Orthotics

This boy is being fit with a leg brace to improve his ability to walk.

Welcome to the orthotics part of our department. If you are visiting for the first time it is likely that your child needs a brace. A brace is an externally applied device used to modify the structural or functional characteristics of the neuro, muscular or skeletal system. Most braces are made of plastic and are designed to meet the needs of your child. Our licensed orthotic practitioners are here to provide you and your child with the best service possible. To make your visit as productive and enjoyable as possible we have provided you and your child with a list of things to consider bringing to the appointment. Some things may or may not apply to child so if you have questions please call our department.

Clinical evaluations

Orthotic alignment is another important part of the overall treatment.

Please have your child wear clothing or bring clothing that your child can change into that allows for full evaluation of the involved body part(s):

• Shorts are recommended for lower limbs evaluation.
• Short sleeve shirts or tank top for upper limb evaluation.
• Bathing suits for a spinal evaluation.

* If your child uses adaptive equipment (e.g. crutches, walker, or wheelchair) for mobility, please bring it with you for the evaluation.

Spinal evaluations require current x-rays. If your x-rays have been taken outside of the Children's Memorial Hospital network, then please bring these with you to the evaluation.

Things you and your child should know

• Typically evaluations last no more than 1 hour.
• Most procedures are non-invasive will little discomfort to your child.
• Your child needs to sit or lie still while being measured or casted.

Lower and upper limb orthotics

Lower limb orthotics (such as an ankle-foot brace, shoe inserts).
Upper limb orthotics (such as a wrist-hand brace).

Evaluation for these orthoses normally includes:

• A discussion of your child's needs/concerns, physician's orders, and physical or occupational therapists current treatment.
• Joint range-of-motion measurements.
• Manual muscle testing.
• Measurements and/or cast of limb(s).
• Mobility analysis.

Spinal orthotics

An evaluation for a spinal brace includes:

• A discussion of your child's needs/concerns, physician's orders, and physical or occupational therapist's recommendations.
• Examination of your child's spinal x-rays.
• A physical exam of your child's back and standing/lying posture.
• Measurements and/or taken impression (cast) of your child's torso.

When is the device ready? And what is involved?

• Typically your child's brace will be ready for pick-up within 3 weeks.
• Be sure to bring appropriate clothing/footwear/adaptive equipment as discussed with your clinician.
• Pick-up of the brace involves fitting your child with the device and making minor adjustments.

Follow-up

• Plan to have a follow-up visit(s) as indicated by your orthotist.