Customized Orthosis for Neurological and Orthopaedic Clinical Conditions

At Prosthetics, orthotics & cosmetic restoration clinic- Shree sardar patel social welfare trust, we are providing customized orthosis for complex neurological and orthopaedic clinical conditions at affordable price.

Objectives of orthotic treatment:

• Relieve pain
• Correct deformities
• Prevent deformities
• Increase or decrease range of motion of the joint
• Compensate for segment length or shape
• Manage abnormal neuromuscular function
• Protect injured tissues
• Promote healing
• Provide psychological comfort
• Realign the skeleton

(1) LOWER EXTREMITY ORTHOSIS
Foot/Ankle/ knee

Hallux valgus splint:

Indication:

• Hallux Valgus Effects:
• The strap pulls the big toe to its right position, and thereby it‘s possible for the muscles to work correct.
• Often provides pain relief. Features:
• Can prevent and also decrease the development of the disease.
• Can be worn at night.

Elastic ankle binder:

Indication:

• Ankle sprain
• Swollen ankle

Effects:

• Provides a light support to the ankle. Features:
• Wrap around model
• Looped around the ankle and easily fastened with a hook-and-loop closure.
• Can be used during light activities such as walking.

Silicone heel cup/ cushion:

Indication:

• Ruptured fat pad in the heel.
• Compensation of leg length discrepancy. Effects:
• Excellent support and shock absorption to the heel bone.

Silicone medial arch support:

• Silicone medical arch support can be fit in any shoe. To be used wearing socks.
• 100% medical grade silicone. Indications:
• flat feet

Effects:

• Restores foot structure to natural position by supporting the arches properly.

Silicone insole:

Indication:

• General foot discomfort
• Ankle, knee and hip joint problems
• Inter-vertebral disc problems Effects:
• Shock absorption
• Pressure distribution

Customized insole:

• Custom made by molding high quality foot impression foam or by taking a plaster cast.

Advantages:

• Evenly distribute the weight bearing stresses over the entire plantar surface of the foot.
• Reduce the stress & strain on the ankle, knee, hip & spine indirectly.
• Alleviate the pain from painful & sensitive areas of the sole of the foot.
• Support the foot arches.
• Provide relief for tender areas. i.e. corn, fissures
• Improve foot alignment.
• Accommodate congenital or developmental foot anomalies.
• Prescribed for patients who have limited or absent sensation.

Indications

• Plantar lesion
• Rocker/Charcot foot
• Plantar fasciitis
• Fat pad atrophy
• Insensate foot
• Sensory deficits
• Peripheral neuropathy
• Ulcerations
• Skin breakdown

Supra Malleolar Orthosis (SMO):

• SMO consists of a polypropylene shell cut above the malleoli, with the option of an open or closed posterior. The foot plate is neutral position and extrinsic post controls are provided.
• The closed back functions as a low solid ankle foot orthosis, increasing sagittal lift with dorsiflexion assist.
• Low profile design that crosses the ankle .
• provides medio-lateral stability at ankle joint during stance phase & toe pick up during swing phase .
• In short to give gait closer to normal gait with less energy consumption.

Advantages:

• Substitute for weak or absent dorsiflexors or planter flexors.
• Stabilize foot & ankle in coronal & sagittal plane.
• Provide some knee stability in sagittal plane.

CTEV Splint:

• CTEV splint is very useful for infants having mild to moderate CTEV deformities and maintaining the correction achieved by other measures like serial plaster casts & operations etc. It corrects all the deformities involved, like equinus, forefoot Varus and tibial torsion. Indication:
• Helps in correcting deformities like equinus, forefoot Varus and tibial torsion.

Features & Benefits:

• Straight medial border prevents forefoot abduction, lateral pull corrects inversion of subtalar joints and 90 degree of ankle position corrects equinus.
• Useful to maintain correct foot positioning.
• Maintains normal anatomy of ankle and correct foot positioning.
• For correcting mild CTEV deformities.
• Helps to maintain the correction achieved by other measures like serial Plaster casts & operations etc.

