orthotic guide
Transcription
orthotic guide
Clinical Orthotic Services Guide PROSTEK Orthotic Prosthetic Services Prostek is an Adelaide owned and operated company that has been providing services to South Australians for over 25 years. :HKDYHDWHDPRITXDOL¿HG3URVWKHWLVWV2UWKRWLVWVDQGWHFKQLFLDQV ZKRVSHFLDOLVHLQFOLQLFDODVVHVVPHQWIDEULFDWLRQDQG¿WWLQJRI2UWKRVHV EUDFLQJDQGVXSSRUWVDQG3URVWKHWLFV$UWL¿FLDOOLPEV 2XUVHUYLFHLVSURYLGHGE\LQFRUSRUDWLQJNQRZOHGJHRIELRPHFKDQLFV human anatomy and physiology as well as materials technology. 2XUUDQJHLVQRWOLPLWHGWRWKHRUWKRVHVGHVFULEHG in this guide, as we have access to all major orthotics suppliers and custom bracing is our specialty. 2XUPDLQIDFLOLW\LVDW0LOH(QGZKLFKFRQWDLQVRXUFOLQLFDO technical and administrative services. We have additional clinical rooms DW0DZVRQ/DNHVWRDVVLVWLQVHUYLFLQJWKHQRUWKHUQVXEXUEV We also provide inpatient services to most Adelaide hospitals. For Appointments and enquires please call Ph. (08) 8352 6511 Fax (08) 8352 6577 (PDLOSURVWHN#SURVWHNFRPDX :HEZZZSURVWHNFRPDX INDEX Foot Heel Spur Pads .................................................... 3 Internal Heel Raise ............................................... 3 Carbon Fibre Foot Plates .................................... 3 6HPL&XVWRP)RRW2UWKRVHV ................................ 3 &XVWRP)RRW2UWKRVHV ........................................ 3 8&%/ .................................................................... 3 Footwear............................................................... 4 )RRWZHDU0RGL¿FDWLRQV......................................... 4 3RVW236KRHV .................................................... 4 Pressure Relieving Shoes .................................... 4 Ankle $QNOH6WDELOLVLQJ2UWKRVLV$62 ......................... 4 &XVWRP/HDWKHU$QNOH2UWKRVLV .......................... 4 Air Cast Ankle Stirrup ........................................... 5 /HDIVSULQJ$QNOH)RRW2UWKRVLV$)2................. 5 &DUERQ)LEUH$QNOH)RRW2UWKRVLV$)2 ............ 5 6ROLG$QNOH)RRW2UWKRVLV$)2 ......................... 5 $UWLFXODWHG$QNOH)RRW2UWKRVLV$$)2 ............... 5 6KRUW$UWLFXODWHG$QNOH)RRW2UWKRVLV6$$)2 ..... 5 *URXQG5HDFWLRQ$)2*5$)2 ......................... 5 $QNOH)RRW2UWKRVLV$)2&DOLSHU ....................... 6 Value Walker......................................................... 6 Aircast Foam Walker ............................................ 6 Aircast Short Pneumatic Walker ........................... 6 $LUFDVW3QHXPDWLF:DONHU'LDEHWLF:DONHU ....... 7 5DQJHRI0RWLRQ520&$0:DONHU .................. 7 %HG5HVWLQJ$QNOH)RRW2UWKRVLV%5$)2 .......... 7 3UHVVXUH5HGXFLQJ$QNOH)RRW2UWKRVLV35$)2 ... 7 3ODQWDUIDVFLLWLV$QNOH)RRW2UWKRVLV$)2 .......... 7 Knee Knee Immobiliser .................................................. 8 520.QHH2UWKRVLV ............................................. 8 +LQJHG.QHH2UWKRVLV .......................................... 8 +LQJHG/LJDPHQW.QHH%UDFH............................... 8 .QHH&RQWURO2UWKRVHV.&2 .............................. 8 2VWHR$UWKULWLV.QHH2UWKRVHV .............................. 9 .QHH$QNOH)RRW2UWKRVHV.$)2 ...................... 9 3DWHOOD7UDFNLQJ2UWKRVLV...................................... 9 /XPEDU6DFUDO2UWKRVLV/62±5LJLG .............. 10 7KRUDFR/XPDEDU6DFUDO2UWKRVLV7/62 ........ 10 Posture Support.................................................. 10 Soft Collar ........................................................... 11 Philadelphia Collar.............................................. 11 Aspen Collar ...................................................... 11 0DOLEX&ROODU....................................................... 11 0LDPL-&ROODU ..................................................... 11 6WHUQR2FFLSLWDO0DQGLEXODU ,PPRELOLVHU620,............................................. 