Page 12 of 15
Orthoses are an appropriate component of the management of children with cerebral palsy and diplegia or hemiplegia. This slide illustrates examples of a hip brace and an ankle foot orthosis (AFO).
Dynamic or static hip orthoses can be used to address hip adduction contractures. Prior to the orthosis, the adductors and/or medial hamstrings are injected with BTX.
Ankle foot orthoses can support dynamic stretching and strengthening during gait. A floor reaction AFO (Saltiel) may provide the appropriate biomechanical correction in children with crouched gait or apparent equinus. It may also be useful after hamstring injections to support the quadriceps while strengthening.