Kaki Palsu

Foto Kaki Palsu | Tangan Palsu | Jari Palsu | Alat bantu Orthopedi | CV. KUSPITO Prosthetic Orthotic

2011-08-08T09:45:00.000+07:00

CV. KUSPITO Prosthetic Orthotic bergerak dibidang:

Pembuatan Kaki Palsu, Tangan Palsu (Prosthesis)
Pembuatan Alat Bantu Orthopedi, pengkoreksi kecacatan dan disabilitas (Orthosis / Splint / Brace)
Pembuatan Alat bantu Mobilitas
Penjualan Komponen Prosthesis Orthosis
Layanan Terapi Wicara
Layanan Fisioterapi
Konsultasi masalah Orthopedi

Foto Gallery produk Kuspito jg bisa dilihat di www.foto.kuspito.com agar tidak ketinggalan informasi promo, silakan daftar dengan klik disamping http://www.kuspito.com/index.php/component/user/register KUSPITO Prosthetic Orthotic berlokasi di:

KUSPITO 1 – Main Office, Klinik OP, TW, Pemasaran – Jl.Raya Solo-KRA KM.10 Jaten KRA Solo
KUSPITO 2 – Workshop Custom P&O – Ngiri 04/07 Sapen Mojolaban Sukoharjo
KUSPITO 3 - Prefabricated Orthosis Factory – Cengklik 05/03 Jetis Karangpung Kalijambe Sragen
KUSPITO 4 - Klinik OP, FT – Jl.Pinang 2 03/15 no.13 Limo Cinere Depok
KUSPITO 5 – Pemasaran – Jl. Kav Madukismo no 10 Seturan Condong catur Sleman Yogyakarta

KUSPITO Prosthetic Orthotic memiliki staf sebanyak 30 orang yang terbagi dalam 5 tempat. Penanggung jawab adalah Bp. Rachmat Winarno Direktur adalah Nur Rachmat, BPO contact us:

IM3 085642045678
SIMPATI 082137774443
FLEXY 02717997888
FAX 0271821843
PIN BB 268AA9A0
Skype: infobiru
YM: op_nurrachmat@yahoo.co.id
Email: info@kuspito.com
Website: www.kuspito.com

Foto Kaki Palsu bawah lutut CV. KUSPITO Prosthetic Orthotic

2011-08-08T09:43:00.000+07:00

CV. KUSPITO Prosthetic Orthotic bergerak dibidang:

Pembuatan Kaki Palsu, Tangan Palsu (Prosthesis)
Pembuatan Alat Bantu Orthopedi, pengkoreksi kecacatan dan disabilitas (Orthosis / Splint / Brace)
Pembuatan Alat bantu Mobilitas
Penjualan Komponen Prosthesis Orthosis
Layanan Terapi Wicara
Layanan Fisioterapi
Konsultasi masalah Orthopedi

KUSPITO 1 – Main Office, Klinik OP, TW, Pemasaran – Jl.Raya Solo-KRA KM.10 Jaten KRA Solo
KUSPITO 2 – Workshop Custom P&O – Ngiri 04/07 Sapen Mojolaban Sukoharjo
KUSPITO 3 - Prefabricated Orthosis Factory – Cengklik 05/03 Jetis Karangpung Kalijambe Sragen
KUSPITO 4 - Klinik OP, FT – Jl.Pinang 2 03/15 no.13 Limo Cinere Depok
KUSPITO 5 – Pemasaran – Jl. Kav Madukismo no 10 Seturan Condong catur Sleman Yogyakarta

KUSPITO Prosthetic Orthotic memiliki staf sebanyak 30 orang yang terbagi dalam 5 tempat. Penanggung jawab adalah Bp. Rachmat Winarno Direktur adalah Nur Rachmat, BPO contact us:

IM3 085642045678
SIMPATI 082137774443
FLEXY 02717997888
FAX 0271821843
PIN BB 268AA9A0
Skype: infobiru
YM: op_nurrachmat@yahoo.co.id
Email: info@kuspito.com
Website: www.kuspito.com

Foto HKAFO - Produk CV. KUSPITO Prosthetic Orthotic

2011-08-08T09:40:00.000+07:00

CV. KUSPITO Prosthetic Orthotic bergerak dibidang:

Pembuatan Kaki Palsu, Tangan Palsu (Prosthesis)
Pembuatan Alat Bantu Orthopedi, pengkoreksi kecacatan dan disabilitas (Orthosis / Splint / Brace)
Pembuatan Alat bantu Mobilitas
Penjualan Komponen Prosthesis Orthosis
Layanan Terapi Wicara
Layanan Fisioterapi
Konsultasi masalah Orthopedi

KUSPITO 1 – Main Office, Klinik OP, TW, Pemasaran – Jl.Raya Solo-KRA KM.10 Jaten KRA Solo
KUSPITO 2 – Workshop Custom P&O – Ngiri 04/07 Sapen Mojolaban Sukoharjo
KUSPITO 3 - Prefabricated Orthosis Factory – Cengklik 05/03 Jetis Karangpung Kalijambe Sragen
KUSPITO 4 - Klinik OP, FT – Jl.Pinang 2 03/15 no.13 Limo Cinere Depok
KUSPITO 5 – Pemasaran – Jl. Kav Madukismo no 10 Seturan Condong catur Sleman Yogyakarta