11 Non Invasive Halo (Pinless Halo) ....................... 11 Shoulder Clavicle Strap ..................................................... 12 1HRSUHQH6KRXOGHU2UWKRVLV .............................. 12 Shoulder Abduction Sling ................................... 12 Shoulder Abduction Brace .................................. 12 Humeral Fracture Brace ..................................... 12 Elbow 7HQQLV(OERZ6WUDS ............................................. 13 5DQJHRI0RWLRQ520(OERZ2UWKRVLV ............ 13 7XUQEXFNOH(OERZ2UWKRVLV ................................ 13 0D\R(OERZ2UWKRVLV......................................... 13 Wrist Flexion Control Wrist Brace ............................... 13 ([RIRUP:ULVW%UDFH.......................................... 13 7KHUPRSODVWLF:ULVW+DQG2UWKRVLV:+2....... 14 Thermoplastic Wrist Hand Thumb 2UWKRVLV:+72 ................................................ 14 &XVWRP/HDWKHU:ULVW%UDFH .............................. 14 5HVWLQJ:ULVW+DQG2UWKRVLV .............................. 14 Hand Thumboform ...................................................... 14 Thumb Spika ...................................................... 14 0DOOHW)LQJHU6SOLQW ............................................ 14 Compression Hip +LS$EGXFWLRQ2UWKRVLV ........................................ 9 Inguinal Hernia Truss ........................................... 9 Spinal Sacro Iliac Joint (SIJ) Belt .................................. 10 Abdominal Binder ............................................... 10 /XPEDU6DFUDO2UWKRVLV/626RIW9DULHWLHV .... 10 Jobst Compression Garments ........................... 15 Sports Guards Shin Guards ....................................................... 15 Forearm Guard .................................................. 15 &XVWRP)DFH0DVN............................................ 15 Sports Helmets .................................................. 15 Torso Protector ................................................... 15 FOOT Heel Spur Pads Description: Silicone, urethane, or polymer gel heel cups which offer shock absorption to the heel. Indications: Plantar fasciitis, Heel Spurs, Heel bruising, general heel pain. Internal Heel Raise Description: )LUP(9$VKRHLQVHUWZHGJHWRLQWHUQDOO\UDLVHKHLJKWDQGRU SODQWDUÀH[WKHDQNOH Indications:/HJOHQJWKGLVFUHSDQF\OHVVWKDQFP$FKLOOHV7HQGRQLWLV Carbon Fibre Foot Plates Description: &DUERQ)LEUHSODWHVZKLFK¿WLQWRIRRWZHDU$YDLODEOHLQYDULRXVVL]HV VWLIIQHVVDQGFRQWRXUV2IWHQXVHGLQFRQMXQFWLRQZLWKIRRWRUWKRVHVWRSURYLGHULJLGLW\ to the shoe and help reduce foot movement. Indications:$UWKULWLVRIWKH0LGIRRWRU073MRLQWVSRVWIRRWIUDFWXUHPDQDJHPHQW PHWDWDUVDOJLD0RUWRQ¶VQHXURPD Semi Custom Foot Orthoses Description: A prefabricated alternative to custom foot orthoses. They provide moderate arch support and good cushioning. Various additions such as metatarsal domes may be added where required. Indications: Arthritic feet, plantar fasciitis, diabetic protection, metatarsalgia, neuroma, shin splints, stress fractures. Custom Foot Orthoses Description: (9$VKRHLQVHUWVFXVWRPPDGHIURPLPSUHVVLRQVRIWKHSDWLHQWVIHHW following assessment including gait analysis. Custom foot orthoses are constructed IURPYDULRXVGHQVLWLHVRI(9$DQGRWKHUFXVKLRQLQJPDWHULDOVZKHUHUHTXLUHG Functionally they provide alignment correction, arch support, weight redistribution, and cushioning Indications: Conditions related to over pronation, pes planus and pes cavus alignment, arthritic feet, plantar fasciitis, diabetic protection, metatarsalgia, neuroma, shin splints, stress fractures. UCBL Description:7KH8&%/RUWKRVLVJDLQVLW¶VQDPHIURPWKH8QLYHUVLW\RI&DOLIRUQLD %HUNOH\/DERUDWRU\ZKHUHLWZDVGHYHORSHGDVDIXQFWLRQDOFRUUHFWLYHIRRWRUWKRVLV 7KH8&%/LVDFXVWRPPDGHGHYLFHFRQVWUXFWHGRISRO\SURS\OHQHWKDWSURYLGHVULJLG control of the foot and aims to hold a neutral calcaneal position. Indications: Correctable pes planus or hyper mobile overpronation particularly for children and lightweight individuals. 