Denis Browne splint:

• The Denis Browne splint, also known as the Denis Browne bar or foot abduction orthosis, used in the treatment of club foot.
• In this splint, there is a metallic bar; connecting both CTEV splints/ AFO.
• Works as a night splint.

SFAB- Steenbeek foot abduction brace:

• In SFAB, leather shoes are attached to a simple metal plate that is riveted to a bar. Features & Benefits:
• Straight medial border prevents forefoot abductiion, position of riveting bar corrects inversion of subtalar joints and internal tibial torsion.
• Maintains normal anatomy of ankle and correct foot positioning.
• For correcting mild CTEV deformities.
• Helps maintain the correction achieved by other measures like serial Plaster casts & operations etc.
• Works as a night splint.

CTEV shoes:
? Features:

• For treatment of CTEV.
• Straight medial border prevents forefoot abduction.
• Shoe without hell corrects equinus deformity.
• Lateral wedge corrects cavus/ varus deformity.
• Easy donning and doffing with shoe lases.
• Useful when child starts walking.

posterior leaf spring ankle foot orthosis:
Indication:

• Drop foot with no more than mild spasticity, e.g., after stroke, traumatic brain injury, in multiple sclerosis, neural muscle atrophy, peroneal palsy etc.

Effects:

• Lifts the foot during swing phase.
• Prevent foot slap at initial contact.

Features:

• Durable, Lightweight, Long lever arm – more comfortable.

Carbon fibre ankle foot orthosis:
Indication:

• Drop foot with no more than mild spasticity, e.g. after stroke, traumatic brain injury, in multiple sclerosis, neural muscle atrophy, peroneal palsy etc.
• Especially appropriate when the ability to lift the foot decreases during activities.

Effects:

• Provides the user with a dynamic and physiological gait
• Natural heel strike
• Increase step length and walking speed
• Prevent foot slap
• Smooth roll-over in the heel and forefoot zone
• Good foot lift (clearance)
• Energy is stored and used in the swing phase

Features:

• High durability, Light weight

Static AFO:

Compensate for Muscle weakness, Spinal cord Injury, Muscular dystrophy, Cerebral Palsy and Polio.

Multiple sclerosis and peripheral neuropathy.

Useful to reduce Plantar-Flexion Contracture.

Useful in Varus, Valgus and Genu recurvatum correction. Featured & Benefits:

Provides support to ankle foot complex in coronal plane and positions foot in dorsiflexion during swing while allowing tibial progression during stance.

For support and stabilization of the talocalcaneal, mid-tarsal and subtalar joints.

Manages abnormal motion or severe pronation in the transverse and frontal plane.

Stabilizes the ankle area medially, laterally and reduces either forefoot abduction or adduction. CROW (Charcot restraint orthotic walker) Charcot joint:

In Charcot joint there is a disassociation & destruction of joint surfaces.

This is the beginning of a painless & degenerative collapse of the foot structure.

Foot is swollen, red , hot , has increased & abnormal blood supply .

In the acute stage bone & joints begin to break down due to increased osteoelastic activity that absorbs bone.

Many times minor fracture or soft tissue injury may happen. CROW:

CROW is a custom made total contact AP shell AFO.

It is a shoe less design with rocker bottom.

It helps to distribute the weight bearing forces over the entire lower limb & minimize the peak pressure on the planter surface.

It locks the ankle & reduces forces acting on the ankle joint Floor Reaction Ankle foot orthosis (FRO)/ (FRAFO): Floor Reaction Ankle foot orthosis with the foot in neutral slight plantar flexion. Indications:

Weak quadriceps muscles with no M/L knee instability. Advantages:

Encourages knee extension moment to prevent knee forward buckling. Provides M/L stability of the foot and ankle complex. Ankle night splint: (Planter fasciitis stretch splint):

It is helpful in gait abnormality in which the dropping of the forefoot happens due to weakness, damage to the peroneal nerve or paralysis of the muscles in the anterior portion of the lower leg.

