Lower Extremity Orthotic Services

A lower limb orthosis is an external device which is applied or attached to the lower body. It improves function by controlling motion and providing support. It helps to reduce pain, correcting flexible deformities, and preventing the progression of fixed deformities.

Some of the lower extremity orthothic devices are listed below:

people sitting on bench
(Courtesy of Otto Bock HealthCare)

AFOs (Ankle foot Orthoses) are designed for patients with gait deviations and foot and ankle deformities relating to muscle weakness, contractures or skeletal alignment abnormalities. They are used for CVA, cerebral palsy, muscular dystrophy, spinal bifida, other neuromuscular disorders, diabetic Charcot foot, crushing injuries, contractures, burns, M/L ankle instabilities, habitual toe walkers, prevention of deformity, post-operative stabilization.

Dynamic AFO is a functional, active resistance ankle brace that incorporates a spring loaded, adjustable tension mechanism that applies continuous dynamic stress in either flexion or extension to aid in resolving ankle joint stiffness or diminished range of motion. It helps in maintaining proper musculoskeletal alignment to prevent deformity and maintain soft tissue extensibility and ROM of the foot and ankle resulting from illness, surgery, joint trauma or congenital-abnormalities.

afo

Ankle Supports are designed to provide medial lateral ankle support in stance phase. These come in different styles and materials, from off-the-shelf pneumatic air cast splints to lace up canvas ankle supports. They are used to correct ankle instability, avulsion fractures, sprains, inversion-eversion control, ligamentous injuries, minor fractures of the foot and ankle, protection of the ankle and foot during rehabilitation.

Ground Reaction AFO is a custom molded thermoplastic orthosis containing a rigid anterior tibial section, ankle and foot plate designed to provide posteriorly directed forces just below the knee to promote knee extension in stance phase. It is used for patients with neuromuscular disorders resulting in weak quadriceps that exhibit a 'crouched' type gait during stance phase.

Diabetic Neuropathic Shoes are designed to redistribute plantar pressure points of the feet reducing the potential for ulcer complications. They are designed with soft leather uppers to allow for breathability and stretching modifications.

people sitting on bench
Foot Orthoses are designed to improve the structural integrity of the foot by minimizing stressful ground reaction forces that cause abnormal joint and skeletal motion during stance phase in gait. These come in three versions: soft, semi-rigid and rigid.

Compression stockings are used as non-surgical compression treatment for chronic venous insufficiency and ulceration. The type of compression used depends on the patient's needs. This treatment control symptoms, promotes healing of ulcers, prevents recurrence of ulcers and restores normal ability to walk.

UBCL (University of California biomechanics Laboratory) is a custom molded semi-rigid thermoplastic foot orthosis with high medial- lateral flanges and a deep heel cup. It is used for Pes planus, subtaylor joint instability.

Cam Walker is a specialized orthosis designed with an injection molded foot shell incorporating a rocker bottom sole, adjustable ROM ankle joints with medial-lateral malleable metal uprights attached to a neoprene type calf wrap with Velcro closures.

The PRAFO (Pressure Relief Ankle Foot Orthosis) is a metal and neoprene orthosis designed to prevent foot drop, foot and ankle contractures and deformities when used in conjunction with an effective ROM therapy program. The orthosis also helps to eliminate pressure on the heel and keep bed linens off the toes. It also resists internal or external rotation of the leg with the patient is bedridden.

CROW foot orthosis

The Tibial Fracture Brace is a weight-bearing orthosis that is used for treatment of certain tibial diaphyseal fractures. The brace allows for movement of joints above and below the fracture site increasing vascularity and callus formation influenced by musculoskeletal function.

Plantar Fasciitis Splints are normally worn during sleep or rest periods. These help in diminishing muscle contracture, inflammation, and pain associated plantar fasciitis. They are also used for Achilles tendinitis, planar flexion contractures, heel spurs, equinovarus and valgus conditions, and muscle runner's cramps.

CROW (Charcot Retaining Orthotic Walker) is a castlike boot that incorporates a padded bivalve pre-tibial and posterior thermoplastic shell designed to totally encapsulate and restrict motion of the foot and ankle. It is used for Charcot degeneration of the foot and ankle.