3 FOOT Footwear Description: &RPIRUWDEOHVXSSRUWLYHIRRWZHDULQZLGWKDQGGHSWK¿WWLQJV$YDLODEOH in various styles and colours. Indications: Appropriately accommodate a variety of orthopaedic conditions (eg DUWKULWLV'LDEHWLFIRRWSURWHFWLRQDQGDFFRPPRGDWLRQRIRUWKRWLFGHYLFHV )RRWZHDUPRGL¿FDWLRQV Description: 9DULRXVPRGL¿FDWLRQVPD\EHPDGHWRH[LVWLQJIRRWZHDUWRSURYLGH H[WHUQDOFRQWURORIIRRWDQNOHDQGOHJFRQGLWLRQV0RGL¿FDWLRQVLQFOXGHVKRHUDLVHV URFNHUVROHVVROHÀDUHVKHHOZHGJHV Indications:/HJOHQJWKGLVFUHSDQFLHVIXVHGDQNOHVYDUXVRUYDOJXVDQNOH deformity, arthritic foot and ankle conditions, metatarsalgia, stress fractures. Post Op Shoes Description: 2SHQWRHGVRIWXSSHUZLWKDGMXVWDEOH9HOFURFORVXUHWRDFFRPPRGDWH post op dressings or cast. Indications: post operative management of the foot and toes. Pressure Relieving Shoes Description: 2SHQWRHGVRIWXSSHUZLWKDGMXVWDEOH9HOFURFORVXUHV,QFRUSRUDWHV VRIWDGMXVWDEOHLQVROHWRUHGLVWULEXWHZHLJKWDQGXQORDGVSHFL¿FDUHDVRIWKHIRRW Indications:'LDEHWLFXOFHUVRIWKHIRRWSRVWRSHUDWLYHPDQDJHPHQW $1./( ANKLE Ankle Stabilising Orthosis (ASO) Description: /DFHXSDQNOHVXSSRUWZLWK¿JXUHVWDELOLVLQJVWUDSVWKDWSURYLGH inversion and eversion control. Worn within lace up foot wear. Indications: Sporting applications, lateral ligament injury, deltoid ligament injury, prophylactic use, early ankle osteo and rheumatoid arthritis, tibialis posterior dysfunction. Custom Leather Ankle Orthosis Description&XVWRPPDGHIXOO\OLQHGOHDWKHUEUDFHZLWKODFHXSRU9HOFUR IDVWHQLQJ0DGHRYHUDFXVWRPSODVWHULPSUHVVLRQ,QFUHDVHGOHYHORIVXSSRUW compared to standard lace up orthosis. Indications: Arthritic conditions, post ankle arthrodesis. 4 DEOH g H VHV GDWH V , ANKLE Air Cast Ankle Stirrup Brace Description: Rigid stirrup ankle orthosis with medial and lateral plastic shells with pneumatic padding and Velcro closures. Indications:0HGLRODWHUDOVXSSRUWDQGSURWHFWLRQIRUDFXWHSRVWLQMXU\DQGSRVW operative use. Leaf Spring Ankle Foot Orthosis (AFO) Description: Polypropylene thermoplastic brace which controls the ankle to prevent H[FHVVLYHSODQWDUÀH[LRQGXULQJWKHVZLQJSKDVHRIJDLWWRDOORZWRHFOHDUDQFHDQG provide stability. Indications:'URS)RRW Carbon Fibre Ankle Foot Orthosis (AFO) Description: &DUERQ¿EUHYHUVLRQRIOHDIVSULQJ$)2ZLWKDGGHGG\QDPLFUHVSRQVH cushioning heel strike and assisting toe off. Also more open design and less patient FRQWDFWWKDQFRQYHQWLRQDOOHDIVSULQJ$)2 Indications:'URS)RRW Solid Ankle - Ankle Foot Orthosis (AFO) Description: Custom made polypropylene thermoplastic brace which immobilises DQNOHSODQWDUDQGGRUVLÀH[LRQDQGSURYLGHVLQYHUVLRQDQGHYHUVLRQFRQWURO Indications: osteo and rheumatoid arthritis, alternative to ankle arthrodesis, control of spastic paralysis. Articulated Ankle Foot Orthosis (AFO) Description: Hinged polypropylene thermoplastic brace which allows ankle motion ZKLOHSURYLGLQJPHGLRODWHUDOVWDELOLW\3ODQWDUÀH[LRQVWRSVPD\EHXVHGWRDOORZ GRUVLÀH[LRQEXWSUHYHQWSODQWDUÀH[LRQ'RUVLÀH[LRQDVVLVWMRLQWVPD\EHXVHGWRDLG GRUVLÀH[LRQGXULQJVZLQJSKDVHRIJDLW Indications:'URSIRRWYDUXVRUYDOJXVDQNOHGHIRUPLWLHV Short Articulated Ankle Foot Orthosis (SAAFO) Description: Hinged polypropylene thermoplastic brace which is shorter than other $)2¶VPLGWLELDWKDWDOORZVDQNOHGRUVLDQGSODQWDUÀH[LRQZKLOHSURYLGLQJPHGLR lateral a support. Indications: Tibialis posterior dysfunction syndrome, subtalar joint arthritis, FRUUHFWDEOHLQYHUVLRQHYHUVLRQDQGSURQDWLRQVXSLQDWLRQGHIRUPLWLHV Ground Reaction Ankle Foot Orthosis (GRAFO) Description: 7KHUPRSODVWLFRUFDUERQ¿EUHODPLQDWHEUDFHZLWKKLJKDQWHULRUSUR[LPDOWULP OLQHVZKLFKLPPRELOLVHVWKHDQNOHDQGSURYLGHVFRQWUROWRNQHHÀH[LRQDQGH[WHQVLRQ Indications: Combination of ankle weakness instability such as drop foot and weak quadriceps causing