The use of orthoses is an integral component of the process of rehabilitation. They can be made for an individual joint or region. Most are fabricated from thermoplastic, metal, or light casting material.
The appliances may be either custom made or adapted from commercial orthotic devices. Indications include correct alignment, maintain muscle length, control forces at the joint and control the degree of freedom during performance of various tasks.
Static orthoses support the target joint(s). They require adjustment or replacement to maintain increased range of motion and to prevent deformities as the child grows. Static orthoses support the joint, prevent contractures, prevent some movements and retain movement gained through various rehabilitation mobilization techniques.
Dynamic orthoses are made with hinges or joints to provide movement. Posterior leaf spring orthoses may also be used. Dynamic orthoses align joints, resist movement, assist movement and stimulate movement.
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