Pediatric Foot Orthoses
Most 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 Considerations
Varus 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 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.
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. 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 Disorders
Rotational and angular disorders that produce both in-toeing and out-toeing, bowing and knockknees 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 Equinus
The 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 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 0degree 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 tendoAchilles.
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.
o
o
o
Application: Cerebral palsy, hemiplegia, spastic diplegia
Description: Thin, flexible, molded thermoplastic orthosis covering the
entire foot; custom-contoured footplate; designed to distribute weightbearing forces over large area
Function: Reduce ankle hypertonicity, increase ankle stability and provide
proper alignment
1) Low Profile D-DAFO
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Provides dynamic alignment and support for the foot and ankle
Allows plantar flexion and dorsiflexion
2) Full Length D-DAFO
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The 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.
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Blocks plantar flexion and allows dorsiflexion.
3) Solid Ankle AFO
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Application: Varum and valgus deformities
Description: Custom-fabricated thermoplastic, metal or composite device
designed and trimmed for a patient’s unique needs
Function: Provide proper alignment, block plantar flexion and dorsiflexion
4) Solid Ankle AFO w/ pre-tibial shell (anti-crouch)
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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.
5) Articulating AFO
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Allow flexion at the ankle and has an adjustable/removable plantar flexion stop.
It is also possible to add dorsiflexion assist or check straps.
6) UCBL
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Custom 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.
7)
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:
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HKAFO incorporating cable system or similar method of mechanically
translating hip extension on one side into hip flexion on the contralateral side.
Application:
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Lower-body neurologic impairment indicated in L1-L3 lesions in children with
functioning iliopsoas and hip adductors.
Function:
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Provides standing and ambulation ability thereby raising physical and
psychological horizons.
8)
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 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
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.
9)
Counter Rotation system
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An improvement on the Denis Browne splint for post club foot release splinting
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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.
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10) Developmental dysplasia of the hip (DDH) orthosis
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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
11) Floor reactions orthosis
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is 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 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.
12) Orthopedic shoes
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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
13) Parapodium
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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.
14) Scoliosis Jacket
 Application: Idiopathic scoliosis
 Description: Custom thermoplastic TLSO
 Function: Limit curve progression and need for surgical correction
15) Scottish Rite Orthosis
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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
16) SWASH (Standing, Walking and Sitting Hip Orthosis)
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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
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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
18) Wheaton Brace
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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.
19) Dennis Brown Bar
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The Dennis Brown Bar attaches to corrective shoes to maintain proper hip and
foot position. The adjustable rotation allows for desired external/internal rotation.
20) Ponseti Orthosis
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Abduction 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 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.
Clinical Indications
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Cerebral Palsy or other neuromuscular diseases
Idiopathic toe walking
Severs disease
Tightness at the foot and ankle
Following achilles tendon lengthening
Youth Shoe Size
Pediatric
Universal
Brace
Size
Model No.
US
EU
UK
Height
Small
3614
<0-7
16-23
0-6
6.5"
Medium
3615
7-10
23-27
6-9
8"
Large
3616
10-13>
27-31
9-13
10.5"
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.
B. NIGHT TIME
1) Night Stretching Orthoses
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Designed to increase and maintain ROM and maintain joint alignment during the night.
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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.
2) Roosterboot
The 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.
3) 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.
4) Roosterboot with KO attachment
This “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.
5) Dynamic KAFO
a. 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
B
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.
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.
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.
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.
New Options PL1 Elastic Double-side pull lumbar support
Features 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.
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
F. WRIST AND HAND
1) 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.
2) Fillauer Pediatric Action Wrist Support
1/8" nylon two sides neoprene. Circumferential adjustable wrist strap. Hook and loop
closures. Removable splint for washing.
3) 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.
4) 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.
5) 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.
G. HIP
1) 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.
2) Becker Pediatric Hip Abduction Orthosis
This prefabricated hip orthosis is designed primarily for the treatment of Legg-CalvePerthes 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.
3) 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.
4) 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.
5) 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
conditions.
6) 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. 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 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. 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.
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Fits infants from 3 months to 18 months.
Open design facilitates diaper changes.
11) Pediatric Hip Abduction Spreader Bar
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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 –
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The Pediatric Hip Orthosis Bi-Lateral by RCAI is designed to provide the patient with
hip stability and proper hip alignment.
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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.
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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.
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13) RCAI Pediatric Hip Abduction Orthosis
Congenital Dysplasia of the Hip (CDH)
Features:
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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
14) Trulife Pediatric Hip Abduction Orthosis
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Ideal for congenital hip dysplasia.
Made of easy-to-clean plastizote..
H. UPPER EX- ELBOW ORTHOSES
1) DeRoyal pro-glide jr. Elbow Orthosis
 Addresses 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.
2) Pediatric comfy elbow hand combo orthosis
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Adjustable and readjustable to individual patient without the use of heat or tools.
Can be graded up to increase elbow extension.
Lightweight and durable.
3) Pediatric comfy elbow orthosis
 Provides 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.
4) Pediatric comfy goniometer elbow orthosis
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Designed 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.
5) Pediatric comfy spring loaded goniometer elbow orthosis
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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.
6) Pediatric comfyprene elbow orthosis
Provides 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.
7) Pediatric comfyprene goniometer elbow orthosis
Designed 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.
8) Dynapro pediatric flex elbow
9) Elbow sleeve
The Pediatric Elbow Sleeve is made of 1/8" nylon 2-sides neoprene. Provides warmth,
compression and protection.
10) 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.
11) Pediatric hyperextension elbow support
Made of 1/8" nylon 2-sides neoprene with two loop and lock criss-cross straps.
I.
CERVICAL
1) Aspen Pediatric Cervical Collar
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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.
2) 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.
3) 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.
4) 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.
5) Corflex Pediatric Ultra Cervical Collar

Features anatomically contoured foam with soft cotton stockinette covering for maximum
patient comfort. Manufactured from medium firm density foam with 2" contact closure.
6) DeRoyal Comfo-Eze Cervical Collar

Highest quality medium density foam construction. Breathable synthetic stockinette liner.
Removable cover can be washed for better patient hygiene.
7) Infant Cranial Interface

Used 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.
8) Miami Jr. Collar
Engineered to fit the unique anatomies of patients age 12 and under.
Indications for Use
 C-Spine precaution for trauma patients
 Immobilization for pre and post c-spine surgery
 SCIWORA Syndrome (Spinal cord injury without radiographic abnormality in children)
 Degenerative disorders
 Spinal 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.)
9) NecLoc Kids Collar

Immobilization of pediatric patients under the age of 12 during emergency transport and
routine patient care.
10) 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 months
Sutures
MR and other diagnostic imaging
Treatment situations requiring temporary immobilization
11) Pediatric Halo
Indications:




Positioning of structurally stable spine
Following complications of standard halo immobilization
Postoperative positioning following sternocleidomasatoid release for congenital
muscular torticollis
Reduction of C1-C2 rotary instability
12) 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.
13) Torticollis Orthosis

Torticollis 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 ORTHOSES
Submitted by:
Kaindoy, Chaelle
Leteral, Therese
Locaylocay, Kathleen
Mejarito, Nicole
Morales, Rosselini
Patalinghug, Christel Kira
Po, Lareina
Remedio, Karina
Rosales, Candice
Secretaria, Cyril
Serohijos, Christine
Taglucop, Denise
Tan, Kondrad
Teves, Frances
Valleser, Jeza
Submitted to:
Sir Von Darcera