knee instability (hyperextension and tendency to collapse into ÀH[LRQ3ROLRVSLQDOLQMXU\&9$QHXURORJLFDOFRQGLWLRQV 5 ANKLE Ankle Foot Orthosis (AFO) Caliper Description: Brace made with metal uprights and joints with leather cuffs and Velcro straps. Various designs of caliper provide support to the ankle by providing one or PRUHRIWKHIROORZLQJ0/VXSSRUWGRUVLÀH[LRQDVVLVWOLPLWDWLRQWRDQNOH520 Indications: Ankle arthritis, drop foot, spastic paralysis. Value Walker Description: A velfoam lined boot with rigid collateral structure, velcro closures and rocker sole. Used to immobilise the foot and ankle to treat injuries during conservative management or used post operatively. Is ideal where weight bearing will be permitted during the immobilisation. Being removable enables showering without the boot (where permitted) and easy monitoring of suture lines and dressings etc. Indications:/LJDPHQWLQMXULHVSRVWRSHUDWLYHLPPRELOLVDWLRQVWDEOHDQG¿[DWHGIRRW fractures, conservative treatment of chronic overuse injuries such as plantar fasciitis and achilles tendonitis. Aircast Foam Walker Description: A velfoam lined boot with circumferential rigid shell with Velcro closures, rocker sole and two malleolar pneumatic air cells. Used to immobilise the foot and ankle to treat injuries during conservative management or used SRVWRSHUDWLYHO\7KHPDOOHRODUDLUFHOOVSURYLGHLQFUHDVHGPHGLRODWHUDOVXSSRUW and protection to the ankle. The foam walker is ideal where weight bearing will be permitted at some stage during the immobilisation. Being removable enables showering without the boot (where permitted) and easy monitoring of suture lines and dressings etc. Indications: Ankle fractures, ligament injuries, post operative immobilisation, midfoot and metatarsal foot fractures, stress fractures, Achilles tendon ruptures, conservation treatment of chronic overuse injuries such as plantar fasciitis and achilles tendonitis. Aircast Short Pneumatic Walker Description: A short (mid tibia) velfoam lined boot with circumferential rigid shell with Velcro closures, rocker sole and two malleolar pneumatic air cells. Used to immobilise the foot to treat injuries during conservative management or used post RSHUDWLYHO\7KHPDOOHRODUDLUFHOOVSURYLGHLQFUHDVHGPHGLRODWHUDOVXSSRUWDQG stability to the hind foot. The short pneumatic walker is ideal where weight bearing will be permitted at some stage during the immobilisation. Being removable enables showering without the boot (where permitted) and easy monitoring of suture lines and dressings etc. Indications: conservative or post operative immobilisation, midfoot and metatarsal foot fractures, stress fractures, 6 ANKLE elcro or ve ed ere RW s and Aircast Pneumatic Walker / Diabetic Walker: Description: A velfoam lined boot with circumferential rigid shells with Velcro closures, rocker sole and four circumferential pneumatic air cells. Used to immobilise the foot and ankle to treat conditions and injuries during conservative management or used post operatively. The malleolar air cells provide increased compressive VXSSRUWDQGSURWHFWLRQWRWKHIRRWDQGDQNOH7KHSQHXPDWLFGLDEHWLFZDONHULVLGHDO where weight bearing will be permitted at some stage during the immobilisation. Being removable enables showering without the boot (where permitted) and easy PRQLWRULQJRIVXWXUHOLQHVXOFHUVDQGGUHVVLQJVHWF7KH'LDEHWLFZDONHUDQGWKH pneumatic walker are the same boot with the addition of a pressure gauge on the LQÀDWLRQSXPSDQGDGGLWLRQDOIRDPIRRWEHGVIRUWKHGLDEHWLFZDONHU Indications: Immobilisation of the diabetic foot as alternative to total contact casting, &KDUFRWMRLQWLPPRELOLVDWLRQGLVWDOWKLUGWLELDOIUDFWXUHVSRVW¿[DWLRQ Range of Motion (ROM) CAM Walker Description: $YHOIRDPOLQHGERRWZLWKULJLGFROODWHUDOVWUXFWXUH520DQNOHKLQJHV Velcro closures and rocker sole. Used to support the foot and ankle while allowing SUHVFULEHGPRYHPHQWRU¿[HGDQNOHSRVLWLRQWRWUHDWLQMXULHVGXULQJFRQVHUYDWLYH management or used post operatively. Is ideal where weight bearing will be permitted during the immobilisation. Being removable enables showering without the boot (where permitted) and easy monitoring of suture lines and dressings etc. Indications: Achilles tendon rupture, conservative or post operative use. s dfoot vation nitis. l st ng bles s sal Bed Resting Ankle Foot Orthosis (BRAFO) Description: A velfoam lined thermoplastic brace with Velcro closures. 