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custom molded orthotics

Hong-Jae Lee, Kil-Byung Lim, JeeHyun Yoo, Sung-Won Yoon, Hyun-Ju Yun, Tae-Ho Jeong
OBJECTIVE: To evaluate the effect of custom-molded foot orthoses on foot pain and balance in children with symptomatic flexible flat foot 1 month and 3 months after fitting foot orthosis. METHOD: A total of 24 children over 6 years old with flexible flat feet and foot pain for at least 6 months were recruited for this study. Their resting calcaneal stance position and calcaneal pitch angle were measured. Individual custom-molded rigid foot orthoses were prescribed using inverted orthotic technique to control foot overpronation...
December 2015: Annals of Rehabilitation Medicine
Venu Gopal, Praveen Ganesh, Muralidhara Nagarjuna, Kiran Kumar, Samarth Shetty, Paul C Salins
AIM: To fabricate a cost effective, indigenous and simple orthotics helmet for post-operative cranial molding in patients with craniosynostosis surgery. METHODS: We present a case of 15 month old infant with secondary cranial vault deformity. Cranial vault remodeling surgery involving the posterior skull was planned and executed to increase the posterior gap, so that brain growth would be facilitated towards this empty space. Materials such as thermoplastic sponge, thermoplastic ionomer resin sheet, soft sponge and Velcro straps are used to fabricate a cranial orthotics helmet...
May 2015: Journal of Oral Biology and Craniofacial Research
Hong-Jae Lee, Kil-Byung Lim, JeeHyun Yoo, Sung-Won Yoon, Tae-Ho Jeong
OBJECTIVE: To evaluate the effect of custom molded foot orthoses on children with growing pains of the lower extremities. METHODS: Children with growing pains were recruited during a clinic visit. None had any bony deformities, inflammatory joint disease or depression. Resting calcaneal stance position (RCSP) and calcaneal pitch angle were measured, and individual custom molded rigid foot orthoses were prescribed using the inverted orthotic technique to control for foot overpronation using the RCSP angle...
April 2015: Annals of Rehabilitation Medicine
Eitan Melamed, Daniel B Polatsch, Steven Beldner, Charles P Melone
PURPOSE: To evaluate dexterity and grip strength after simulated distal interphalangeal (DIP) joint fusion of the index and middle fingers in varying degrees of flexion. METHODS: Forty-six right-handed subjects performed grip and dexterity testing using the Grooved Pegboard Test in positions of index finger 20° flexion or full extension, middle finger 20° flexion or full extension, and unrestricted index and middle finger DIP joint motion (control). Simulated fusion was performed with the use of custom-molded thermoplastic orthoses...
October 2014: Journal of Hand Surgery
Colin E Dombroski, Megan E R Balsdon, Adam Froats
BACKGROUND: Custom foot orthoses are currently recognized as the gold standard for treatment of foot and lower limb pathology. While foam and plaster casting methods are most widely used in clinical practice, technology has emerged, permitting the use of 3D scanning, computer aided design (CAD) and computer aided manufacturing (CAM) for fabrication of foot molds and custom foot orthotic components. Adoption of 3D printing, as a form of CAM, requires further investigation for use as a clinical tool...
2014: BMC Research Notes
James A Lipton, Lisa J Mitchell
The authors describe the case of a patient with ankylosing spondylitis who was treated with orthotic devices for postural unleveling. The patient described specific pre-existing postural problems, both static and dynamic, that had been present for many years. A unilateral 9-mm gel heel lift was used, followed by custom-molded orthotic devices that incorporated the heel lift. The patient reported immediate resolution of these symptoms after orthotic treatment, as well as increased functionality and satisfaction in activities of daily living, which coincided with the leveling of his posture...
February 2014: Journal of the American Osteopathic Association
Daniel E Couture, John C Crantford, Aravind Somasundaram, Claire Sanger, Anne E Argenta, Lisa R David
OBJECT: There has been a tremendous increase in the incidence of deformational plagiocephaly in children throughout the world. Therapeutic options include observation, active counterpositioning, external orthotics, and surgery. The current treatment in the US is highly debated, but it typically includes external orthotic helmets in patients with moderate to severe plagiocephaly presenting between 4 and 10 months of age or in children with significant comorbidities limiting passive (no-pressure) therapy...
