Orthosis what is it

Orthosis is a section of the comprehensive medical rehabilitation of patients with the consequences of injuries and diseases of the musculoskeletal system.

Orthosis includes the use of such technical means of rehabilitation (TSR) as orthoses (tutors), orthopedic devices, corsets, declinators, head holders, orthopedic support for the feet, and also, conditionally, this includes orthopedic shoes.

What is Orthosis?

An orthosis (splint) is a sleeve fixation device for a limb that provides immobility in a given joint in the required position. The splint is made by cast, block, directly on the patient’s body. It has additional attachment devices (zippers, lacing, Velcro tape).

An orthosis (splint) has the appearance of a sleeve on a specific part of the body (arm, leg) with mounts.

Orthoses are divided into fixing, corrective, functionally corrective, unloading.

They are prescribed for fixation, correction, unloading of individual segments of the body (arms, legs, torso), to restore function.

Orthoses can be for the upper limb (splint on the shoulder and forearm, on the elbow and wrist joints, splint on the wrist with abduction of the thumb) and lower limb (splints on the knee and ankle joints).

Indications for the use of orthoses (tutors):

– after surgical interventions on the musculoskeletal system
– inflammatory joint diseases
– for the prevention and treatment of deformation / contracture
– consolidation of the result of rehabilitation treatment
– correction of the pathological setting of the limb
– development of movement in the joints
– improved walking
– unloading a damaged segment

Orthoses (tutors) with given goals can be used for the following diseases:

– cerebral palsy (cerebral palsy)
– flaccid and spastic paralysis, paresis
– conditions after injuries, operations
– hanging brush
– hanging foot
– diabetic foot
– contractures and deformities of the upper and lower extremities
– pathological installation of feet
– increased muscle tone, spastic syndrome

Requirements for orthoses:

– lightness
– wear resistance
– the possibility of correction, repair
– short manufacturing time
– the possibility of fitting to the individual characteristics of the patient’s body
Hypoallergenic

Making an orthosis

Making an orthosis (tutorial) from low-temperature thermoplastics (NTPP). Today there is a technology that allows you to combine all the requirements for orthoses together. The splint made of low-temperature plastic has a small weight, but high strength and wear resistance, it is made individually on the patient’s body for 20-30 minutes and does not require special manufacturing conditions, so it can even be done at home. In the future, the NTTP splint withstands several corrections and even repeated simulations.

Also, it is hypoallergenic due to its coating.

The splint is prescribed for use from 2 hours a day, depending on each specific case. The average time for wearing a splint for the purpose of correction / prevention of deformation on the ankle or knee joint is 6-8 hours per day. Very often, tutors are assigned for a night’s sleep and are called “nightly non-loading tutors.” Another use of the splint is in orthopedic shoes or on limbs when walking. In this case, the time of use of the splint varies from the patient’s ability to move in an upright position.

Orthopedic devices are fixation devices consisting of sleeves for limbs and articulated elements on the castle / castleless structures in the projections of the joints.
The devices provide movement in the joint in the right amount (including the complete exclusion of movement). Indications for the use of orthopedic devices are approximately the same with tutors, however, the devices provide greater unloading (compared with tutors) and allow you to dynamically adjust the angle in the joint. Separately, false joints, ankyloses, a sharp restriction of movement in the joints can be added to the indications for the use of devices.

Devices also exist on the upper and lower limbs.

Orthoses for injuries, diseases of the spine (corsets, apparatuses, declinators, head holders, bandages)

A corset is an orthopedic device that fixes the trunk and spine in a given position, unloads and corrects deformation, improves the function of the muscles of the trunk.
Corsets are divided into fixing and corrective. The purpose of fixing corsets is guessed in the name – fixing the trunk and spine in a predetermined position, which will ensure the unloading of the damaged segment.

Corrective corsets involve targeted work with deformation, the primary goal of which is its correction.
Corsets can be soft (textile), semi-rigid (with metal stiffeners) and rigid (made of hard material, such as plastic).

Shishkevich Vladimir, orthopedic and traumatologistShishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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Hondrostrong cream allows you to forget about back and joint pain in the shortest possible time, literally from 4 days, and even very difficult cases can be cured within a couple of months. In addition, the manufacturer of this product is now offering a 50% discount of the full cost of Hondrostrong cream.