7KH%5$)2KDVDUHOLHIXQGHUWKHSRVWHULRUDVSHFWRIWKHKHHOWRSUHYHQWKHHO pressure and generally holds the ankle in a neutral position (plantargrade). An DGMXVWDEOHDQJOH%5$)2LVDOVRDYDLODEOH Indications:5HOLHIRUSUHYHQWLRQRIKHHOXOFHUVSUHYHQWLRQRISODQWDUÀH[LRQ contractures. Pressure Reducing Ankle Foot Orthosis (PRAFO) Description: A velfoam lined, thermoplastic brace with Velcro closures and ZHLJKWEHDULQJVROH7KH35$)2KDVDUHOLHIXQGHUWKHSRVWHULRUDVSHFWRIWKH heel to prevent heel pressure and generally holds the ankle in a neutral position SODQWDUJUDGH&DQEHZRUQIRUERWKEHGUHVWDQGPRELOL]LQJ Indications: Relief or prevention of heel ulcers. Plantar Fasciitis Ankle Foot Orthosis (AFO) Description: $EHGUHVWLQJ$)2WRKROGWKHDQNOHLQDQHXWUDOSRVLWLRQRUXSWR GHJUHHVRIGRUVLÀH[LRQ+ROGVWKHSODQWDUIDVFLDLQDOHQJWKHQHGSRVLWLRQWRDOORZ healing and reduce “start up” pain of initial weight bearing. Similarly may be used to maintain lengthened position of Achilles. Indications: Plantar fasciitis, Achilles tendonopathy. 7 KNEE Knee Immobiliser Description: Reinforced velfoam brace incorporating rigid collateral and posterior VWD\VZLWK9HOFURFORVXUHVWRLPPRELOLVHWKHNQHH2WKHUSRVWHULRUVKHOOGHVLJQVDUH also available. Indications: Post operative or conservative treatment where immobilisation is required, e.g patella fracture, quadriceps rupture. Range of Motion (ROM) Knee Orthosis Description: Velfoam lined hinged knee brace with Velcro closures. The hinge can EHVHWWRDOORZDQ\520UDQJHRU¿[HGSRVLWLRQZKLFKFDQEHFKDQJHGDVUHTXLUHG 7KHORQJXSULJKWVSURYLGHOHYHUDJHIRURSWLPDOPHGLRODWHUDODQGURWDWLRQDOVXSSRUWWR the knee. Indications:3RVW2SHUDWLYHRUFRQVHUYDWLYHPDQDJHPHQWRINQHHLQMXULHVWKDW UHTXLUH0/VXSSRUWDQG520FRQWURO$&/UHFRQVWUXFWLRQFROODWHUDOOLJDPHQW repairs, tibial plateau fractures, osteotomy, Cartilage graft procedures. Hinged Knee Orthosis Description: Pull on or wrap around, neoprene hinged knee brace with collateral KLQJHVDQGXSULJKWV7KHEUDFHSURYLGHVPHGLRODWHUDOVXSSRUWZKLOHDOORZLQJIUHH 520 Indications:0&//&/LQMXULHVPRGHUDWH$&/VXSSRUW2VWHR$UWKULWLV Hinged Ligament Knee Orthosis Description: Pull on or wrap around, neoprene hinged knee brace with strong FROODWHUDO520KLQJHVDQGQRQHODVWLFVWUDSVZLWK9HOFURFORVXUHV7KHEUDFH SURYLGHV0/$3URWDWLRQDODQG520FRQWURO,QWHUFKDQJHDEOHÀH[LRQDQGH[WHQVLRQ stops for controlled range of motion. Indications:0&//&/LQMXULHVSRVW$&/UHFRQVWUXFWLRQ$&/GH¿FLHQF\VXSSRUW 2VWHR$UWKULWLV Knee Control Orthoses (KCO) Description: &DUERQ¿EUHRUDLUFUDIWDOXPLQLXPIUDPHGNQHHRUWKRVHVZLWKORZSUR¿OH knee hinges and padded Velcro fastening. This range of bracing provides the highest SRVVLEOHGHJUHHRIVXSSRUWWRWKHNQHHLQ0/$3URWDWLRQDODQG520FRQWURO Indications:$&/LQVWDELOLW\DQGSRVWUHFRQVWUXFWLRQ3&/LQVWDELOLW\DQGSRVW UHFRQVWUXFWLRQ+\SHUH[WHQVLRQJHQXUHFXUYDWXPFRQWURO 8 or DUH can UHG RUWWR al H QVLRQ UW UR¿OH hest KNEE Osteo Arthritis Knee Bracing Description: Various designs of knee orthoses which provide a three point pressure system, to apply a varus or valgus force, reducing pressure on the affected knee FRPSDUWPHQW'RXEOHDQGVLQJOHKLQJHGYHUVLRQVDUHDYDLODEOH%UDFHVDUHPDGH IURPFDUERQ¿EUHRUDLUFUDIWDOXPLQLXPZLWK9HOFURIDVWHQLQJ Indications: Unicompartmental knee osteo arthritis with varus or valgus deformity less than 15 degrees. Brace aims to reduce pain, support and slow the arthritic degeneration. Knee Ankle Foot Orthoses (KAFO) Description: 2UWKRVLVZKLFKFDQSURYLGHVXSSRUWDQGFRQWUROWRWKHNQHHDQNOH DQGIRRW.