KUSPITO Prosthetic Orthotic memiliki staf sebanyak 30 orang yang terbagi dalam 5 tempat. Penanggung jawab adalah Bp. Rachmat Winarno Direktur adalah Nur Rachmat, BPO contact us:

IM3 085642045678
SIMPATI 082137774443
FLEXY 02717997888
FAX 0271821843
PIN BB 268AA9A0
Skype: infobiru
YM: op_nurrachmat@yahoo.co.id
Email: info@kuspito.com
Website: www.kuspito.com

KAKI PALSU SYME untuk amputasi tepat sendi ankle

2011-08-08T09:17:00.000+07:00

CV. KUSPITO Prosthetic Orthotic bergerak dibidang:

Pembuatan Kaki Palsu, Tangan Palsu (Prosthesis)
Pembuatan Alat Bantu Orthopedi, pengkoreksi kecacatan dan disabilitas (Orthosis / Splint / Brace)
Pembuatan Alat bantu Mobilitas
Penjualan Komponen Prosthesis Orthosis
Layanan Terapi Wicara
Layanan Fisioterapi
Konsultasi masalah Orthopedi

KUSPITO 1 – Main Office, Klinik OP, TW, Pemasaran – Jl.Raya Solo-KRA KM.10 Jaten KRA Solo
KUSPITO 2 – Workshop Custom P&O – Ngiri 04/07 Sapen Mojolaban Sukoharjo
KUSPITO 3 - Prefabricated Orthosis Factory – Cengklik 05/03 Jetis Karangpung Kalijambe Sragen
KUSPITO 4 - Klinik OP, FT – Jl.Pinang 2 03/15 no.13 Limo Cinere Depok
KUSPITO 5 – Pemasaran – Jl. Kav Madukismo no 10 Seturan Condong catur Sleman Yogyakarta

KUSPITO Prosthetic Orthotic memiliki staf sebanyak 30 orang yang terbagi dalam 5 tempat. Penanggung jawab adalah Bp. Rachmat Winarno Direktur adalah Nur Rachmat, BPO contact us:

IM3 085642045678
SIMPATI 082137774443
FLEXY 02717997888
FAX 0271821843
PIN BB 268AA9A0
Skype: infobiru
YM: op_nurrachmat@yahoo.co.id
Email: info@kuspito.com
Website: www.kuspito.com

Foto Syme Prosthesis - Kaki Palsu Tepat Mata Kaki

2011-08-08T09:15:00.000+07:00

CV. KUSPITO Prosthetic Orthotic bergerak dibidang:

Pembuatan Kaki Palsu, Tangan Palsu (Prosthesis)
Pembuatan Alat Bantu Orthopedi, pengkoreksi kecacatan dan disabilitas (Orthosis / Splint / Brace)
Pembuatan Alat bantu Mobilitas
Penjualan Komponen Prosthesis Orthosis
Layanan Terapi Wicara
Layanan Fisioterapi
Konsultasi masalah Orthopedi

KUSPITO 1 – Main Office, Klinik OP, TW, Pemasaran – Jl.Raya Solo-KRA KM.10 Jaten KRA Solo
KUSPITO 2 – Workshop Custom P&O – Ngiri 04/07 Sapen Mojolaban Sukoharjo
KUSPITO 3 - Prefabricated Orthosis Factory – Cengklik 05/03 Jetis Karangpung Kalijambe Sragen
KUSPITO 4 - Klinik OP, FT – Jl.Pinang 2 03/15 no.13 Limo Cinere Depok
KUSPITO 5 – Pemasaran – Jl. Kav Madukismo no 10 Seturan Condong catur Sleman Yogyakarta

KUSPITO Prosthetic Orthotic memiliki staf sebanyak 30 orang yang terbagi dalam 5 tempat. Penanggung jawab adalah Bp. Rachmat Winarno Direktur adalah Nur Rachmat, BPO contact us:

IM3 085642045678
SIMPATI 082137774443
FLEXY 02717997888
FAX 0271821843
PIN BB 268AA9A0
Skype: infobiru
YM: op_nurrachmat@yahoo.co.id
Email: info@kuspito.com
Website: www.kuspito.com

Foto Kaki Palsu | Tangan Palsu | Jari Palsu | Alat bantu Orthopedi | CV. KUSPITO Prosthetic Orthotic

2011-08-08T09:12:00.000+07:00

CV. KUSPITO Prosthetic Orthotic bergerak dibidang:

Pembuatan Kaki Palsu, Tangan Palsu (Prosthesis)
Pembuatan Alat Bantu Orthopedi, pengkoreksi kecacatan dan disabilitas (Orthosis / Splint / Brace)
Pembuatan Alat bantu Mobilitas
Penjualan Komponen Prosthesis Orthosis
Layanan Terapi Wicara
Layanan Fisioterapi
Konsultasi masalah Orthopedi