Indications for the use of corsets:

– traumatic injuries of the spine / spinal cord
– conditions after surgery on the spine / spinal cord
– osteocondritis of the spine
– spinal osteoporosis
– spondylitis of various etiologies
– kyphoscoliosis and other progressive and non-progressive spinal deformities

Reclinators are devices designed to correct the spine in the sagittal plane, for example, one of the indications for the use of the reclinator is children’s stoop.

The head holder is designed to hold the head in the correct position and unload the cervical spine. It is used after operations on the cervical spine, wryneck, inability to hold the head for any reason.

A bandage is a supporting belt on the body with the goal of supporting and unloading a certain segment.
It is used when support is necessary when lowering the internal organs, weakness / paralysis of the muscles of the anterior abdominal wall, hernias of the anterior abdominal wall. After surgical interventions on the anterior abdominal wall (for unloading the area of ​​fragile scar), during pregnancy and in the postpartum period.
Support is provided from the bottom up. Bandages are made of elastic fabric.

Technical means of rehabilitation and cost compensation for self-acquisition from the FSS

For patients with disabilities and a completed IPR (individual rehabilitation plan), the law provides for the option of a partial or full refund of money spent on the purchase of TCP. To do this, the appropriate means of rehabilitation should be entered in the IPR (individual rehabilitation plan): splint, apparatus, corset – indicating the segment. For example, a splint on the ankle joint, 2 pieces. Refunds are made by the regional Social Insurance Fund.

Documents in the form of a sales receipt, cashier’s check and necessary certificates should be issued for a splint, corset, apparatus. These documents are accompanied by an application for reimbursement of expenses for the purchase of TCP, a copy of the document on disability and IPR, a passport, SNILS. The term for consideration of the application, today – 1 month.

What is an orthosis and what is it for?

Orthosis Functions

Orthoses perform a whole range of functions:

  • fix, stabilize and unload areas of the spine and joints,
  • contribute to the restoration of musculoskeletal function and soft tissues after injuries (fractures, sprains, dislocations, subluxations, bruises, etc.),
  • correct (correct) injuries and deformations of the musculoskeletal system (scoliosis, kyphosis, etc.),
  • protect joints and spine during sports and during increased physical exertion,
  • relieve pain caused by a disease of the spine or joint (osteochondrosis, arthrosis, arthritis, spondylosis, etc.).

The concept of “orthosis” is often used erroneously, calling orthoses only rigid fixators of joints (complex articulated knee pads and elbow pieces, rigid orthoses on the thigh and wrist joint, tutors, etc.). However, this is just as wrong as “tables” only mean tables and chairs, forgetting, say, cabinets and cabinets.

Types of orthoses

By appointment, all orthoses can be divided into three large groups:

  1. Orthoses for the spine (collar tires, corsets, declinators, antenatal and postnatal bandages).
  2. Orthoses for joints of the upper extremities (shoulder braces, elbow pieces, wrist orthoses, finger braces).
  3. Orthoses for joints of the lower extremities (hip orthoses, kneecaps, ankles, orthopedic insoles and some types of orthopedic shoes)

According to the manufacturing method, the orthoses are divided into finished and individual. Ready-made orthoses are factory products that are available in a wide range of sizes. The doctor prescribes a certain type of orthosis to the patient, and the patient independently chooses a specific model from the presented analogues.

An individual orthosis is made in the orthopedic workshop personally for the patient, taking into account its anatomical features and the type of pathology. Most often, individual orthoses are made according to casts from the damaged area of ​​the musculoskeletal system.

Degree of rigidity of the orthosis

The degree of rigidity of the orthosis determines its purpose and vice versa. Without delving into the features of each individual type of orthosis, one can generally distinguish between hard (immobilizing) and soft (supporting) orthoses.

Orthoses of easy fixation are made of elastic breathing fabric, which creates compression, micromassage and, in some cases, warming effects. Soft orthoses are used for minor injuries of the joint-ligamentous apparatus, as well as for preventive purposes.

Rigid orthoses provide maximum fixation of the joint or spine, preventing displacement and limiting the number and direction of movement. In addition to the elastic web, special metal plates (stiffeners), plastic elements, hinges, sleeves are used in such orthoses. Immobilization is required for serious injuries and deformations of the musculoskeletal system.