October 2013: Neurosurgical Focus
Robert J Hardie, James T Lewallen
OBJECTIVE: To describe use of a custom orthotic boot for management of distal extremity and pad wounds in dogs. STUDY DESIGN: Clinical report. ANIMALS: Dogs (n = 3). METHODS: A custom orthotic boot made of lightweight copolymer plastic was used to immobilize the distal extremity and protect full-thickness wounds involving the medial or lateral aspect of the metatarsus including a portion of the metatarsal pad in 3 dogs...
August 2013: Veterinary Surgery: VS
David F Jimenez, Constance M Barone
OBJECT: The objective of this study was to present the authors' 16-year experience treating coronal craniosynostosis in infants using endoscopy-assisted techniques and postoperative cranial orthoses. METHODS: A total of 128 synostosed coronal sutures in 115 patients were treated between 1996 and 2012 by endoscopically resecting a strip of bone containing the stenosed suture via a 2-3 cm incision made at the ipsilateral stephanion. Data were obtained from a prospective database...
September 2013: Journal of Neurosurgery. Pediatrics
Jane Andreasen, Carsten M Mølgaard, Marianne Christensen, Søren Kaalund, Søren Lundbye-Christensen, Ole Simonsen, Michael Voigt
BACKGROUND: Excessive foot pronation is a causal mechanisms described in relation to injuries of the lower extremities. Evidence to support an effective treatment is insufficient. OBJECTIVE: To investigate the effect of exercise and custom-made insoles to patients with excessive pronation and chronic pain conditions in the foot at short and long term follow-up. METHODS: Single blinded Randomized Controlled Trial with 80 subjects randomized: (1) Standard Intervention, (2) Insole, (3) Exercise, and (4) Insole+Exercise...
March 2013: Foot
Mokhtar Arazpour, Ahmad Chitsazan, Monireh Ahmadi Bani, Gholamreza Rouhi, Farhad Tabatabai Ghomshe, Stephen W Hutchins
BACKGROUND: The aim of this case study was to identify the effect of a powered stance control knee ankle foot orthosis on the kinematics and temporospatial parameters of walking by a person with poliomyelitis when compared to a knee ankle foot orthosis. CASE DESCRIPTION AND METHODS: A knee ankle foot orthosis was initially manufactured by incorporating drop lock knee joints and custom molded ankle foot orthoses and fitted to a person with poliomyelitis. The orthosis was then adapted by adding electrically activated powered knee joints to provide knee extension torque during stance and also flexion torque in swing phase...
October 2013: Prosthetics and Orthotics International
Paul T Rubery, Robert Brown, Mark Prasarn, John Small, Bryan Conrad, Marybeth Horodyski, Glenn Rechtine
STUDY DESIGN: A gross anatomic and motion analysis study in cadavers. OBJECTIVE: Assess spinal motion in a cadaveric spinal fracture model and investigate the ability of external orthoses to control this motion. SUMMARY OF BACKGROUND DATA: External orthoses are frequently prescribed for patients who have experienced burst fracture of the thoracolumbar spine. Despite the substantial expense involved, there is little data confirming their value...
March 1, 2013: Spine
Kamiar Ghoseiri, Galavij Ghoseiri, Ahlam Bavi, Rojin Ghoseiri
BACKGROUND AND AIM: Sport is associated with risk of injury and re-injury. A rehabilitative sport-related orthosis could protect the injured site and help in the earlier return of athlete to the match. This technical note aims to describe a potential high-prescribed face orthosis to protect/prevent a sport-related injury. TECHNIQUE: Face-protective orthosis should be custom molded from negative impression of the injured athlete's face. It is lightweight and structured as a one-piece rigid plastic shell that is secured in place with three elastic straps...