$)2VKHOOVDUHPDGHIURPKLJKWHPSHUDWXUHWKHUPRSODVWLFVFDUERQ¿EUH ODPLQDWHRUWUDGLWLRQDOPHWDODQGOHDWKHU.$)2MRLQWVDQGXSULJKWVDUHWLWDQLXP stainless steel or aluminium. The brace provides the longest possible lever to provide support for severe knee and ankle conditions. Indications:3UHVFULEHGIRUVHYHUHNQHHLQVWDELOLW\DQGFRPELQHGNQHHDQNOHRU NQHHDQNOHIRRWFRQGLWLRQVVXFKDV*HQXUHFXUYDWXPYDUXVRUYDOJXVNQHH instability, weakened quadriceps, severe knee and ankle joint degeneration, drop IRRWHTXLQRYDUXVYDOJXVGHIRUPLWLHV&RQGLWLRQVUHTXLULQJ.$)2¶VLQFOXGH3ROLR 3RVW3ROLR3RVW&9$%UDLQLQMXU\6SLQDO&RUG,QMXU\&HUHEUDO3DOV\06 Patella Tracking Orthosis Description: Soft lined, neoprene wrap around brace with horse shoe shaped buttress and Velcro fastening. Provides a medially directed force on the lateral border of the patella to help minimise lateral patella tracking. Indications: Support following lateral release surgery, lateral patella tracking FRQGLWLRQVVXSSRUWWRKHOSSUHYHQWSDWHOODVXEOX[DWLRQGLVORFDWLRQV HIP Hip Abduction Orthosis Description: Brace to help maintain abducted hip position. Foam lined thermoplastic WKLJKDQGSHOYLFVKHOOVZLWK520KLSMRLQWVWRDOORZFRQWUROOHGKLSÀH[LRQDQG extension and have adjustable hip abduction angle. Indications: Hip dislocations either post operatively or following closed reduction. Post gluteal muscle surgical repair. Inguinal Hernia Truss Description: &DQYDVSHOYLFEHOWZLWKKHUQLDUHGXFWLRQSDGVDGMXVWPHQWVWUDSVDQG press stud fasteners. Indications: Inguinal hernias either single or bilateral. 9 SPINAL Sacro Iliac Joint (SIJ) Belt Description: A non elastic webbing belt with Velcro fastening. Provides a FLUFXPIHUHQWLDOELQGLQJIRUFHWRVWDELOL]HWKHVDFURLOLDFMRLQWVDQGSXELFV\PSK\VLV Indications: Instabilities at the sacro iliac joints and pubic symphysis. Abdominal Binder Description: $QHODVWLFFLUFXPIHUHQWLDOZUDSZLWK9HOFURFORVXUHV'HVLJQHGWR LQFUHDVHLQWUDDEGRPLQDOSUHVVXUHWRVXSSRUWWKHDEGRPHQULEVDQGOXPEDUVSLQH Indications: Abdominal hernias, post abdominoplasty, rib fractures and intercostal injuries, mild spinal conditions. Lumbar-Sacral Orthosis (LSO) - Soft Varieties Description: 9DULRXVFRUVHWVW\OHEUDFHVZLWK(ODVWLFLVHGRUQRQHODVWLFIDEULF9HOFUR IDVWHQLQJDQGSDUDVSLQDOVWD\VRUVXSSRUWSDGV,QFUHDVHVLQWUDDEGRPLQDOSUHVVXUH to provide support and reduce intra discal pressure. Also provides motion control and postural support. Indications: Chronic lower back pain, post operative use, intervertebral disc conditions, degenerative conditions, prophylactic use. Lumbar-Sacral Orthosis (LSO) – Rigid Description: Foam lined thermoplastic spinal orthosis with Velcro fastening. Provides support and protection to lumbar spine. Indications: Post lumbar surgery, spinal fusions, stable lumbar fractures, severe degenerative conditions. Thoraco-Lumabar-Sacral Orthosis (TLSO) Description: Foam lined thermoplastic spinal orthosis with chest extension support and shoulder support straps, with Velcro fastening. Provides support and protection to thoracic and lumbar spine. ,QGLFDWLRQV3RVWRSHUDWLYHXVHIRUWKRUDFLFDQGKLJKOXPEDUVXUJHU\VSLQDOIXVLRQV stable thoracic fractures, severe degenerative conditions. Posture Support Description: (ODVWLFLVHGWKRUDFLFVSLQHDQGVKRXOGHUVXSSRUWZLWK9HOFURFORVXUHV which encourages shoulder retraction to improve thoracic and low cervical spine posture. Indications: Kyphotic posture and or protracted shoulder position. Thoracic spine pain. 10 VLV QH tal HOFUR VXUH l and SPINAL Soft Collar Description: Soft foam collar with Velcro closure. Serves as a reminder to restrict cervical spine motion. Indications:0LOGSRVWRSHUDWLYHVXSSRUWPLOGSRVWWUDXPDVXSSRUWVRIWWLVVXHDQG arthritic conditions