It serves to raise the foot high enough to prevent the toe from dragging and prevents the slapping.

It helps accommodate the toe drop. Helpful to the Patients with painful disorders of sensation (dysaesthesia of the soles of the feet.) Indication:

Plantar Fasciitis.

Achilles Tendonitis.

Adjustable flexion straps provide a gentle stretching of the plantar fascia and Achilles tendon.

Plantar flexion Contractures.

To prevent Equines Conditions.

Pronation Syndromes.

Muscle Tightening and Runner's Cramp. Featured & Benefits:

Allows for controlled application of a prolonged stretch on the Plantar Fascia and Achilles tendon.

Lightweight, sturdy, one-piece flexible Shell.

Adjustable bilateral Dorsiflexion straps.

Comfortable padded calf and ankle straps for additional comfort.

Shaped with toe wedge for additional stretch on plantar fascia. Derotation bar splint: Indication:

Postoperative treatment of fracture of femur or hip joint, Useful for bed ridden Patients to maintain normal alignment of limb during healing process. PTB with Foot Plate (PTB- Patella tendon bearing ankle foot orthosis):

PTB Brace with Foot plate is used for lower one third tibia and fibula and/ or fibular fractures for limiting ankle movement like Inversion, eversion and plantar flexion.

It provides intimate contact needed for effective support in tibial fractures. A bilateral upright foot component to add medial lateral support as well as prevent distal slippage.

Brace suspension and ankle stability controlled with a hinged footplate. Indication:

Permits joint mobility and early return to normal activities Used for tibia and fibula fractures.

Allows movement of adjacent joints (Knee, Ankle and foot )

To increase blood flow and function with early mobilization Features & Benefits:

Works on sarmiento principle, creating circumferential hydropneumatic pressure, maintaining correct position at fractured area and immobilizes the bone.

Creates micro movements at fractured fragments, creates rapid bone growth and faster healing of fractured area.

Adjustable Velcro strap to accommodate volume changes. Walkaide: Advantages:

The WalkAide System is the most advanced Functional Electrical Stimulation (FES) System for the treatment of foot drop. Indications:

Foot Drop caused by upper motor neuron injury such as: Cerebral Palsy (CP), Incomplete Spinal Cord Injury, Stroke (CVA), Multiple Sclerosis (MS), Hereditary Spastic Paraplegia (HSP), traumatic brain injury (TBI). Customized KAFO: Indications:

Broken bones, arthritic joints, bowleg, knock-knee, knee hyperextension or muscular weakness and paralysis. With this in mind, the indications for the use of a KAFO are many and varied and any one particular design is specific to the needs of the person it is made for.

Total contact KAFO is more customizable.

Better load distribution compared to metallic KAFO. Hip Knee Ankle Foot Orthosis:

Hip joint and pelvic band attached to the lateral upright of a KAFO converts it to a HKAFO. Indications:

Hip flexion/extension instability.

Hip adduction/abduction weakness.

Hip internal rotation/external rotation instability.

Hip fractures/replacement.

Femur fractures. Reciprocating Gait Orthosis (RGO):

RGO is used for upper lumbar paralysis in which active hip flexion is preserved.

It consists of bilateral HKAFO with offset knee joints/ knee drop locks, posterior plastic AFO, thigh cell, custom molded pelvic girdle, hip joints, and a thoracic extension with Velcro straps, in addition to the control mechanism. Mechanism:

In all RGOs, the hip joints are coupled together with cables (or to the pivoting pelvic band in the IRGO), which provides mechanical assistance to hip extension while preventing simultaneous bilateral hip flexion.

As a step is initiated and hip flexion takes place on one side, the cable coupling induces hip extension on the opposite side, producing a reciprocal walking pattern.

Forward stepping is achieved by active hip flexion, lower abdominal muscles, and/or trunk extension.

