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Aids and Appliances for cp

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ASSISTIVE DEVICES Dhruv Mehta
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Page 1: Aids and Appliances for cp

ASSISTIVE DEVICES

Dhruv Mehta

Page 2: Aids and Appliances for cp

AIDS AND APPLIANCES

FOR ENHANCING POSTURAL CONTROL

FOR FACILITATING FUNCTION

FOR MAINTAINING OPTIMAL ALIGNEMENT

FOR PROVIDING SYMMETRY

FOR RELIEVING PAIN/SPASMS

TO CONTROL DEFORMITY,PREVENT CONTRACTURES,FOR PROTECTION.

Page 3: Aids and Appliances for cp

AIDS /APPLIANCES

HELMET

PROTECTION

CHILDREN WITH ATAXIA

DYSKINESIAS

MIXED CEREBRAL PALSY.

Page 4: Aids and Appliances for cp

AIDS /APPLIANCES

COLLAR

FOR GOOD HEAD CONTROL

FOR BETTER ALIGNEMENT SITTING/STANDING

FACILITATE LEARNING,USE OF HANDS

SOFT/HARD/IN TWO PIECES WITH CHIN SUPPORT.

Page 5: Aids and Appliances for cp

AIDS/APPLIANCES

SPINAL JACKET

FOR KYPHOSIS IN CHILDREN WITH HYPOTONIA

SCOLIOSIS

FOR TOTAL BODY INVOLVED CHILDREN

BOSTON BRACE OR PLASTER/LEATHER JACKET.

Page 6: Aids and Appliances for cp

AIDS/APPLIANCES

HIPABDUCTION ORTHOSIS

SWASH BRACE

TO PREVENT WIND-SWEEPING.PROVIDE SYMMETRY,PREVENT SCISSORING

Page 7: Aids and Appliances for cp

AIDS/APPLIANCES

T-ROLLS

TO GIVE PELVIS SYMMETRY,PREVENT WIND SWEEPING OF HIPS

TRIANGULAR ABDUCTUR PILLOWS

TO PREVENT SCISSORING,KEEP LIMBS IN ABDUCTION

Page 8: Aids and Appliances for cp

AIDS/APPLIANCES

KAFO WITH ABDUCTUR BAR ADJUSTIBLE

TO GENTLY STRETCH ADDUCTORS

KAFO WITH DEROTATION BAR

TO CONTROL INTERNAL/EXTERNAL ROTATION.

Page 9: Aids and Appliances for cp

AIDS/APPLIANCES

HKAFO

RARELY GIVEN

WITH PELVIC BAND,HIP/KNEE JOINTS/PLANTAR FLEXION STOP.

METAL/PLASTIC

CAN HAVE A FREE KNEE JOINT IF KNEE CONTROL GOOD.

Page 10: Aids and Appliances for cp

AIDS/APPLIANCES

KAFO

WITH WITHOUT JOINT

CAN ALSO BE A FRE KNEE JOINT

WITH 5/10 FLEXION TO PREVENT RECURVATUM.

PUSH KNEE SPLINTS/KNEE CAGES TO KEEP KNEE EXTENDED

ALSO KNEE GAITERS

Page 11: Aids and Appliances for cp

AIDS/APPLIANCES

FLOOR REACTION ORTHOSIS/GROUND REACTION ORTHOSISTO GIVE THRUST TO KNEE FOR EXTENSION IN STANCEALIGNE GROUND REACTION FORCE.PREVENT HAND TO KNEE GAIT IN POLIOMYELITIS

Page 12: Aids and Appliances for cp

AIDS/APPLIANCES

ANKLE FOOT ORTHOSISSTATIC/DYNAMICTHAT IS WITHOUT HINGE AND WITH HINGEIF HIP/KNEE CONTROL GOOD AND SOME TA.EHL/EDL ACTIVITY THEN HINGED,IF POOR CONTROL THOUGH PASSIVE RANGE PRESENT STATIC AFO.

Page 13: Aids and Appliances for cp

AIDS/APPLIANCES

SUPRAMALLEOLAR AFO’S/SHOE INSERTS OR INFRAMALLEOLAR AFO’S

IF ONLY VARUS VALGUS INSTABILITY

EQUINUS NOT A MAJOR PROBLEM.

Page 14: Aids and Appliances for cp

AIDS/APPLIANCES

METAL BELOW KNEE CALIPERS WITH/WITHOUT T-STRAPS

SPLINT FOR HALLUX VALGUS

BOOTS WITH VALGUS PADS

RAISE MEDIALLY/LATERALLY/METATARSAL PADS.

Page 15: Aids and Appliances for cp

AIDS/APPLIANCES

ARM GAITERS

TO KEEP ELBOW EXTENDED

ABOVE ELBOW SPLINT IN SUPINATION

LONG/SHORT COCK-UP SPLINT

OPPONENS SPLINT

Page 16: Aids and Appliances for cp

AIDS/APPLIANCES

ANTERIOR WALKER WITH/WITHOUT WHEELS

POSTERIOR WALKER WITH /WITHOUT WHEELS

PRONE TROLLEYS

SCOOTER BOARDS

WHEEL-CHAIRS MANUAL/POWERED

Page 17: Aids and Appliances for cp

AIDS /APPLIANCES

KNEE PADS/ELBOW PADS TO PREVENT BURSITISPRESSURE SOREFOR THOSE CHILDREN WHO CREEP/CRAWL.

TWISTERS TO CONTROL EXCESSIVE INTERNAL/EXTERNAL ROTATION.

Page 18: Aids and Appliances for cp

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