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Winter Issue, December 2012
Vol. 184
Challenging Current Practices
and Beliefs in Using AFOs for
Pediatric Patients with
Cerebral Palsy
Page 5
Congenital Partial Hand
Absence:
What is the Impact of
Fitting with an Electric Multi
Articulating Digit Prosthesis?
President’s Message
Page 3
Page 18
Alternatives for
Partial Hand Management
Page 25
Seasons Greetings
Page 11
A Case for Supramalleolar
AFO’s in Person’s with
Cerebral Palsy
Page 12
2013 Annual Meeting Update
Page 31
Obituary
Page 16
Product and Industry
ews
Page 36
Advertisers Index
Page 38
Membership Corner
Page 35


KiddieGAIT offers a carbon composite framework for you to build an
orthosis to encourage functional heel-to-toe gait for children from 3
years of age.
KiddieGAIT BABY-sizes are three smaller sizes where the goal
is to support the foot in early stages and beyond to stimulate
and assist
the child to stand and toddle, providing the support
Allard
for correct functional posture and gait.
Pick up
actual size BabySmall
Can a functional orthotic
environment change the
deformity evolution?
s Early help in mobility may prevent deformity
s Increased weight bearing may help development
s Combine with inner-boot (SMO, UCB, SureStep™)
KiddieGAIT now available in 6 sizes from babysmall
that fits about 9 months of age up to large that
would be for about 9 years of age.
KiddieGAIT should always have a soft interface, like
SoftKIT or SoftSHELL.

ACPOC EWS
is published quarterly as
indicated below:

SPRIG — MARCH 15
SUMMER — JUE 15
FALL — SEPTEMBER 15
WITER — DECEMBER 15
Deadline for submissions are:
SPRIG — FEBRUARY 01
SUMMER —
MAY 01
FALL
—
AUGUST 01
WITER— OVEMBER 01

COPYRIGHT:
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


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
DISCLAIMER

ACPOCEWS DOES OT
SUPPORT, EDORSE OR
RECOMMED AY
SIGLE METHOD OR
PRODUCT, REMEDIAL
CETER, PROGRAM OR
PERSO, FOR CHILDRE
OR ADULTS WITH
DISABILITIES. IT DOES
HOWEVER EDEAVOR
TO IFORM I THE
BELIEF THAT YOU HAVE
THE RIGHT TO KOW.

PRESIDET’s’S MESSAGE

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
       

           



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       
      
         
        

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           

             
             
         





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
           


               


              

             

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

             


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

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
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
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

Association of Children’s
ProstheticOrthotic Clinics
6300 . River Road,
Suite 727,
Rosemont, Illinois 600184226
TEL (847) 6981637
FAX (847) 8230536
Email: acpoc@aaos.org
ACPOC BOARD
President


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VicePresident


SecretaryTreasurer


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Directors:








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

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

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Bylaws Chair

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ewsletter


Immediate Past President


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ACPOC Staff



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ACPOC
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

Mission




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Vision




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Objectives


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


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


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       
 

All correspondence with respect to the ewsletter, such as comments,
suggestions and contributions may be addressed to the Editor of
ACPOC EWS.
Eugene Banziger, CPO
Editor / Publisher, ACPOC EWS
ACPOC
6300 . River Road, Suite 727
Rosemont, IL 600184226
Email—ebanziger@shaw.ca or acpoc@aaos.org