Using two crutches and an RGO, paraplegics can ambulate with a four-point gait. A walker may also be used. Indications:

Paraplegia

Multiple Sclerosis

Spina bifida

Spinal Muscular Atrophy Elastic knee cap: Indication:

Knee pain without ligament laxities.

Soft tissue irritations (e. g. insertion tendinitis, swellings).

Overuse (e. g. sports).

Long-term soft tissue irritations after injuries and / or surgery.

Beginning osteoarthritis. Effects:

Provides warmth and compression, which helps to reduce pain and improves blood circulation.

Supports sensory motor control. Elastic knee cap with hinge: Indication:

Knee pain with no or minimal ligament laxities.

Soft tissue irritations (e. g. insertion tendinitis, swellings.

Overuse (e. g. sports).

Posttraumatic and postsurgical irritations.

Beginning osteoarthritis. Effects:

Support and stabilization.

Supports sensory motor control. Features:

Lateral and medial coil springs for stability and to prevent the brace from rolling. Hinged knee brace: Indication:

Knee pain with severe and/or complex ligament laxities and/or perception of instability.

Protection of the knee joint after surgery of the anterior (ACL) or posterior (PCL) cruciate ligament and/or the collateral ligaments (MCL, LCL).

Preoperative or chronic instability of the anterior (ACL) or posterior (PCL) cruciate ligament.

Functional conservative treatment of collateral ligament injuries.

Severe and/or complex posttraumatic instability of the knee (ACL, PCL, MCL, LCL).

Severe and/or complex degenerative instability of the knee (e. g. in severe osteoarthritis, rheumatoid arthritis). Effects:

Provides optimal stabilization.

Limits the anterior drawer effect.

Provides collateral stabilization. Knee immobilizer (PKG- posterior knee guard): Indication:

Postoperative and posttraumatic immobilization of the knee joint. Effects:

Immobilization of the knee at a 0° or 20° flexion angle.

Collateral stabilization of the knee. knee immobilizer with dial lock: Indication:

Postoperative and posttraumatic immobilization or limitation of the knee joint, e. g. after ligament injuries or ligament surgery. Effects:

Immobilization of the knee joint in adjustable positions.

Stabilization of the knee joint after capsule and ligament injuries.

Controlled mobilization of the joint by limited movement. Features:

Flexion and extension angles adjustable in increments of 10° to allow for graduated early mobilization of the patient. Pelvis/Hip Pavlic harness, hip abduction orthosis: Indication:

Treatment of hip dysplasia in infants. Effects:

Based on the principle of the proven sitting-squatting position with hip flexion greater than 90° and moderate abduction Features:

Thigh supports are connected to the shoulder harness with two straps.

Reproducible setting of hip flexion.

Abduction angle adjustable by means of straps.

Easy to apply with simple closures and snap locks. Scottish rite orthosis:

Consist of two thigh cuffs with closure, attached laterally through hinges (hip joints) to a waist suspension (pelvic band).

Interconnected by telescoping rod with universal joints at each end.

Lightest in weight.

Easy to wear.

Most popular, frequently used for continue ambulatory treatment of CDH. Trilateral orthosis:

This orthosis consist of an ischial weight bearing plastic brim, a single medial upright including a drop knee lock, a spring loaded shoe attachment which maintains desired foot ankle alignment and a modified Patten bottom.

The designation “trilateral” derives from the fact that the lateral wall of the plastic brim is cut away distal to the trochanter to reduce abduction generated forces.

for hip dislocation. Hip orthosis: Indication:

Instability of the hip joint. Effects:

Stabilizes the hip joint.

Restricts rotation. (2) SPINAL ORTHOSIS Cervical Spine Soft cervical collar: Indication:

Cervical syndrome.

Hypermobility.

Rheumatic problems.

Excessive strain on the neck muscles.

Degenerative changes of the cervical spine. Effects:

Warming and supportive.

Limits movement.

Serve as anaesthetic reminder. Philadelphia collar: Indication:

Cervical root irritation.

Simple and stable fractures.

