Orthotics

 

Orthotics is the design, fabrication and fitting of bracing for the spine and upper and lower extremities. Albert J. Garney, Certified Orthotist and Prosthetist, customizes orthotic devices to support weak, impaired or injured muscles and joints. Prince William O&P also provides off-the-shelf orthotics and will size, fit, and educate patients on these pre-manufactured devices. Follow-up visits and adjustments are offered to our patients after delivery of custom or off-the-shelf devices.

Off-The-Shelf Orthotics

This type of brace is ordered according to size and then fitted to the patient. In other words, a manufacture has already made the brace and will ship it to us and our orthotist will then fit and educate the patient about the device.

Custom Molded Orthotics

This type of brace is made specifically to fit the patient by the Orthotist and lab technician. The Orthotist and technician design and fabricate the custom brace to fit the patient's individual needs.

Neck Braces

Neck Braces

Did you know that the neck is the most mobile spinal segment? What the spine allows in movement, it gives up in protection. Despite the importance of the neck, it has less muscle and tendon protection than other parts of the spine and is susceptible to injury. [1]

  • Soft Collar
  • Semi Rigid
  • SOMI
  • Halo
Arm Braces

Arm Braces

There is a wide array of upper limb orthosis, mainly because of the incredible versatility of the upper limbs. While the braces of the lower limb tend to be focused on resolving walking and running issues, the upper limbs are involved in a greater variety of activities. For the sake of organization, orthosis can be categorized according to the joint they encompass, whether they allow movement (static or dynamic), and whether they aim to add function or assist therapy (functional or therapeutic). Just a representative portion of the total upper limb braces are listed below, all of which are for therapeutic needs.

  • Shoulder Elbow Orthosis
  • Elbow Orthosis
  • Wrist Hand Orthosis
  • Hand Orthosis
Back Braces

Back Braces

Most people will experience low back pain at some point in their lives. For significant back injury, there are specific orthoses created to increase abdominal support, alleviate spinal pressure, decrease motion, and relieve pain. As with the majority of orthoses, back orthoses are named according to the anatomy they support. Similarly named back orthoses will vary in form and function according to the specific movement they restrict - whether it be flexion and extension (forward and backward motion), lateral bending (side to side motion), rotation, or all motion.

  • Thoracolumbrosacral Orthosis – Jewett Style
  • Thoracolumbrosacral Orthosis - Clamshell
  • Lumbosacral Orthosis
  • Charleston Bending brace
Hip Braces

Hip Braces

  • Hip Brace
  • Hip Orthosis (HpOs)

 

Knee Braces

Knee Braces

The knee joint is the largest joint in the body with a complex set of components that collaborate to allow movement. 1 The most basic components of the knee are the bones and ligaments, a ligament is a strong tissue that connects bone to bone. 2 The three main bones of the knee are the femur (thigh bone), the tibia (shin bone), and the patella (knee plate). The knee is held together by two sets of ligaments. The Collateral Ligaments are located on the sides of the knee; the medial collateral ligament (MCL) is on the inside while the lateral collateral ligament is on the outside (LCL). This set of ligaments controls the sideways motion of the knee. The other set of ligaments are the cruciate ligaments; they are located inside the knee joint – behind the patella. They form an X inside the knee joint, with the anterior cruciate ligament connecting in front and the posterior cruciate ligament in back.

  • Ligament
  • Arthritis
  • Rehabilitation
  • Specialty- Locking Knee Brace
  • Specialty – Knee Ankle Foot Orthosis
Ankle Braces

Ankle Braces

  • Osteoarthritis/Ligament Brace- Arizona Style
  • Osteoarthritis/Ligament Brace- Richie
  • Rehabilitation- Custom plastic articulating brace
  • Rehabilitation- dynamic brace
  • Rehabilitation - lace up brace
References
  1. Anatomy of the Spine. All About Back & Neck Pain website. http://www.allaboutbackpain.com/html/spine_general/spine_general_anatomy.html#Introduction. Accessed October 5, 2011.

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