Challenging Current Practices and Beliefs
in using AFOs for Pediatric Patients with
Cerebral Palsy
Curt A. Bertram, CO, FAAOP
Hanger Clinic
Children’s Hospital of Wisconsin
Milwaukee, WI
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Fillauer
EZ- Crawl Orthosis
Pediatric
Portfolio
When it comes to pediatric products, PEL Supply has been
your best independent resource for practitioner-preferred
children’s products for over 50 years. Like the products
featured here, some have been around for years and are
proven winners. And some are new products that expand
on the latest technologies or fill a specific market niche.
Either way, you can depend on PEL Supply – and our
“always-friendly” customer service reps – to provide the
O & P products to meet the needs of your youngest patients. Experience
the Power of One.®– One stop shopping for all your pediatric O & P needs.
Allard USA
KeepingPace
HAPAD
S.W.A.S.H.® Pediatric Hip
Orthosis
Toddler Shoe KPS11
Child Comf-Orthotic®
3/4 Length Insole
Trulife
Matrix™ MAX
Raw Mini
Pel Supply
WillowWood
ottobock
Pediatric Impulse® Foot
Children’s
Carbon
Footplate
Pick up
Hosmer
MightyMite® Shuttle Lock
Pedors
weEBor Shoe
RCAI
New Options
Becker Orthopedic
Pediatric
TA Boot
“Pedi” Knee
Mate
w/hinges
Maple Leaf™ Orthosis
Knit-Rite
SmartKnitKIDS®
Seamless
Sensitivity
Socks
PEL Supply Co.
Orthotic & Prosthetic Components
®
pelsupply.com
4666 Manufacturing Avenue
Cleveland, OH 44135-2638 USA
Ph 800-321-1264
Fx 800-222-6176
®
Experience the Power of One.
Pediatric Portfolio_E.indd 1
4/27/12 3:37:31 PM
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Figure 1. GRF creating HE and KE
Moments at terminal stance
Muscle Myths
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Figure 2. AFO tuned in a shoe with a SVA of
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10 degrees of inclination
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ORTHOTYKES™: Your First Source for Pediatric Orthopedic Products
SOCS® PAD SYSTEM for AFOs
Toe Riser Pads (5 sizes, left or right)
Hallux Relief Pads (5 sizes, left or right)
● Ankle Pad Set (3 sizes, medial and lateral)
● Heel Pad Set (2 sizes, medial and lateral)
● Metatarsal Pad Set (Set 0f 3, 1 each S,M,L)
SOCS® AFO SYSTEM
●
●
R J Industries
POPULAR SELF-STICK PADS
Pick up
FIT TO MEASUREMENT
No cast impression required
Only 4 measurements needed
(Arch, Calf ML, Ankle ML, Met ML)
● 44 sizes, 4 styles, ages 0-12
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These tapered pads save time and can be repositioned, eliminating the need to grind and glue pads.
ORDER BY THE DOZEN or as needed. Available in
white or multi-colored.
READILY AVAILABLE
●
SOCS® PAD KIT
114 pads (6 of ea. style S,M,L)
● SSK-01T with Toe Riser
● SSK-01H with Hallux Relief
●
RJ Industries, Inc. ● 1.800.560.3255 ● www.orthotykes.com
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Easily modified, stocked AFO
Plastic choices MPE, PP, CP
The first pediatric AFO System to provide the fit of a custom
orthosis and the simplicity of an off-the-shelf brace!
● Solid Ankle ● UCB ● Articulated
● Dorsi-Assist ● Foam Lined ● Soft Foam AFO
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Myth Busting
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References
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
Childrenʼs Powered
Prostheses
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
Childrenʼs Powered Prostheses

ChildrenʼsPowered
Powered Prostheses
Childrenʼs
Prostheses
VASI prosthetic products for children include; powered hands, wrists, elbows and
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hands Liberating
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325 Hopping
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Phone
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products such as batteries, chargers, electrodes
and Touch Pads™. As a stocking U.S.
distributor, LTI provides quick delivery, technical support and service for all VASI
prosthetic products.


Best wishes for the
Festive Season
and a
Happy ew Year
to all from the
ACPOC Executive
Board of Directors
and
Management Staff


A Case for Supramalleolar AFOs in
Persons with Cerebral Palsy
ancy Hylton
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





“Research in
biomechanics clearly points to the 2nd option. Immo
bilization, no matter how well intended, makes the
musculoskeletal system weak.”





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

















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





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









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



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 
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GREEK SERIES PEDIATRIC HANDS . . .
NEW!
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
Alpha, Beta, Gamma
TRS
Pick up
. . . exceeding the challenge.
Alpha
Beta
Gamma
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Ohio Willow Wood
Pick up
LimbLogic
Technology
Evolves!
Our revolutionary LimbLogic System provides the
ultimate in suspension and stability. It’s a complete
evolution of comfort and performance from a prosthesis.
Visit willowwoodco.com to learn more.
The Ohio Willow Wood Company
willowwoodco.com
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

