Postoperative after luxations/ luxation fractures. Effects:

Immobilizes the cervical spine.

High stabilizing effect. Features:

Large trachea opening.

Ventral and dorsal reinforcements.

Ventilation holes.

Hook-and-loop strap for width adjustment. Four post cervicothoracic orthosis:

Provides cervical spine control through mandibular and occipital components connected to sternal and thoracic components by four (sometimes three) posters.

Provides good control of flex/extension; lateral bending and rotation are not well controlled..

Can hold head in extension or flexion by adjusting the length of anterior or posterior posters.

Cooler than cervical collars but bulkier.

Indications: mid or low (with extension) stable cervical fractures and arthritis. S.O.M.I. Brace: Indications:

C4/5-T3/4 stable fractures, post operative stabilization. Effects:

Sternal Occipital Mandibular Immobilizer.

Controls lateral flexion, extension and rotational movements of cervical vertebrae.

4 piece construction: sterno (chest bone support), occipital (back of head support), mandibular (lower jaw and chin support) and cervical & thoracic support.

Immobilizes head in specified position.

Removable chin support.

Allows patient to lie flat.

Easy to fit in supine position.

It is used minimally unstable fractures. Minerva Orthosis:

The Minerva CTO encloses the entire posterior skull, includes a band around the forehead, and extends downward to the inferior costal margin.

Forehead band provides good control of all cervical motions. Advantages:

lighter weight than the halo vest; no pins (no "invasive" supports), which carry risks of infection and slippage (as compared to the halo vest). Disadvantages:

less restriction of motion compared to halo vest.

Indications: Management of unstable cervical spine (although halo vest use is usually preferred for maximum motion control).

Commonly used in stable fractures and Severe soft tissue damage .

Limits All Motion. Halo brace:

Consists of a rigid halo secured to the skull with four external fixation pins.

The halo supports four posters attached to the anterior and posterior part of the vest (thoracic component).

Indications: Management of unstable fractures of the cervical spine (especially high cervical/ unstable fractures).

Complications: pin-loosening, slippage, pin-site infection, pressure ulcers.

Less commonly: reduced vital capacity, neck pain, brain abscess, and psychological trauma. Advantages:

Rigid Frame Design.

Commonly used in unstable fractures.

Limits All motion.

Extends Inferior into the Thoracic Region for greater control of all cervical levels.

Screws Directly into the skull. Back/Spine Lumbar and lumbosacral corsets:

The most commonly prescribed LS support is the LS corset.

They surround the torso and hips, and they border the xiphoid or lower ribs, pubic symphysis, inferior angle of the scapula, and gluteal fold. Indications:

low back pain, muscle strain.

Special designs used for: pregnancy, abdominal ptosis, pendulous abdomen. Advantages:

kinesthetic reminder, support abdomen, reduce load on LS spine, reduce excessive lumbar lordosis, decrease lateral bending (29%). Disadvantages:

May result in weakening of the muscles that support the trunk because of over use. Lumbo sacral orthosis ( Chairback/ Knight chairback): chairback- two posterior uprights only. knight chairback- two posterior and two lateral uprights. Indication:

Low back pain.

Low back pain radiating down the leg (sciatica).

Light (beginning) degeneration of the lower lumbar spine(e. g. light osteochondrosis, facet syndrome).

Beginning spondylosis/ spondylolisthesis, Degenerative disc disease.

Spinal stenosis. Disc herniation. Effects:

Provides a light support to the back by flexible splints and increases the awareness of the back.

Pain reducing through relieving the back muscles.

Increases Intra-abdominal pressure. Taylor brace:

Taylor Brace: TLSO flexion-extension control orthosis.

Flexion/extension control TLSO that consists of two posterior paraspinal bars attached inferiorly to a pelvic band; an interscapular band stabilizes the paraspinal bars and serves as attachment for the axillary straps.

The orthosis also includes a corset or anterior, full-front abdominal support, which increases intracavitary pressure. indications:

Anterior Compression Fractures of the vertebral body.

