
Slide2714 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
Slide2816 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
Slide2918 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
.
Slide3019 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.
Slide3120 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
Slide3221 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.
Slide33CLINICAL INDICATIONS
Cerebral
Palsy or other neuromuscular diseases
Idiopathic toe walking
Severs disease
Tightness at the foot and ankle
Following
achilles
tendon lengthening
Slide34B. 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.
Slide351. 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.
Slide36Rooster Boots
Slide372. 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
.
Slide38Slide393 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.
Slide404 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.
Slide41C. 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.
Slide42Orthomerica
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.
Slide43D. 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.
Slide44New 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.
Slide45E. 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
Slide46F. 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.
Slide47Fillauer
Pediatric Action Wrist Support 1/8" nylon two sides neoprene. Circumferential adjustable wrist strap. Hook and loop closures. Removable splint for washing.
Slide48Comfy 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.
Slide49Comfyprene 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.
Slide50Comfy 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.
Slide51G. 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.
Slide52Becker 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.
Slide53Becker 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.
Slide54Ilfeld 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
Slide55Pavlik
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.
Slide56Pediatric 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.
Slide57Pediatric 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.
Slide58RCAI 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.
Slide59RCAI 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
..
Slide60H. 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.
Slide61Pediatric 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.
Slide62Pediatric 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.
Slide63Pediatric 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.
Slide64Pediatric 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.
Slide65Pediatric
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.
Slide66Dynapro
pediatric flex elbowElbow sleeveThe Pediatric Elbow Sleeve is made of 1/8" nylon 2-sides neoprene. Provides warmth, compression and protection.
Slide67Pediatric 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.
Slide68I. 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.
Slide69The 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.
Slide70Aspen 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.
Slide71Corflex
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.
Slide72Infant 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
Slide73Miami 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
Slide74Papoose 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
Slide75Pediatric 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
Slide76Pediatric 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.
Slide77Torticollis
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