OBITUARY
Oct. 30, 1974 — Oct. 31, 2012
















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Congenital Partial Hand Absence:
What is the Impact of Fitting with an
Electric MultiArticulating Digit Prosthesis?
Diane J Atkins, OTR, FISPO
Clinical Assistant Professor
Department of Physical Medicine and Rehabilitation
Baylor College of Medicine
Houston, Texas
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Introduction:
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

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








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Methodology:















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







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

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
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P
a
t
t
a
s
w
U
(
a
a
d
r
a
d
b
b
f
h
“My braces help me keep my balance.”
U



IVAN’S PATIENT INSPIRED SOLUTION
Prior to Ultraflex bracing, Ivan wore solid AFOs
and then SMOs to address instability secondary
to diplegic spastic CP. Ivan’s therapist noted
that “The solid AFOs were too restrictive
and the SMOs alone never gave him enough
support.” Falls were frequent, especially when
walking on uneven surfaces. Now Ivan wears
Ultraflex Adjustable Dynamic Response™
(ADR™) AFOs with SMOs. ADR™ braces provide
a solid base of support without restricting

ankle motion (0–40º DF, 0–40º PF resistance
or 

dampening effects). Ivan’s physical therapist
reports, “With ADR™, Ivan can walk all the way
around the outside of the clinic without falling
due to the motion allowed with the ADR™
braces.” Ivan likes baseball and plays third
base. His mom has noticed that “Ivan does not
fall like before and his speed and endurance
have improved.”
For education for you and your team, please call:
800-220-6670
www.ultraflexsystems.com
Existing coding and coverage applies to all ADR™ technology.
Thank you to Andrew Sutphin, DPT, and Cindy Miles & Associates, Whitehall, PA for their clinical contributions.
A special thanks to Ivan and his family.
US and International Patents Issued and Pending.
©2012 Ultraflex Systems Inc.
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
 
 
 


 


 


 


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


 










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
Ability vs. Perception


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



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











Results:





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
 



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Conclusion:











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








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
Summary:

 
 




  



 


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
ALTERATIVES FOR PARTIAL HAD
MAAGEMET
Gerald Stark, MSEM, CPO/L, FAAOP
The Fillauer Companies, Inc.
Chattanooga, Tennessee
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EMAIL ADDRESS
ADDITIOS /
CHAGES
ew Addresses:
Diane Atkins, OTR
Baylor College of Medicine,
Houston, TX
ancy Hylton, PT
Child Treatment Center of Kent
Kent, WA
Address Changes
Anthony Scaduto, MD
Clinic Chief
Orthopedic Hospital
Los Angeles, CA
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



PLEASE OTE
To have access to correct
email address listings,
please check your listed
address so it may be
updated.
Email changes to
ebanziger@shaw.ca
This registry is updated
on a regular basis.
Should you like to have
your address listed or
updated, please email
me at:
ebanziger@shaw.ca
I wish to encourage you
to add your email ad
dress to this list, as this
is an efficient way to
stay in touch with each
other.
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Association of Children’s Prosthetic
Orthotic Clinics
SAVE THE DATE!
2013 Annual Meeting, April 1013
Grand Hyatt Atlanta in Buckhead, Atlanta, GA
Highlights of the Meeting
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Who Should Attend
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
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
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Come join us for intensive learning as well as some FU!
For more information, please visit the ACPOC website at www.acpoc.org 
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IDENTIFY
a tree climber
fast runner
soccer player
honor-role student
big brother
king-of-the-hill
still growing.
I AM COLLEGE PARK.
College Park
ew
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 
 
 
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

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


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




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
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
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



Do You Know?
Kenneth Guidera, MD,
has been appointed Medical
Director at the Tampa Shrine, so
will be leaving the Twin Cities
and return to Tampa, Florida.
Gerry Stark, CPO/L
has left the Fillauer Companies
and has taken on a position with
Otto Bock Health Care
in Minneapolis.