August 2013: Prosthetics and Orthotics International
Musab Ibrahim, Rana El Hilaly, Mona Taher, Ahmed Morsy
BACKGROUND: Plantar ulcers pose a frequent serious complication in the neuropathic foot. Previous studies suggested that ulcer initiation occurs within the plantar soft tissue rather than on the plantar surface. This study investigated the effectiveness of different shaped silicone insoles on the reduction of both plantar soft tissue strain and pressure. The authors have found no previous experimental studies on the effectiveness of insole shape on reducing plantar soft tissue strain during standing...
January 2013: Clinical Biomechanics
James W Brodsky, Jonathan Brajtbord, Scott C Coleman, Sourendra Raut, Fabian E Polo
BACKGROUND: The most common method of customizing shoe insoles to the shape and surface of the foot is to heat and then mold the materials. The effect of heating on the mechanical properties of these materials is unknown. METHODS: The properties of individual and common combinations of insole materials were tested before and after heating. Individual materials tested were soft Plastazote (SP), medium Plastazote (MP), Puff (F), and Nickelplast (N); combinations of materials that were tested were SP + F and MP + F, each with and without Poron (P)...
September 2012: Foot & Ankle International
Bradley M Lamm, Noman A Siddiqui, Ajitha K Nair, Guido LaPorta
Midfoot Charcot collapse commonly occurs through the tarsometatarsal and/or midtarsal joints, which creates the characteristic "rocker bottom" deformity. Intramedullary metatarsal fixation spanning the tarsus into the talus and/or calcaneus is a recently developed method for addressing unstable midfoot Charcot deformity. The intramedullary foot fixation technique has various advantages when addressing midfoot Charcot deformity in the neuropathic patient. These advantages include anatomical realignment, minimally invasive fixation technique, formal multiple joint fusion, adjacent joint fixation beyond the level of Charcot collapse, rigid interosseus fixation, and preservation of foot length...
July 2012: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Jeanmarie R Burke, M Owen Papuga
OBJECTIVE: The purpose of the study was to collect preliminary data to address methodological considerations that may impact subject-specific reactions to foot orthotics during running. METHODS: Six endurance-trained recreational runners recruited from a chiropractic college campus wore their preferred running shoes and then inserted either their custom-made orthotics during 1 testing session or their shoe-fitted insoles during the other testing session. Comfort perception was measured for each footwear condition...
May 2012: Journal of Manipulative and Physiological Therapeutics
Mokhtar Arazpour, Monireh Ahmadi Bani, Ahmad Chitsazan, Farhad Tabatabai Ghomshe, Reza Vahab Kashani, Stephen William Hutchins
OBJECTIVE: The aim of this study was to identify the effect of induced knee flexion during gait on the kinematics and temporal-spatial parameters during walking by a patient with spinal cord injury (SCI) through the application of an isocentric reciprocating gait orthosis (IRGO) with a powered knee mechanism. METHODS: Two orthoses were considered and evaluated for an ISCI subject with a T8 level of injury. An IRGO was initially manufactured by incorporating drop lock knee joints and was fabricated with custom molded AFOs to block ankle motion...
May 2013: Disability and Rehabilitation. Assistive Technology
Rajesh K Mohanty, Abhishek Tripathi, Prasanna Lenka, Ameed Equebal, Ratnesh Kumar
BACKGROUND: Historically, the orthotic treatment in progressive myopathic scoliosis has not been as effective as expected. The purpose of this study was to investigate the effect of a spinal orthosis on scoliotic curve correction, alignment of altered posture and cardio-respiratory functions. CASE DESCRIPTION AND METHODS: An 11 year-old girl diagnosed with myopathy was fitted with a custom molded thoraco-lumbo-sacral orthosis to enhance the sitting ability. The cardio-respiratory tests were performed by a COSMED K4 b(2); metabolic analyzer...
December 2012: Prosthetics and Orthotics International
Jeanmarie R Burke
The purpose of this research was to determine the effects of footwear comfort perception on the gain of the gastrocnemius H-reflex response during single leg balance tasks. Subjects performed single leg balance tasks while wearing aerobic sneakers with two different pairs of shoe insoles that were subjectively rated for comfort using a reliable 150 mm visual analog scale. The primary outcome was the consistency of decreasing the gain of the gastrocnemius H-reflex with increasing balance task complexity as a function of footwear comfort perception...
April 2012: International Journal of Neuroscience
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