Commonly used for osteoporosis, trauma Degenerative.

Covers all dorsal, lumbar and sacral vertebra.

Supports and immobilizes the spine in neutral position.

Excellent spine immobilization.

Pain reducing through relieving the back muscles. Jewett- Anterior spinal hyper extension orthosis:

Flexion control TLSO consisting of a sternal pad, supra-pubic pad, and anterolateral pads connected by oblique lateral uprights counteracted by a dorsolumbar pad as well.

The suprapubic band applies force on the iliac crests (used in females to avoid direct pressure on the bladder). Indications:

Used to permit the upright position, while preventing flexion after compression fracture of lower thoracic spine and the upper lumbar spine without neurological damages (Th10 to L2)

Used in the treatment of compression fractures in osteoporotic elderly patients is controversal because it can place excessive hyperextension forces on the lower lumbar vertebrae, which can induce posterior element fractures or exacerbate a degenerative arthritis condition. Effects:

Straightens the spinal column in the sagittal plane and holds it in position. Based on the three-point system with the lumbar, sternal, and symphysis pubis pads, the orthosis causes a lordosis, thereby relieving the anterior vertebral bodies. Cruciform- anterior spinal hyper extension orthosis (CASH Orthosis):

Cruciform anterior spinal hyperextension (CASH) TLSO

It has anteriorly, a cross-shaped vertical and horizontal metal uprights. It has sternal, pubic, posterior, and anterolateral pads. The vertical upright joins the sternal and pubic pad. The horizontal uprights connect the posterior thoracolumbar pad and the anterolateral pads. Effects:

Straightens the spinal column in the sagittal plane and holds it in position. Based on the three-point system with the lumbar, sternal, and symphysis pubis pads, the orthosis causes a lordosis, thereby relieving the anterior vertebral bodies. Milwaukee brace:

Cervico-thoracic-lumbo-sacral orthosis (CTLSO) used for scoliosis; consists of a rigid plastic pelvic girdle connected to a neck ring over the upper thorax by one anterior, broad aluminum bar and two posterior paraspinal bars.

The cervical ring has mandibular and occipital bars, which rest 20–30mm inferior to occiput and mandible.

Pads strapped to the bars apply a transverse load to the ribs and spine to correct scoliotic curvatures. Indications:

Idiopathic or flexible congenital scoliosis

Curves 25 to 40° have traditionally been treated with this orthosis if the curve apex is located superior to T8, shows signs of progression, and growth remains.

Thoracic Scheuermann's disease kyphosis. Boston brace: Advantages:

Provides corrective forces to the thoraco-lumbar spine.

Incorporates abdominal intercavity pressure to reduce lumbar lordosis.

Most commonly used for patients prior to skeletal maturity.

Limits ROM, and gradually corrects scoliosis by 3 point pressure system.

Made up of single plastic piece with posterior opening.

Increasing intra abdominal pressure, opening on sound side of pressure point. Indications:

Low Profile TLSO mainly for conservative treatment of Scoliosis for curve correction. (3) UPPER EXTREMITY ORTHOSIS Shoulder/Arm Elastic shoulder support: Indication:

Acute and chronic shoulder pain.

Degeneration of the rotator cuff.

Strains of shoulder muscles.

Minor shoulder instabilities.

Postoperative shoulder support. Effects:

Stabilizing, limiting unwanted motion. Triangular sling (Pouch arm sling): Indication:

All indications requiring immobilization of the shoulder joint in internal rotation, e. g:

Postoperative and posttraumatic immobilization.

Irritations in the area of the shoulder and shoulder girdle.

Soft tissue injuries.

Muscle and tendon injuries.

Frozen shoulder. Effects:

Fixation of the arm to the body.

Immobilization of the shoulder joint in internal rotation. Humerus Brace: Indication

To immobilize and maintain compression for fracture alignment and healing for distal or midshaft humerus fractures.