ACPOC Member’s
Corner
Have You Renewed Your 2013
Membership Dues?
The secure online dues payment system
makes membership renewal just a click
away.
To view your personal dues statement and re
new your membership online, please visit
www.acpoc.org and log on to the ACPOC
Members Only area by clicking on “Renew
your Membership Dues” or visit the page di
rectly at https://ebus.specacpoc.org/
default.aspx?
tabid=168&appl_code=MEMBERS. You will
need your unique username and password. For
the convenience of our members, we accept
online payment by credit card: MasterCard,
Visa, or American Express.
If you have questions about your dues, please
contact our office by emailing us at
acpoc@aaos.org or call (847) 6981637.
Did you forget your password? At the Login
Screen, click on “Forgot My Password” or ac
cess the page directly at https://
ebus.specacpoc.org/Default.aspx?tabid=217
and follow the prompts to request a new pass
word.
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Industry ews / ew Products
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October 1, 2012
Local company announces innovative
sports prosthesis
ew product is unique in the industry
       
     
       
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
        
       


       

     

         
         
          
         




      





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



Trulife Child’s Play
Matrix from PEL Supply







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







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



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





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Wee Walker Pediatric Boot
from PEL Supply






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














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



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




Advertiser Index
Allard USA
allardusa.com
Page 2
Becker
beckerorthopedic.com
Page 39
College Park
collegepark.com
Page 33
Fillauer
fillauer.com
Page 26/27
Liberating Technologies
liberatingtech.com
Page 10
Ohio Willow Wood
owwco.com
Page 15
PEL Supply
pelsupply.com
Page 6
RCAI
rcai.com
Page 40
R J Industries
orthotykes.com
Page 8
TRS
oandp.com/trs
Page 13
Ultraflex Systems
ultraflexsystems.com
Page 20/21




Becker
Pick up
Looking for more sizes and adjustability?
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Our products work for your patients.
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(800) 521-2192 (248) 588-7480
BeckerOrthopedic.com
®
Restorative Care of America
I N C O R P O R A T E D
RCAI Pediatric Line
To order, phone (727) 573-1595 or (800) 627-1595.
Fax toll-free: (800) 545-7938
To view the entire RCAI product line, visit us on the web at www.rcai.com.
29RHO
Pediatric Resting
Hand
96HD-BHAO
HD Pediatric Hip
The new HD Pediatric Hip
controls or prevents deformity
after soft tissue release and
other hip surgeries for children
with Cerebral Palsy. It provides a higher level of support
and stabilization of the pelvic
region due to greater coverage
of the mid spine.
• Offers a functional resting
hand position following
injury or surgery, burns,
provides support to unstable wrists, and can be
used for the prevention
and treatment of wrist
and finger contractures.
• Lightweight, durable
Kydex® plastic.
• Heat moldable at low
temperature.
• Washable, breathable,
wicking liner.
29RHO
• Available with closed
cell foam liner for burn
patients.
29RHO-I
RCAI
Pick up
445-WDO
Wrist Drop
Adjustable rotational control hinges
67RKPOP Pediatric Ratchet
POP® Knee Brace
Orthosis
• Holds the hand in
extension.
• Heat-moldable Kydex®.
• Universal Cuff,
accommodates eating
and writing utensils.
• Heat moldable Kydex® hip
girdle.
• Bilateral thigh cuffs.
• Flexion/extension ROM
control from 0 – 120º in
15º increments.
• Abduction/adduction
adjustments from 0 – 45º
in 5º increments.
96HD-BHAO
• Circumferential hip and thigh
adjustments.
• Vertical adjustability at hip and thigh.
• Adjustable rotational control hinges.
• Removable, replaceable, washable liner pads.
445-WDO
The Pediatric Ratchet POP Knee Brace is
designed for post surgical ROM limitations,
ligament repairs, instability and soft tissue
contractures.
• Flexion/extension ROM control in 7 1/2º
increments.
• Ratchet type mechanism that allows
incremental, locked positioning.
• With the flip of a lever, the angle of the limb
can be extended in 10º increments from
60 – 0º without the use of settings or tools.
• Hinges may be ordered separately by the
pair for custom bracing.
• Anti-microbial liner.
67RKPOP-P
• Removable, washable,
foam liner.
30CHK (Kydex®)
Pediatric
Contour Hand
• For the moderate to
severely contracted
hand and wrist.
11DFMP Dorsi-Flexion Multi Podus®
• For adjustable static stretch
of the plantar flexors, treating
neuromuscular conditions.
• Heat-moldable Kydex®.
• Positionable to meet
progressive patient
needs.
• Medial/lateral straps attached
to the sides of the brace allow
the foot and ankle to be
controlled, as needed, in the
desired dorsi-flexed position
prescribed.
• Washable, breathable,
wicking liner.
30CHK
11DFMP