In some types of orthoses, semi-rigid fixation is also provided, which implies a greater degree of stabilization and unloading of the joint or spine than in soft orthoses. In semi-rigid orthoses, plastic stiffeners, additional couplers and removable pelots are used as amplifiers.

The results of using the orthosis

Fixation and unloading of a joint or a certain part of the spine with the help of an orthosis first of all reduces or completely removes the pain syndrome caused by a disease or injury. How it works? The damaged area is fixed in a certain (physiologically correct) position, respectively, it is at rest, does not move and does not move. Plus compression and warming, i.e. acceleration of blood circulation and lymph flow. As a result, the pain decreases or subsides completely.

The state of rest is also an indispensable condition for the healing of the injury, respectively, due to the orthosis, fractures, sprains, dislocations and bruises pass faster.

If the result of an injury or other external influence is the displacement or incorrect position of a certain segment of the musculoskeletal system (for example, curvature of the spine), then the orthosis in combination with other measures allows you to stop and correct the deformation.

If any component of the musculoskeletal system temporarily or constantly does not fulfill its functions (sagging foot, arm after a stroke), then the orthosis maintains this component in a physiologically correct position, preventing the occurrence of complications and further deformations.

Orthoses are also an effective prophylactic. They protect the joints and spine from injuries, secondary injuries and complications after surgery.

What are Orthoses? What are they needed for ?

Orthoses are external orthopedic appliances that help to cope with the problems of the musculoskeletal system. This is a fairly large group, including both simple products (for example, orthopedic insoles) and complex modern exoskeletons. How to choose the orthosis and in which cases it may be needed.

Orthoses to support the musculoskeletal system

Today, orthoses are produced for almost all areas of the skeleton. And one of the main purposes of such products is the prevention of damage to bones and joints. Professional orthoses are actively used by athletes. They can also help those whose activities are associated with increased loads, for example, on the spine, knee joint, hands.

The main functions of orthoses with this use:

Fixing the joint and protecting it from damage.

Facilitation of movement (often with heavy loads pain can occur).

Additional strengthening of the bone or joint.

Orthoses also help with rehabilitation after injuries. Corsets and supports fix the damaged joint or part of the bone in a physiologically correct position, and this not only promotes rapid healing, but helps to avoid possible complications. Some products additionally warm the damaged area – blood flow and lymph flow are improved, tissue regeneration is accelerated.

Orthoses are in demand in the following cases:

  • Sports injuries. It is recommended to wear for the duration of the injury and some time after recovery, to prevent repeated damage.
  • The postoperative period. Especially often corsets are prescribed in case of operations on the chest and joints.
  • After removing the cast. In this case, the orthosis helps to avoid repeated fractures, allows the bone to finally get stronger.

Orthoses for diseases

The second application of orthoses is the treatment of a patient with diseases of the musculoskeletal system. Depending on the severity of the disease and prognosis for recovery, the products can be used as supporting (as prevention of the development of the disease) or therapeutic (corrective).

The doctor prescribes orthoses with the following diagnoses:

  • Disorders of posture: kyphosis, scoliosis, lordosis. Corrective corsets are especially effective in childhood and adolescence.
  • Congenital pathology of the musculoskeletal system. By means of orthoses, the aggravation of the disease can be prevented.
  • Joint diseases: arthritis, arthrosis, bursitis. Fixing and warming orthoses help reduce pain and reduce relapses.
  • Situations with the likelihood of developing contractures (inability to flex or bend a limb). Orthoses are temporarily prescribed after injuries and fractures, and on an ongoing basis for neurogenic diseases, including cerebral palsy.
  • Rehabilitation after a stroke if the patient has limb paralysis. In this case, the orthosis helps to maintain the limb in a physiologically correct position and prevents the development of complications.
  • Muscle atrophy.
  • Flat feet, dysplasia in children.

The question of the need to wear an orthosis in each individual case is decided by the doctor, he selects the type of product, and also determines how long it will be necessary to wear it. If the orthosis is prescribed for diseases, it is impossible to refuse it in any case. Fixators help prevent the development of complications, and in some cases avoid disability.