Carcinoma of humerus. Features & Benefits:

Circumferential compression support working on sarmiento principle with bivalve Foam Padding for full comfort. Arm abduction orthosis:

The splint wraps around trunk from umbilicus to spine, one third circumference of chest, at axilla around both folds and half of the circumference of arm at brachium, elbow & wrist. Indications:

Treatment of postoperative and posttraumatic conditions.

involving the shoulder and arm, e. g. rotator cuff surgery, repositioned luxations, post burn contractures. Effects:

Functional positioning in abduction.

Relieves and immobilizes the arm in an abduction position.

Relief by leaning on the trunk. Features:

Optional static or dynamic abduction unit.

Moveable elbow joint.

Adjustable horizontal flexion in the shoulder joint.

Adjustable abduction angle from 40° to 110° for progressive stretching in burn contractures.. Tennis elbow/Golfer’s elbow splint: Indications:

Lateral epicondylitis, humerus radialis (tennis elbow).

Medial epicondylitis, humerus ulnaris (golfer’s elbow). Effects:

Relieves the pressure on the tendon.

creates second origin of muscles, so reliving at actual muscle origin, reliving inflammation.

Pain relieving. Custom-molded elbow-hand orthosis: Advantages:

Provides protection against medial/lateral forces on the elbow.

Immobilizes the elbow, forearm, wrist and hand joints to promote tissue healing.

Corrects deformities.

Increases or restricts ROM.

Strengthens muscles.

Reduces pain.

Reduces tone. Indications

Olecranon fracture.

Postoperative arthroplasty.

Congenital disorder.

Repetitive stress disorder.

Degenerative conditions.

Postoperative tendon, artery, nerve repair.

Burns.

Trauma. R.O.M. Elbow Orthosis: Indications:

Post-surgery, stable fractures, mild to severe soft tissue injuries. Effects:

Bilateral R.O.M. hinges maximize movement control and stability.

Proximal/distal adjustment elastic cuffs provide compression.

Double uprights enhance joint protection.

Removable hand post with wrist strap controls movement. Dynamic elbow splint (turn buckle splint):

Indicated to gradually correct post burn flexion contracture.

Prefabricated/Custom molded of L.T.T.P. material. Arm & forearm shell with Velcro closure.

Three point pressure mechanism.

Not effective for contracture beyond 45 degree. Hand/Finger Figure 8 splint:

Stabilize and align finger IP joints to enhance hand function.

With a simple turn of the splint, each Oval-8 Finger Splint can be used to correct swan neck, boutonnière and mallet deformities, reduce lateral deviation and rest trigger finger.

Oval-8 splints feature a wide, flat band for comfortable pressure distribution and control. Finger Cot:

Malleable aluminum, ensures good fitting and rigid immobilization, Can be customized as per patient's need.

U design ensures full protection in injuries and burns.

Well ventilated, good patient comfort, high patient, compliance.

Hook loop fasteners for excellent grip, close fitting, easy application and removal. Frog Splint:

Made from aluminum for extra softness and extra malleability.

Maintains both interphalangeal joints in natural functional position.

Ensures good fitting and rigid immobilization, Can be customized as per patient's need.

Useful for mallet fractures. Finger Extension Splint:

Malleable aluminum used ensures good fitting and rigid immobilization, Can be customized as per patient's need.

U design ensures full protection in injuries and burns.

Well ventilated, good patient comfort, high patient, compliance.

Lined with Ethafoam with high cushioning coefficient for excellent patient comfort.

Hook loop fasteners for excellent grip, close fitting, easy application and removal. Knuckle bender splint:

It is a dynamic extension assist splint to bring mobility to the interphalangeal Joints. Indication

To bring mobility to the interphalangeal Joints. Used for ulnar nerve palsy or to assist weak intrinsic muscles. Features & Benefits

Provides dynamic MP flexion.

Brings mobility to the interphalangeal Joints.

Each rubber band delivers up to 250 grams of traction force.

To prevent hyper extension at MCP & flexion contracture of IP joints.

Indicated for dorsal burn of the hand, ulnar nerve palsy. Wrist binder: Indication:

Acute and chronic overuse irritations.

