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3&4..HKAFO & Mass - Produced

The document discusses various types of lower limb orthoses, particularly the Hip-Knee-Ankle-Foot Orthosis (HKAFO) and its components, including hip joints and pelvic bands, designed for patients with conditions like paraplegia. It highlights the functional goals of these orthoses, such as maintaining upright posture and enabling ambulation, as well as the challenges of donning and comfort. Additionally, it mentions mass-produced orthoses for children and other orthotic options like the parapodium and scoliosis braces.

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25 views26 pages

3&4..HKAFO & Mass - Produced

The document discusses various types of lower limb orthoses, particularly the Hip-Knee-Ankle-Foot Orthosis (HKAFO) and its components, including hip joints and pelvic bands, designed for patients with conditions like paraplegia. It highlights the functional goals of these orthoses, such as maintaining upright posture and enabling ambulation, as well as the challenges of donning and comfort. Additionally, it mentions mass-produced orthoses for children and other orthotic options like the parapodium and scoliosis braces.

Uploaded by

aishp2897
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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Lower limb orthosis

HIP-KNEE-ANKLE-FOOT ORTHOSIS (HKAFO with ,stirrup: steel


upright. Hinged anKle knee and hip-joints: drop ring lock at
the knee and hip and pelvic band.
HKAFO
• Hip joint:-
• Metal hinge that connects the lateral uprights
to pelvic band
• Joint prevents abduction and adduction as
well as hip rotation
• Only control of hip rotation , a simpler
alternative to hip joint and pelvic band is a
webbing strap.
• To reduce internal rotation:-
• strap resembles a
prosthetic silesian bandage.
• To reduce external rotation:-
• the strap joins the
lateral uprights of KAFOs and passes anteriorly
at the level of groin
• If flexion control is required, a drop ring lock is added
to the joint.
• 2 position lock stabilizes pt in hip extension for standing
and walking and 90 degree hip flexion for sitting.
• Pelvic band
• Metal band anchor HKAFO to the trunk.
• Lodge between greater trochanter and iliac crest on
each side
• More awkward to don, pelvic band uncomfortable
when wearer sits, restrict gait when joints are locked.
THKAO
THKAFOs
• Pt who require more stability
• Incorporate a lumbosacral orthosis
• Very difficult to don
• Heavy
• Cumbersome
• Seldom worn after discharge
Orthotic options for patients with paraplegia

• Spina bifida
• SCI
• Other disorders
• Functional goals:-
standing to maintain
skeletal,renal,respiratory,circulatory,and
gastrointestinal function and some form of
ambulations
Upright posture…….. Psychological benefits
Mass- produced orthoses
• Readily available for children
• Povide youngster with considerable functions
• Less expensive
• Easier to don
Mass orthosis for children
Standing frame and swivel walker

• Designed for children


• Consist of broad base, posterior nonarticulated
uprights extending from a flat base to midtorso chest
band & post thoracolumbar band
• Ant leg bands……. Stability
• Ordinary shoes
• Also available for adults
• swivel walker: child & adult size
• Base different …… two distal plates that rock slightly to
enable a swivel gait
Parapodium

• Permit to wear
• Base flat
• Stabilizing points….. Same
• Pick up objects from floor
• Less expensive
• Stand without crutch support
• Freeing tne hands for play
• Can move from place to place
• Worn outside
• School-age children …. Cosmetically objectionable
parapodium
corset
Rigid orthosis (LSFEL control orthosis)
(TLSFEL) CONTROL ORTHOSIS
soft foam four poster orthosis
Philadelphia collar(encompass chin & posterior head
for greater restrain
B:::Four post orthosis
A:::Minerva halo/Halo vest orthosis
Minerva halo/Halo vest orthosis
Scoliosis orthosis & Milwaukee brace
Scoliosis brace/plastic Bosten orthosis
WILMINGTEN ORTHOSIS(SCOLIOSIS)

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