How to choose an orthosis: orthopedic consultation

Orthoses are made to order or bought ready-made. Most often, in severe diseases with existing pathologies of the musculoskeletal system (for example, the presence of contractures in cerebral palsy or curvature of the spine in congenital pathologies), the doctor recommends individual products. They are made in the orthopedic workshop on casts from the damaged area. Stiffeners can be created using a printer with three-dimensional printing.

If the orthosis is used as a prophylaxis for injuries or curvatures, you can purchase a finished product. But even in this case, an orthopedic consultation will be required.

All orthoses vary in stiffness:

Soft (supporting) products are prescribed for minor injuries or for prevention. It is these options that you need to choose for sports, to prevent violations of posture in children.

Rigid (immobilizing) products are equipped with special stiffeners made of metal, carbohydrate fiber and other strong materials. Orthoses of this class are suitable for severe injuries and progressive diseases of the musculoskeletal system.

Semi-rigid (plastic plates are used instead of iron plates). It is not worth using it as a prophylaxis without a doctor’s prescription, and for diseases the average stiffness may simply be insufficient.

It is important to pay attention to the fabric of which the orthosis is made. Natural materials such as cotton and linen are considered ideal. However, today many sports orthoses are made of spandex, which allows air to pass through and is quite flexible, and neoprene – a warming tissue that provides good joint compression.

Another important detail that you need to pay attention to when choosing an orthosis is fasteners and retainers. Rigid constructions are equipped with belts and ties, but soft ones are most often produced with ordinary Velcro. It is very important to check how well they can hold the orthosis in the right position, otherwise the product may simply fly off during sports or other physical activity.

Exoskeletons: medical news

The task of some orthoses is to return the possibility of movement of the joint or limb. This class of products is called functionally constant, and it is this direction that is considered the most promising for development.

Exoskeletons (external skeletons) are mechanical orthoses that can repeat human movements, enhance or restore the functions of the musculoskeletal system. Initially, they were developed for military needs, but today such designs are increasingly used for the elderly or patients with various types of paralysis and muscle atrophy.

For example, a group of researchers from Spain, led by Elena Garcia, developed an exoskeleton for children 3-14 years old with spinal muscular atrophy. The device is distinguished by the technology of “smart joints” – a change in the rigidity of the structure depending on the course of the disease. Previously, such a diagnosis was, in fact, a sentence – the patient lost the ability to walk to a maximum by adolescence. Now, using an exoskeleton for children, walking will be quite possible, and this, in turn, will prevent the development of other pathologies of the spine.

The Russian ExoAtle development is intended for those who have their lower body completely or partially immobilized. The design allows you to sit, get up, climb stairs and walk without assistance. In the future, the exoskeleton will replace wheelchairs for many patients.

One of the problems faced by exoskeleton developers is how to control the mechanism of the apparatus. Most often, control is carried out using the remote control, which is not very convenient for patients with diseases of the musculoskeletal system. But the latest news from Australian scientists from the University of Melbourne can fundamentally change the approach to managing a suit. Researchers have developed a microscopic implant, which is located near the cerebral cortex and makes it possible to transmit a signal to a robotic suit. Thus, even completely paralyzed people will be able to move. Previously, scientists from the USA, Israel, and Russia worked on the management of exoskeletons using the power of thought, but the development did not involve implantation of implants.

Orthopedics. What is an orthosis and what is it for?

The concept of an orthosis

Orthoses are an extensive class of orthopedic appliances that are used to fix and unload the spine and joints after an injury, surgery, or for a specific disease. The need for fixing and unloading can also be caused by:

  • paralysis and paresis (including after a stroke),
  • the presence or predisposition to the appearance of contractures (including with cerebral palsy),
  • congenital pathology of the musculoskeletal system.

An orthosis is a complex concept, the common name of all devices and products that are prescribed by an orthopedist or traumatologist to restore and treat a particular segment of the musculoskeletal system (lower back, elbow, foot, knee and hip joints, etc.)

Orthosis Functions

Orthoses perform a whole range of functions:

  • fix, stabilize and unload the spine and joints,
  • contribute to the restoration of musculoskeletal function and soft tissues after injuries (fractures, sprains, dislocations, subluxations, bruises, etc.),
  • correct (correct) injuries and deformations of the musculoskeletal system (scoliosis, kyphosis, etc.),
  • protect joints and spine during sports and during increased physical exertion,
  • relieve pain caused by a disease of the spine or joint (osteochondrosis, arthrosis, arthritis, spondylosis, etc.).