Osteoarthritis. Effects:

Provides a comfortable support to the wrist.

Acts as an anaesthetic reminder. Short thumb spica splint: Indication:

Chronic, posttraumatic or postoperative irritations in the area of the thumb saddle joint and the metacarpophalangeal joint.

After ulnar collateral ligament lesions (skier‘s thumb). Effects:

Stabilizes the thumb joints. Long thumb spica splint: Indication:

De' Quervain’s disease.

Osteoarthritis.

Ligament injuries to the CMC or MCP-joint.

Hyperextension problems.

Pain in wrist and thumb region. Effects:

Provides excellent stability to the CMC- and MCP-joints of the thumb.

Limits wrist motion. Cock-Up Wrist Splint: Features & Benefits

Frame is constructed of high-strength polypropylene/ fabric material and may contain metal or plastic stays.

Adjustable Velcro straps provides a controlled and anatomically-accurate movement of the wrist

They vary in length and may or may not incorporate a thumb spica. Generally, the wrist should be set in at least 20˚ of extension to prevent potential flexion contractures caused by prolonged use. Advantages:

A wrist splint decreases recovery time by immobilizing, stabilizing, and protecting a healing injury. Indications: Wrist splint without thumb spica:

boxer's fracture, wrist sprain, wrist strain, soft tissue injury, distal radial fracture, distal ulnar fracture, wrist contracture, general wrist pain. Wrist Splint With Thumb Spica:

Scaphoid fracture, lunate fracture, trapezium fracture, carpal tunnel syndrome, first, metacarpal fracture, injury to the ulnar collateral ligament of the thumb, de quervain's Tenosynovitis. Full Cock-UP splint: Indications

Used in Radial Nerve Palsy as a static splint.

For Spastic Hand. Features & Benefits

It holds the wrist and MP joints (large knuckles) of the fingers straight to reduce stress on muscles and tendons, making it a great night splint for arthritis sufferer.

Flexible padded stays protect the fingers to lessen the damaging effects of arthritis and certain neurological impairments

The wrist and the metacarpal joints are supported in a neutral position Functional hand splint: Indications:

To bring mobility to the interphalangeal Joints.

Used for ulnar nerve palsy or to assist weak intrinsic muscle.

Treats moderate flexion contractures of wrist/hand/thumb.

Functional Hand Splint is widely used for hand fracture management, Rheumatoid arthritis, Osteoarthritis, Functional treatment of posttraumatic (e. g. sprains, subluxations) and postoperative irritations of the wrist and thumb. Effects:

Supports the wrist and thumb effectively. Anti-contracture splint:

Prevents adduction contracture of the fingers.

Also maintains wrist in extension position to prevent flexion contracture.

Custom molded of L.T.T.P material. Dynamic antispasticity splint:

Dynamic antispasticity splint allows individuals suffering from neurological impairments such as stroke the ability to incorporate their hand functionally in therapy and at home by supporting the weakened wrist, hand, and fingers.

It positions the wrist and fingers into extension in preparation for functional activities. The user is able to grasp an object by voluntarily flexing his or her fingers. The extension spring system assists in re-opening the hand to release the object. Dynamic radial nerve palsy splint:

It is an extension assist splint to bring mobility to the interphalangeal joints.

It is used for mobilisation exercise of wrist, thumb & fingers. Advantages :

Well padded, unbreakable, washable, reusable & economic.

Very good patient’s compliance.

Helps to maintain normal hand arches.

Facilitation o wrist extensor strength as return of nerve function occurs. Indications:

For radial nerve palsy and wrist drop.

For posterior introsseous nerve palsy.

For physiotherapy after extensor tendon repair.

For mobilization exercises of fingers wrist. Dynamic finger flexion glove:

To prevent or correct post burn metacarpo phalangeal joint hyper extension deformity.

Gradually corrects the deformity.

Use of rubber bands.

Velcro hook – loop fastened at wrist.