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General Orthotic Services
General Description of Orthoses: Orthoses are custom designed and/or fitted anatomical devices applied externally on the human body which are intended to provide support and/or control of disorders associated with neuromuscular and/or musculoskeletal dysfunctions.
Common Orthotic Disorders
The need for orthotic services can be related to a variety of musculoskeletal and/or neuromuscular disorders and/or dysfunctions of the body. Some of the most common diagnoses and disorders requiring orthotic services are identified below as follows:

Common Orthotic Diagnoses and Disorders: Cerebral Palsy; Spina Bifida; Muscular Dystrophy; Skeletal Fractures; Compression Fractures; Herniated Disc; Spinal Fusions; Spondylolisthesis; Spondylosis; Scoliosis; Spinal Fractures; Joint Dislocations; Joint Contractures; Joint Replacements; Leg Length Discrepancy; Muscle Loss; Muscle Dysfunction; Muscle Weakness; Sensory Loss; Congenital Deformity; Congenital Dysfunction; Peripheral Vascular Disease; Diabetes; Diabetic Neuropathy; Neuropathy; Cerebral Vascular Accident (Stroke); Quadriplegia; Hemiplegia; Paraplegia; Brachial Plexus Injury.


Upper/Limb Orthoses
Hand Orthosis (HO): Utilized for the treatment of disorders of the hand and/or fingers below the wrist joint.

Wrist/Hand Orthosis (WHO): Utilized for the treatment of disorders of the wrist, hand and/or fingers below the elbow joint.

Wrist Orthosis (WO): Utilized for the treatment of disorders only involving the wrist.

Elbow/Wrist/Hand Orthosis (EWHO): Utilized for the treatment of disorders of the elbow, wrist, hand and/or fingers below the shoulder joint.

Elbow Orthosis (EO): Utilized for the treatment of disorders only involving the elbow.

Shoulder/Elbow/Wrist/Hand Orthosis (SEWHO): Utilized for the treatment of disorders of the shoulder, elbow, wrist, hand and/or fingers.

Shoulder Orthosis (SO): Utilized for the treatment of disorders only involving the shoulder.
Lower/Limb Orthoses
Foot Orthosis (FO): Utilized for the treatment of disorders of the foot below the ankle joint.

Ankle/Foot Orthosis (AFO): Utilized for the treatment of disorders of the ankle and foot below the knee joint.

Ankle Orthosis (AO): Utilized for the treatment of disorders only involving the ankle.

Knee/Ankle/Foot Orthosis (KAFO): Utilized for the treatment of disorders of the knee, ankle and foot below the hip joint.

Knee Orthosis (KO): Utilized for the treatment of disorders only involving the knee.

Hip/Knee/Ankle/Foot Orthosis (HKAFO): Utilized for the treatment of disorders of the hip, knee, ankle and foot.

Hip Orthosis (HO): Utilized for the treatment of disorders only involving the hip.
Spinal Orthoses
Cervical Orthosis (CO): Utilized for the treatment of disorders only involving the cervical spine.

Cervical/Thoracic Orthosis (CTO): Utilized for the treatment of disorders involving the cervical and/or thoracic spine.

Cervical/Thoracic/Lumbosacral Orthosis (CTLSO): Utilized for the treatment of disorders involving the cervical, thoracic and/or lumbosacral spine.

Thoracic/Lumbosacral Orthosis (TLSO): Utilized for the treatment of disorders involving the thoracic and lumbosacral spine.

Lumbosacral Orthosis (LSO): Utilized for the treatment of disorders only involving the lumbosacral spine.

Sacral Orthosis (SO): Utilized for the treatment of disorders only involving the sacrum.
Specialized Orthotic Services
MRI Compatible Halo-Type Cervical Stabilization Orthosis: Utilized for emergency and/or post-surgical stabilization of cervical spine.

Postural Seating Orthosis: Utilized for stabilization of the upper body for seating purposes when marked paralysis and/or scoliosis is present.

Custom Assistive Mobility Orthosis: Utilized for assisting or achieving specialized mobility needs for ambulation or wheelchair use.
General Pedorthic Services
General Description of Pedorthics: Pedorthics are custom designed and/or fitted anatomical devices that are applied below the ankle specifically for the treatment of foot and ankle disorders associated with neuromuscular and/or musculoskeletal dysfunctions, including amputations.

Diabetic and/or Insensate Foot Orthoses: Utilized for the accommodation, support and protection of severe foot disorders related to diabetes and/or neuropathy.

Pressure Relief Insole Foot Orthoses: Utilized for the accommodation, support and relief of localized painful foot disorders and/or injuries.

Custom Molded Orthopedic Shoes: Utilized for the accommodation and support of severe foot disorders and deformities, as well as the accommodation of custom molded foot orthoses.

Extra-Depth Orthopedic Shoes: Utilized for the accommodation and support of complex foot disorders, as well as the accommodation of custom molded foot orthoses.
General Orthotic Design Characteristics
Custom Designed Orthoses: Orthoses which are custom made and designed from an anatomical positive model, specific anatomical measurements and/or contour drawings of the affected limb, torso or spine for the purpose of providing support and/or control of complex neuromuscular and/or musculoskeletal disorders.

Custom Fitted Orthoses: Orthoses which are pre-made in specific anatomical sizes and are modified and custom fitted to the affected limb or spine to control moderate or complex neuromuscular and/or musculoskeletal disorders.

Pre-Fabricated Orthoses: Orthoses which are pre-made in generic anatomical sizes and shapes ie.; small, medium and large, and are fitted to the affected limb or spine to control mild neuromuscular and/or musculoskeletal disorders or for the purpose of evaluating the need for a custom designed orthosis.
General Orthotic Structural Design Classifications
Molded Plastic Orthoses: Orthoses fabricated of either thermoplastic or thermoset resin plastics as the primary material in design of the device.

Molded Plastic & Metal Orthoses: Orthoses fabricated of either thermoplastic or thermoset resin plastics and metal joints as the primary materials in the design of the device.

Metal & Leather Orthoses: Orthoses fabricated of metal and leather as the primary materials in the design of the device.

Fabric or Neoprene Orthoses: Orthoses fabricated of cloth fabrics or neoprene as the primary materials in the design of the device.
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