Conditions
The orthotic and neuromobility approach in neurological and orthopedic conditions.
A condition-based approach to orthotic care
An orthosis is an externally applied medical device used to support, align or guide the movement of a part of the body, or to limit a specific movement. In many neurological and orthopedic conditions, it may be considered as part of the treatment plan to support a person's posture, gait and daily activities.
The need for an orthosis differs from one condition to another. The degree of findings such as muscle weakness, loss of balance, impaired joint alignment or spasticity determines which area will be supported, to what extent and with which type of orthosis. For this reason, the application is planned individually according to the person's clinical picture.
The information below has been prepared to explain the general purposes for which an orthosis is considered in some commonly encountered conditions. The content is for informational purposes only; diagnosis, treatment decisions and the choice of a suitable orthosis are made only in line with a specialist physician's assessment and prescription.
The role of orthoses in cerebral palsy
Cerebral palsy is a neurological condition that affects movement and posture and may cause changes in muscle tone, balance and coordination. Orthotic applications are considered a complementary part of the treatment and rehabilitation plan.
- Supporting the foot and ankle in a suitable position may help create a more stable base while standing and walking.
- Maintaining joint alignment may play a role in reducing secondary strain that can develop over the long term.
- The application is managed together with physiotherapy; goals are set according to the person's age, developmental level and daily activities.
A supportive approach in knee osteoarthritis
Knee osteoarthritis is an orthopedic condition in which the joint cartilage wears down over time, which can lead to pain and restricted movement. Knee orthoses may be considered as part of the treatment plan to support the joint.
- Some knee orthoses are designed to support comfort by redistributing the load on the joint.
- Supporting the alignment and stability of the knee may contribute to a sense of confidence during daily activities.
- The orthosis is chosen by taking into account the location of the pain, the activity level and the physician's assessment.
The need for an orthosis after a stroke
After a stroke, weakness in the arm and leg, changes in muscle tone and difficulty walking may occur. Orthotic applications may be considered to support movement and safety during the rehabilitation process.
- Ankle-foot orthoses may help keep the foot in a suitable position while walking and help the person take steps more safely.
- Upper limb orthoses may help support the joint in a suitable position.
- The orthosis is reassessed in line with physiotherapy goals and according to needs that change over time.
Orthoses in acquired brain injury
Movement disorders that arise after an acquired brain injury vary greatly from person to person. The orthosis is planned individually to support the person's posture, balance and movement.
- Different types of orthoses may be considered depending on changes in muscle tone and the joint's range of motion.
- The aim is to support function and safety in daily activities; the application is carried out together with the rehabilitation team.
- Since needs may change over time, regular check-ups are recommended.
Support in hereditary spastic paraparesis and transverse myelitis
In these neurological conditions, spasticity, weakness and difficulty walking may occur in the lower limb. Orthotic applications may be considered as part of the treatment plan to support standing and walking.
- Leg braces and ankle-foot orthoses may be considered to support step safety and balance.
- The degree of spasticity is one of the factors that determine the type of orthosis and the level of support.
- The application is planned through teamwork involving the physician, the physiotherapist and the orthotics and prosthetics technician.
Application process
Physician's prescription / report
The process starts with a prescription or medical report issued by a specialist physician. No application is made without a prescription or report.
Assessment and measurement
The person's condition is assessed; measurements are taken for custom-made production and a service plan is prepared.
Production and fitting
The custom-made prosthesis or orthosis is produced; fit and alignment are adjusted during the fitting stage.
Application and user training
The device is applied; use, cleaning and care are explained.
Follow-up
Follow-up is provided for check-ups, maintenance and repair after the application.
Related informational content
Cerebral Palsy and Orthotic Applications: General Information
Read
Knee Osteoarthritis and Orthotic Support
ReadSupporting Mobility After Stroke and Orthotic Fittings
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Brain Injury and the Role of Orthoses in Rehabilitation
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Hereditary Spastic Paraplegia (HSP) and Orthotic Support
ReadApplications are carried out in line with a specialist physician's prescription or medical report, at our licensed center addresses. This content is for information only; please consult your physician for diagnosis and treatment.