Orthotics
Orthotics
Orthotics
BSPT(LNH)
At the end of the course the student should be
able to:
Define Basic Terminology
Explain Historical Background
Describe Nomenclature of Orthotics
Describe Biomechanical Principles
Define Materials Used in Orthotics Manufacturing
Discuss Methods of Construction.
Orthosis are derived from the Greek expression
“making straight”
Orthosis is an orthopedic appliance or apparatus to
support, align, prevent, correct deformities or to
improve function of movable part of body
Brace: synonymous with orthosis
is a device that corrects irregularities.
Splint: temporary orthosis
2750 to 2625 BC deficet men wearing orthoses.
Various braces and splints used for the treatment
of fracture, dislocation.
In 1575 Ambrois pare, The father of “ Modern
surgery” made a steel orthosis for the correction of
scoliosis and an ankle-foot orthosis for club foot.
Hieronymus fabricius of hilden: In 1607 described
orthosis to reduce contracture after burn
Nicholas andray: 1740 wrote about
correction and prevention of deformity in
children, Including trunk orthosis.
Hugh Owen Thomas: In 1875 design lower
limbs orthosis for weight bearing.
Temporarily orthosis: Used for certain time
after injury or operation.
Permanent orthosis: Used for ever when
there is muscle weakness, paralysis or
deformity cannot be corrected.
STATIC ORTHOSIS DYNAMIC ORTHOSIS
Restrict all motion May allow active joint motion one
direction. Bt block in another
Immobilize or support direction
Help prevent deformity
Prevent soft-tissue Assist weak muscle
contracture maximize function and strength
Prevents deformity
Corrects deformity
Maintains correction
Corrects instability
Relives Pain
Prevent contracture
Facilitates ambulation
Types of orthosis
Trunk
Upper limb orthosis Lower limb orthosis
orthosis
On The Basis Of
Name of the person who designed them
Joint they cover
The place of origin
Function they provide
Condition they treat
By appearance
FO = foot orthosis
AFO = ankle-foot orthosis
KAFO = knee-ankle-foot orthosis
HKAFO = hip-knee-ankle-foot orthosis
THKAFO = trunk-hip-knee-ankle-foot orthosis
LSO = lumbosacral orthosis
TLSO = thoracolumbosacral orthosis
WHO = wrist hand orthosis
Therapeutic Benefits
• Resist motion
• Assist motion
• Transfer force
• Protect body parts
Comfort
• Maximizing area
• Snug fit
• Leverage
Three Point pressure
system
Titinium
Leather
Rubber
Wood
Orthosis are made in various ways
Many are mass produced
Custom made orthosis:
CAD-CAM: newest mode of fabrication
The body part is exposed to electronic sensor such as a
laser scanner which create a detail pattern of segment