The concept of “orthosis” is often used erroneously, calling orthoses only rigid fixators of joints (complex articulated knee pads and elbow pieces, rigid orthoses on the thigh and wrist joint, tutors, etc.). However, this is just as wrong as “tables” only mean tables and chairs, forgetting, say, cabinets and cabinets.

Types of orthoses

By appointment, all orthoses can be divided into three large groups:

  1. Orthoses for the spine (collar tires, corsets, declinators, antenatal and postnatal bandages)
  2. Orthoses for joints of the upper extremities (shoulder braces, elbow pieces, wrist orthoses, finger braces)
  3. Orthoses for joints of the lower extremities (hip orthoses, kneecaps, ankles, orthopedic insoles and some types of orthopedic shoes).

According to the manufacturing method, the orthoses are divided into finished and individual. Ready-made orthoses are factory products that are available in a wide range of sizes. The doctor prescribes a certain type of orthosis to the patient, and the patient independently chooses a specific model from the presented analogues.

An individual orthosis is made in the orthopedic workshop personally for the patient, taking into account its anatomical features and the type of pathology. Most often, individual orthoses are made according to casts from the damaged area of ​​the musculoskeletal system.

Degree of rigidity of the orthosis

The degree of rigidity of the orthosis determines its purpose and vice versa. Without delving into the features of each individual type of orthosis, one can generally distinguish between hard (immobilizing) and soft (supporting) orthoses.

Orthoses of easy fixation are made of elastic breathing fabric, which creates compression, micromassage and, in some cases, warming effects. Soft orthoses are used for minor injuries of the joint-ligamentous apparatus, as well as for preventive purposes.

Rigid orthoses provide maximum fixation of the joint or spine, preventing displacement and limiting the number and direction of movement. In addition to the elastic web, special metal plates (stiffeners), plastic elements, hinges, sleeves are used in such orthoses. Immobilization is required for serious injuries and deformations of the musculoskeletal system.

Some types of orthoses also provide semi-rigid fixation, which implies a greater degree of stabilization and unloading of the joint or spine than in soft orthoses. In semi-rigid orthoses, plastic stiffeners, additional couplers and removable pelots are used as amplifiers.

The results of using the orthosis

Fixation and unloading of a joint or a certain part of the spine with the help of an orthosis first of all reduces or completely removes the pain syndrome caused by a disease or injury. How it works? The damaged area is fixed in a certain (physiologically correct) position, respectively, it is at rest, does not move and does not move. Plus compression and warming, i.e. acceleration of blood circulation and lymph flow. As a result, the pain decreases or subsides completely.

The state of rest is also an indispensable condition for the healing of the injury, respectively, due to the orthosis, fractures, sprains, dislocations and bruises pass faster.

If the result of an injury or other external influence is the displacement or incorrect position of a certain segment of the musculoskeletal system (for example, curvature of the spine), then the orthosis in combination with other measures allows you to stop and correct the deformation.

If any component of the musculoskeletal system temporarily or constantly does not fulfill its functions (sagging foot, arm after a stroke), then the orthosis maintains this component in a physiologically correct position, preventing the occurrence of complications and further deformations.

Orthoses are also an effective prophylactic. They protect the joints and spine from injuries, secondary injuries and complications after surgery.

All about joints

Children, like adults, are not immune to injuries and diseases of the musculoskeletal system, including joints. Joints in children are also prone to inflammation, deformity, and swelling that require immediate treatment. Some diseases are congenital in nature, respectively, and it is necessary to start treating them from a very early age. To make the treatment and rehabilitation process as efficient as possible, orthopedists strongly recommend the use of orthopedic devices – orthoses.

Orthoses help to keep the joints in the correct position, reduce pain, allow the limbs to recover faster after a fracture or injury. Dreams are made of breathable and elastic materials that do not cause allergies or discomfort when worn.

On sale of the Prometr company there are all necessary orthoses and bandages for children of all ages. We also manufacture orthoses individually for the order.