of the cervical spine. Philadelphia Collar Description: $WZRSLHFH¿UPOLJKWZHLJKWIRDPFROODUZLWK9HOFURFORVXUH3URYLGHV ÀH[LRQH[WHQVLRQDQGURWDU\FRQWUROWRWKHFHUYLFDOVSLQH+DVWUDFKHRWRP\RSHQLQJ Indications:3RVWRSHUDWLYHVXSSRUWSRVWWUDXPDWLFLQMXU\VXSSRUW0D\EHXVHGDV showering collar. Aspen Collar Description: A two piece, velfoam lined, semi rigid collar with Velcro closure. $GMXVWDEOHIURQWKHLJKWIRURSWLPDOSDWLHQW¿W3URYLGHVÀH[LRQH[WHQVLRQDQGURWDU\ control to the cervical spine. Indications: Post operative support, post traumatic injury support. Malibu Collar Description: A two piece, foam lined, semi rigid collar with Velcro closure. Provides ÀH[LRQH[WHQVLRQDQGURWDU\FRQWUROWRWKHFHUYLFDOVSLQH Indications: Post operative support, post traumatic injury support. e port tion RQV Miami J Collar Description: A two piece, foam lined, plastic shelled collar with Velcro closure. 3URYLGHVÀH[LRQH[WHQVLRQDQGURWDU\FRQWUROWRWKHFHUYLFDOVSLQH Indications: Post operative support, post traumatic injury support. Sterno-Occipital-Mandibular Immobiliser (SOMI) Description: Foam lined, aluminium, frame style brace, consisting of sternal and shoulder section, occipital support and chin piece. Provides rigid support to prevent ÀH[LRQDQGH[WHQVLRQ Indications: Post traumatic cervical spine injury. Post operative support. HV pain. Non Invasive Halo (Pinless Halo) Description: 05,FRPSDWLEOHULJLGIUDPHGFHUYLFDOLPPRELOLVHUZLWKVLOLFRQHOLQHG IRUHKHDGDQGFKLQEDQGVZLWKULJLGWKRUDFLFVKHOO3URYLGHVRSWLPDOFRQWURORIÀH[LRQ extension and rotation. Indications: Post traumatic cervical spine injury. Post operative support. 11 SHOULDER & UPPER ARM Clavicle Strap Description: 3DGGHG¿JXUHHLJKWVWUDSZLWK9HOFURIDVWHQLQJWRUHWUDFWWKHVKRXOGHUV Indications: Clavicle fractures, may also be used as a posture support for kyphotic thoracic spine. Neoprene Shoulder Orthosis Description: Neoprene shoulder sleeve with strap under opposite axilla and Velcro fastening at anterior chest. Provides mild support and compression. Also available with added internal and external rotation control straps Indications: Shoulder instability, arthritic and soft tissue conditions. Shoulder Abduction Sling Description: Supportive sling with foam bolster to hold shoulder in abducted position approx 30 deg. Indications: Post surgery. Shoulder Abduction Brace Description: Foam lined, rigid shelled brace with adjustable shoulder joint to enable SRVLWLRQLQJEHWZHHQGHJDEGXFWLRQDVZHOODVDGMXVWDEOHÀH[LRQDQGH[WHQVLRQ For optimal shoulder positioning. Indications: Post surgery, post dislocation. Humeral Fracture Brace Description: %LYDOYHGSRO\HWK\OHQHRUWKRVLVZLWK9HOFURIDVWHQLQJDQGVKRXOGHU VWUDS'HVLJQHGWRLPPRELOLVHDQGSURWHFWWKHXSSHUDUPXVLQJ6DUPLHQWRWKHRU\RI containing soft tissue around a fracture to provide support. Indications:1RQGLVSODFHGPLGWKLUGKXPHUDOIUDFWXUHV'LVWDOWKLUGKXPHUDO fractures may require addition of elbow joint and forearm shell for stability. 12 GHUV otic cro ble sition able QVLRQ U \RI ELBOW Tennis Elbow Strap Description: Non elastic webbing strap with Velcro closure to prevent full expansion RIZULVWH[WHQVRUWHQGRQVRUÀH[RUWHQGRQV Indications: Tennis elbow, golfers elbow. Range of Motion (ROM) Elbow Orthosis Description: )RDPOLQHGWKHUPRSODVWLFVKHOOVZLWKDGMXVWDEOH520KLQJHDWWKH elbow. Indications: Non displaced fractures of the distal humerus or proximal radius and ulna. Post surgery. Turnbuckle Elbow Orthosis Description: &XVWRPHOERZRUWKRVLVIRDPOLQHGWKHUPRSODVWLFVKHOOVDQG520 KLQJH7XUQEXFNOHWRSURYLGHIRUFHWRH[WHQGRUÀH[WKHHOERZ Indications:&RQWUDFWXUHVSRVWLQMXU\SRVWMRLQWRUVRIWWLVVXHVXUJLFDOUHOHDVH Mayo Elbow Orthosis Description: Aluminium framed brace with padded upper arm and forearm cuffs, 520KLQJH$OORZVVHULDOSRVLWLRQLQJIRUFRQWUDFWXUHPDQDJHPHQWZLWKDGMXVWPHQW key. Indications:&RQWUDFWXUHVSRVWLQMXU\SRVWMRLQWRUVRIWWLVVXHVXUJLFDOUHOHDVH