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PATRICIA MCCOTTERPATRICIA MCCOTTERORTHOTICORTHOTIC
CLINICAL SPECIALIST CLINICAL SPECIALIST DM ORTHOTICSDM ORTHOTICS
THE USE OF ORTHOSES IN THE USE OF ORTHOSES IN NEUROMUSCULAR NEUROMUSCULAR
DISORDERSDISORDERS
THE PATIENT’S ORTHOTIC THE PATIENT’S ORTHOTIC JOURNEYJOURNEY
• FOOTFOOT
• FOOT AND ANKLEFOOT AND ANKLE
• KNEEKNEE
• SPINESPINE
• UPPER LIMBUPPER LIMB
TOTAL CONTACT INSOLESTOTAL CONTACT INSOLES
• PROPRIOCEPTIVE PROPRIOCEPTIVE FEEDBACKFEEDBACK
• USE OF USE OF RECTIFICATION + RECTIFICATION + MATERIALSMATERIALS
• S.T RECTS.T RECT
• KIRBY SKIVEKIRBY SKIVE
• STABILITY OF BASESTABILITY OF BASE
• EXTERNAL EXTERNAL POSTINGS/WEDGINPOSTINGS/WEDGINGG
SOFT ANKLE SUPPORTSSOFT ANKLE SUPPORTS
NIGHT A.F.OsNIGHT A.F.Os
• COMFORT AND COMPLIANCECOMFORT AND COMPLIANCE
• CHOICE OF MATERIALSCHOICE OF MATERIALS
• STATIC/STRETCHSTATIC/STRETCH
• STOCKSTOCK
• CUSTOMCUSTOM
COMFORT/ COMPLIANCECOMFORT/ COMPLIANCE
THE MOST EXPENSIVE THE MOST EXPENSIVE ORTHOSIS IS THE ONE THAT ORTHOSIS IS THE ONE THAT
SITS IN A CUPBOARD.SITS IN A CUPBOARD.
STATIC / STRETCH BESPOKESTATIC / STRETCH BESPOKE
STATIC/STRETCH STOCKSTATIC/STRETCH STOCK
A.F.O.A.F.O.
• DESIGN, MATERIALS AND TRIMSDESIGN, MATERIALS AND TRIMS
• PADDING AND STRAPPINGPADDING AND STRAPPING
• POSTINGS, WEDGING AND POSTINGS, WEDGING AND RECTIFICATIONRECTIFICATION
• NORTHVANE DAFO INSERTSNORTHVANE DAFO INSERTS
• SAFOS (CMT)SAFOS (CMT)
NORTHVANE AND SAFOSNORTHVANE AND SAFOS
CMT ALTERATIVESCMT ALTERATIVES
• MATRIX MEDIALMATRIX MEDIAL • DORSIFLEXION DORSIFLEXION SOCKSOCK
CCDs Gas Spring and Torque CCDs Gas Spring and Torque SpringSpring
OCSI DYNAPRO KNEEOCSI DYNAPRO KNEE
SPINAL ORTHOTICSSPINAL ORTHOTICS
HEAD CONTROL - HEAD CONTROL - HENSINGERHENSINGER
UPPER LIMBUPPER LIMB
• SELDOM ASKED FOR SELDOM ASKED FOR ORTHOTIC INPUTORTHOTIC INPUT
• STABILISING WRIST STABILISING WRIST AND THUMB FOR AND THUMB FOR USE WITH CONTROL USE WITH CONTROL OF ELECTRIC OF ELECTRIC WHEELCHAIRWHEELCHAIR
• CMT GLOVECMT GLOVE