The principle of operation of children’s orthoses

Children’s orthosis according to the principle of action is no different from adult designs. Children’s orthoses are smaller in size and are designed specifically for rigid fixation, since the child is more mobile than an adult and can accidentally change the position of the orthosis. Orthoses for children can significantly reduce the time of rehabilitation after injuries, surgeries on joints, as well as prevent the recurrence of various diseases.

The orthopedic device is designed to correct and fix the position of the joints so that they recover faster and can function properly in the future. In other words, the orthosis places the joint in the correct position, which it “remembers” over time. Such treatment with the situation is very effective, and it also prevents the re-emergence of past diseases. It is especially important if it is necessary to wear orthoses in childhood, because a growing body is more likely than an adult to respond to treatment, and with orthoses, the body gets used to the correct position of the joints, gait, posture, etc.

Among other things, an orthopedic orthosis relieves the joint, removes excess load from it, which also contributes to a more rapid removal of inflammation and recovery from injuries and fractures. After such rehabilitation, patients can soon return to their usual active lifestyle.

Some parents refuse bandages and splints because of the high cost, others do not want to force children to wear uncomfortable and ugly devices. After all, orthoses are just a way of rehabilitation, a recommendation, and not an indispensable condition for recovery. In fact, any experienced orthopedist will say that the use of orthoses is a must. If, roughly speaking, you do not put the joint in place, then already in the near future, injury or illness may recur. The joint will develop an incorrect memory if, during an illness, it is overloaded and tired; this is fraught with the fact that then even small loads can cause pain and start the inflammatory process.

Indications for the use of orthoses

The following reasons can serve as indications for the use of orthoses in children of different ages:

– congenital dislocation of the hip;

– arthritis, arthrosis and rheumatitis;

– sprains and fractures;

– nerve damage, paralysis;

– increased physical activity.

Each orthosis is carefully designed by orthopedists and is designed to solve its own group of problems by acting on a particular joint, ligament and muscle. Sometimes for the successful treatment and recovery requires complete immobilization of the joint; in this case, it is necessary to use tutors (orthopedic devices with rigid fixation).

Types of orthoses for children

In infancy, children today are often diagnosed with dysplasia. This means that the hip joint is improperly developed, which in the future can turn into serious problems with walking and, as a result, normal social adaptation. Therefore, orthopedists in this case recommend the use of special orthoses from the first month of life.

For the treatment of dysplasia can be prescribed:

Bandages are convenient to use, durable and do not cause allergies, as they are made from environmentally friendly materials. However, they may not be as effective as abduction orthoses. The latter are distinguished by more rigid fixation, due to which it is better to relieve stress from the joints, providing the best preventive effect. Such orthoses are used to treat children under one year old. For children who have already begun to walk, it is better to buy a diverting femoral orthosis: in it the movements of the child will not be limited, however, the device will provide the necessary adjustment of the position of the hip joint.

To treat injuries and fractures in children, it is customary to use orthoses for the ankle, elbow joint, wrist joint, knee. There are also orthopedic devices for the metacarpophalangeal joint, which provide an excellent therapeutic effect for finger injuries, sprains, rheumatitis and other inflammatory diseases.

Orthoses vary in degree of fixation, and only a doctor can decide which device is suitable for the child in each case. So, orthoses of easy fixation and bandages are suitable for the period after removal of plaster, rehabilitation after operations, degenerative disorders in the joints. Devices with rigid fixation are designed to immobilize the limb more strongly, completely relieve the load from the joint, reduce swelling and relieve pain. Such an orthosis can replace a plaster cast, if so the doctor decides. At the same time, it is comfortable to wear, it does not disturb blood circulation and allows the skin to breathe.

Features of wearing orthoses by a child

Parents often face the fact that children refuse to wear orthoses or even wear them for a while. And if an older child (from 4 years old) can be explained that an orthopedic device is a temporary measure necessary for health, then these arguments are unlikely to affect a baby younger than four. How to make a child wear orthoses?

Firstly, in no case can you force the baby to do what he does not like. So you can only achieve hysteria and a complete rejection of the wearing of orthopedic structures. Secondly, even the smallest child needs explanations and is quite capable of perceiving them adequately. Therefore, for starters, you can try to tell him why it is necessary to wear an orthosis prescribed by a doctor. Since a year old, children perfectly understand the word “necessary”, so this method may work.