WRIST WRIST Flexion Control Wrist Brace Description: (ODVWLFLVHGZUDSDURXQGEUDFHZLWKSDOPHUVXSSRUWVWD\DQG9HOFUR IDVWHQLQJ5HVWULFWVZULVW520SDUWLFXODUO\ÀH[LRQDQGH[WHQVLRQZKLOHDOORZLQJ¿QJHU and thumb movement. Indications: Acute wrist injury, post operative support, carpal tunnel syndrome, arthritic conditions, radial nerve palsy. Exoform Wrist Brace Description: 3XOORQÀH[LEOHSDGGHGEUDFHZLWKSODVWLFSDOPHUDQGGRUVDO VXSSRUWDQG9HOFURIDVWHQLQJ5HVWULFWVZULVW520ZKLOHDOORZLQJ¿QJHUDQGWKXPE movement. Indications: Acute wrist injury, post operative support, scaphoid fractures, carpal tunnel syndrome, arthritic conditions, radial nerve palsy. 13 WRIST Thermoplastic Wrist Hand Orthosis (WHO) Description: 3RO\HWK\OHQHPROGHGSODVWLFZULVWIRUHDUPEUDFHIRULPPRELOLVDWLRQDQG SURWHFWLRQZKLOHDOORZLQJ¿QJHUDQGWKXPEPRYHPHQW9HOFURIDVWHQLQJ Indications: Stable fractures of the wrist and distal radius or ulna, post operative support, arthritic conditions. Thermoplastic Wrist Hand Thumb Orthosis (WHTO) Description: 3RO\HWK\OHQHPROGHGSODVWLFZULVWIRUHDUPEUDFHZLWKWKXPE support, for immobilisation and protection while allowing finger and thumb movement. Velcro fastening. Indications:6WDEOHIUDFWXUHVLQYROYLQJWKHEDVHRIWKXPE0&33,3RUVFDSKRLG post operative support, arthritic conditions. Custom Leather Wrist Brace Description: Custom made leather wrist brace with Velcro fastening, made from a cast of the patients wrist. It is designed for immobilisation and protection. Indications: Chronic wrist conditions, arthritic conditions. Resting Wrist Hand Orthosis 'HVFULSWLRQ)RDPOLQHGSODVWLFVSOLQWZLWK9HOFURIDVWHQLQJ ,QGLFDWLRQV5DGLDOQHUYHSDOV\FRQWUDFWXUHSUHYHQWLRQ HAND HAND Thumboform Description: Neoprene thumb wrap with low temperature, moldable, thermoplastic VXSSRUW3URYLGHVVXSSRUWWR&0&DQG0&3MRLQWV Indications: Arthritic conditions, tenosynovitis, acute injuries. Thumb Spika Description: 5LJLGWKHUPRSODVWLFWKXPEVXSSRUW3URYLGHVVXSSRUWWR&0&DQG0&3 joints. Indications: Fractures of metacarpal and proximal phalanx, hyperextension injuries. Mallet Finger Splint Description: Plastic splint that maintains extension of the distal interphalangeal joint RIWKH¿QJHU Indications:([WHQVRUWHQGRQDQGOXPEULFDODYXOVLRQV 14 COMPRESSION GARMENTS Jobs Compression Garments DQG e O) Description: Full range of quality Jobst compression garments including below NQHHDERYHNQHHDQGXSSHUOLPEZRPHQ¶VDQGPHQ¶VJDUPHQWVDQGWUDYHOVRFNV Indications:9DVFXODULQVXI¿FLHQF\YDULFRVHYHLQVRHGHPD'97SUHYHQWLRQ SPORTS GUARDS SPORTS GUARDS Shin Guards G ma Description: &XVWRPPDGHWKHUPRSODVWLFRUFDUERQ¿EUHVKHOOVZLWKQHRSUHQHOLQLQJ and Velcro fastening. Indications: Protection for sport. Forearm Guard Description: Custom made thermoplastic shell with neoprene lining and Velcro fastening. Indications: Protection for sport following healing of forearm fractures, post internal ¿[DWLRQ Custom Face Mask Description: Custom made Perspex face guard with Velcro fastening Indications: Protection for sport following nose fractures, orbital fractures. Sports Helmets stic Description: Various designs for general protection or customised for protection of VSHFL¿FLQMXULHV Indications: General protection, reduce likelihood of concussion, protection of fractures. Torso Protector 0&3 ries. Description: Custom foam lined, plastic protective shell, held in place with (ODVWLFLVHGELQGHU Indications:,PSDFWSURWHFWLRQRINLGQH\VVSLQHGH¿EULOODWRUSDFHPDNHUHWF joint 15 NOTES .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... .................................................................................................... 16 NOTES Prostek Orthotic Prosthetic Services, 2 William Street, Mile End South SA 5031 Ph (08) 8352 6511 Fax (08) 8352 6577 Email prostek@prostek.com.au Web www. prostek.com.au PROSTEK Orthotic Prosthetic Services