Pediatricians are advised to present the wearing of an orthosis as a game. Explain to the child that the orthosis is the armor of a medieval knight made to order specifically for him. Or that he was sent as a gift by a kind fairy who learned that a child has a knee pain (arm, leg, back). The kid is much more willing to agree to wear an orthosis, if you give the situation a little fabulous mood. We can tell the child that no one else around has such a device, which means that he is special, unusual.

Another conversation is if the child is uncomfortable while wearing the orthosis. Perhaps the orthosis is tight, compresses blood circulation and generally does not suit the baby too much. In any case, it is best for a child to order an individual manufacture of orthopedic products. Today they produce such high-quality and comfortable orthoses that the child will not feel uncomfortable in them.

Order the manufacture of a children’s orthosis from professionals

Specialists of the Prometr company will undertake the manufacture of orthoses for children of any age. We make even the most complex rehabilitation devices, taking into account all the needs and individual characteristics of the patient. To take measurements and a free consultation, an orthopedist will come to your house, and experienced medical technicians will be involved in the manufacture of the prosthesis. We use only the latest technology and environmentally friendly materials, approved by doctors from around the world.

If the finished orthosis is not suitable in size or causes discomfort, we will fix it for free in the shortest possible time. You can also get ready-made orthopedic products from us for both children and adults.

“Prometr” is experience, attention to details and maximum professionalism.

Orthopedic products, orthosis. Types of orthoses

Orthoses are commonly called a wide class of devices for orthopedic use, which are used to unload and fix the joints and spine during the rehabilitation period after injuries, surgery or an illness.

The need for unloading and fixing may be needed when:

  • paralysis or paresis (also after a stroke).
  • predisposition or presence of contractures (including cerebral palsy).
  • congenital disorders of the musculoskeletal system.

Orthosis is a comprehensive concept that summarizes the concept of products and devices appointed by a traumatologist or orthopedist for the treatment and rehabilitation of a particular element of the musculoskeletal system (elbow, foot, lower back, hip and knee joints)

Orthosis Functions

Orthoses support a wide range of functions:

  • Unload, fix and stabilize the spine and joints.
  • help restore the supporting-motor ability of soft tissues as a result of injuries (sprains, subluxations, dislocations, fractures, bruises, etc.).
  • correct deformations and injuries of the musculoskeletal system (kyphosis, scoliosis, etc.).
  • carry out the protective function of the spine and joints during high physical exertion or sports activities.
  • quench the pain that occurs as a result of joint or spinal diseases (arthritis, osteochondrosis, spondylosis, arthrosis, etc.).

The term “orthosis” is constantly confused, calling orthoses only fixators of joints on a rigid basis (complicated articulated elbow and knee pads, rigid orthoses on the wrist joint and thigh, tutors, etc.).

But this is the same as the word “furniture” to mean only tables and chairs, completely forgetting about the cabinets and cabinets.

Types of orthoses

According to the type of appointment, the orthoses are divided into 3 huge groups:

  • orthoses for the spine (corsets, collar tires, declinators, prenatal and postnatal bandages).
  • orthoses for joints of the upper extremities (elbow pieces, shoulder braces, finger braces, wrist orthoses).
  • orthoses for joints of the lower extremities (kneecaps, hip orthoses, orthopedic insoles, ankles, some varieties of orthopedic shoes).

Depending on the manufacturing method, the orthoses are divided into individual and finished. Finished – factory products that are made in a wide range of sizes. The specialist prescribes a certain type of orthosis to the patient, and the patient chooses a specific model from the provided analogues. Orthoses by type of appointment

An individual option is produced in an orthopedic workshop for a specific patient, taking into account the type of pathology and its anatomical features. Often, individual orthoses are made according to anatomical casts from the damaged area of ​​the musculoskeletal system.

Types of knee braces

ViewCharacterization
Latching.This type of knee-joint design maximally compresses the joint in a position comfortable for it and in a state, this type of orthosis is prescribed to patients who received severe knee injuries for quick recovery and recovery. It reduces pain, reduces inflammation, and also helps to restore musculoskeletal function.
Corrective.The main task of the corrective knee orthosis is the correction of the joint.
Compensatory.Compensating orthosis is prescribed for various deformations.
Unloading.An unloading knee orthosis is used to reduce the load on the joint and facilitate leg movement.

Functional classification

The orthosis must be selected according to the specifics of the patient’s disease. The specialist chooses the best option, taking into account the particular condition of the patient. Therefore, the doctor can advise the following types of devices:

  • Preventive – used by people who are at risk or patients who have small joint pathologies.
  • Therapeutic and rehabilitation – used in the regeneration of organs as a result of damage.
  • Permanent-functional – are used to resume the mobility of the arms and legs, in the articular tissues of which pathological processes have been noticed.

If we talk about the latter type, then the choice of the orthosis should be fairly accurate.

The best solution would be to order an orthosis, since such a method will provide its better functionality.

Classification by manufacturing technique and design features

Production involves the use of methods and materials for the manufacture of the device. Some parts can be made of textile, others – plastic or tire-leather. Also, it can be lamination materials or bandages.

Depending on the method of release, it is customary to distinguish 3 types of orthoses:

Most patients have the stereotype that any orthosis on the arm or shoulder joint, leg or finger must be ordered, but this condition is not entirely true.

All answers to questions of interest on the individual manufacture of an orthosis can only be given by an experienced specialist.

Often, it is much more beneficial to use a typical orthosis first than wait for the fixture ordered.

Depending on the task, the orthosis is made in some specific form.

Most often you can meet these types of devices:

  • A splint is a soft device that completely repeats the shape of a limb. It makes it possible to immobilize the joint.
  • Bandage on the wrist joint – soft and elastic orthosis.
  • Orthopedic splint – a rigid type orthosis for a previously injured joint.

In addition, there are commercially available devices that are used to facilitate the movement of arms and legs. Often they are worn during the rehabilitation period.

Design properties are responsible for the degree of rigidity of the device. Among them, medium hardness devices and very rigid devices can be distinguished.

In the period of choosing the type of device, the form and type of the disease have a particular influence. For example, hard orthoses are used to repair a damaged joint, and soft devices are used in the rehabilitation period.

To understand what a bandage in the form of an orthosis is much easier than to purchase a suitable version of this device. That is why the right type of orthosis should be selected by an experienced specialist who will do all the necessary research, and then prescribe one or another device.

Video. Hip Orthosis

Degree of rigidity of the orthosis

The rigidity of the orthosis indicates its purpose and vice versa. Without thinking about the features of each type of device, you can accurately distinguish soft (supporting) and hard (immobilizing) orthoses.

Orthoses with a light type of fixation are produced from elastic, breathable fabric, which creates micromassage, compression and sometimes warming effects. Soft cuts are used for minor injuries of the joints = avian-ligamentous apparatus, as well as for prevention.

Rigid orthoses make the fixation of the joint or spinal section as strong as possible. This protects the device from displacement and at the same time limits the direction and number of movements.

In addition to elastic material, such orthoses are produced from special metal plates (stiffeners), hinges, plastic elements, sleeves. They resort to immobilization when severe deformations and injuries of the musculoskeletal system occur.

In certain types of devices, a semi-rigid fixation can be made, which implies a better degree of unloading and stabilization of the spine or joint than in soft models. Semi-rigid joints contain plastic stiffeners, removable pelots, additional ties for an overall reinforcement of the structure.

Video. How does the orthosis on the foot work?

The results of using the orthosis

Unloading and fixing the joint or a single spine due to orthosis reduces or generally removes the pain caused by illness or injury.

How does this work? The damaged area is fixed in a specific (physiologically correct) position, respectively, it does not move and does not move, being in complete rest. It also creates warming and compression, that is, acceleration of the lymph flow and blood circulation. As a result, the pain syndrome decreases or completely subsides.

Wound healing fractures, dislocations, bruises and sprains at rest due to orthosis are faster.

When the result of an injury is called the displacement or poor position of an individual segment of the musculoskeletal system (for example, curvature of the spine), the device along with other actions helps to fix and stop the deformation.

If any segment of the musculoskeletal system is constantly or temporarily unable to cope with its functions (hand after a stroke, sagging foot), then the device helps to keep this component in the correct physiological position, which protects against complications and further deformations.

Orthoses also proved to be good as preventive agents. They perform the protective function of the joints and spine from injuries, complications after operations and secondary injuries.

Shishkevich Vladimir

Shishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews. It specializes in the treatment of diseases in orthopedic, traumatological, vertebrological profiles

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