KUSPITO 1 – Main Office, Klinik OP, TW, Pemasaran – Jl.Raya Solo-KRA KM.10 Jaten KRA Solo
KUSPITO 2 – Workshop Custom P&O – Ngiri 04/07 Sapen Mojolaban Sukoharjo
KUSPITO 3 - Prefabricated Orthosis Factory – Cengklik 05/03 Jetis Karangpung Kalijambe Sragen
KUSPITO 4 - Klinik OP, FT – Jl.Pinang 2 03/15 no.13 Limo Cinere Depok
KUSPITO 5 – Pemasaran – Jl. Kav Madukismo no 10 Seturan Condong catur Sleman Yogyakarta

KUSPITO Prosthetic Orthotic memiliki staf sebanyak 30 orang yang terbagi dalam 5 tempat. P
Direktur adalah Nur Rachmat, BPO contact us:

IM3 085642045678
SIMPATI 082137774443
FLEXY 02717997888
FAX 0271821843
PIN BB 268AA9A0
Skype: infobiru
YM: op_nurrachmat@yahoo.co.id
Email: info@kuspito.com
Website: www.kuspito.com

Foto Kaki Palsu | Tangan Palsu | Jari Palsu | Alat bantu Orthopedi | CV. KUSPITO Prosthetic Orthotic

2011-08-08T09:03:00.000+07:00

CV. KUSPITO Prosthetic Orthotic bergerak dibidang:

Pembuatan Kaki Palsu, Tangan Palsu (Prosthesis)
Pembuatan Alat Bantu Orthopedi, pengkoreksi kecacatan dan disabilitas (Orthosis / Splint / Brace)
Pembuatan Alat bantu Mobilitas
Penjualan Komponen Prosthesis Orthosis
Layanan Terapi Wicara
Layanan Fisioterapi
Konsultasi masalah Orthopedi

Foto Gallery produk Kuspito jg bisa dilihat di www.foto.kuspito.com

agar tidak ketinggalan informasi promo, silakan daftar dengan klik disamping http://www.kuspito.com/index.php/component/user/register
KUSPITO Prosthetic Orthotic berlokasi di:

KUSPITO 1 – Main Office, Klinik OP, TW, Pemasaran – Jl.Raya Solo-KRA KM.10 Jaten KRA Solo
KUSPITO 2 – Workshop Custom P&O – Ngiri 04/07 Sapen Mojolaban Sukoharjo
KUSPITO 3 - Prefabricated Orthosis Factory – Cengklik 05/03 Jetis Karangpung Kalijambe Sragen
KUSPITO 4 - Klinik OP, FT – Jl.Pinang 2 03/15 no.13 Limo Cinere Depok
KUSPITO 5 – Pemasaran – Jl. Kav Madukismo no 10 Seturan Condong catur Sleman Yogyakarta

KUSPITO Prosthetic Orthotic memiliki staf sebanyak 30 orang yang terbagi dalam 5 tempat.
Penanggung jawab adalah Bp. Rachmat Winarno
Direktur adalah Nur Rachmat, BPO
contact us:

IM3 085642045678
SIMPATI 082137774443
FLEXY 02717997888
FAX 0271821843
PIN BB 268AA9A0
Skype: infobiru
YM: op_nurrachmat@yahoo.co.id
Email: info@kuspito.com
Website: www.kuspito.com

PROMO KAKI PALSU - Promo Produk Kaki Palsu Tangan Palsu Jari Palsu dan Alat Bantu Orthopedi untuk bulan Romadhon - Agustus 2011

2011-08-08T08:58:00.000+07:00

pada bulan Ramadhan tahun ini, Kami memberikan promo berupa diskon sampai dengan 50% untuk produk kaki palsu tangan palsu dan alat bantu orthopedi.
CV. KUSPITO Prosthetic Orthotic bergerak dibidang:

Pembuatan Kaki Palsu, Tangan Palsu (Prosthesis)
Pembuatan Alat Bantu Orthopedi, pengkoreksi kecacatan dan disabilitas (Orthosis / Splint / Brace)
Pembuatan Alat bantu Mobilitas
Penjualan Komponen Prosthesis Orthosis
Layanan Terapi Wicara
Layanan Fisioterapi
Konsultasi masalah Orthopedi

Foto Gallery produk Kuspito jg bisa dilihat di www.foto.kuspito.com
Bulan Mei dan Juni 2011 memberikan harga promo untuk produk Kaki Palsu, Tangan Palsu dan Alat Bantu Orthopedi
daftar harga bisa didownload dalam bentuk Ms Word atau Pdf (dibuka dengan adbe reader)

agar tidak ketinggalan informasi promo, silakan daftar dengan klik disamping http://www.kuspito.com/index.php/component/user/register
KUSPITO Prosthetic Orthotic berlokasi di:

KUSPITO 1 – Main Office, Klinik OP, TW, Pemasaran – Jl.Raya Solo-KRA KM.10 Jaten KRA Solo
KUSPITO 2 – Workshop Custom P&O – Ngiri 04/07 Sapen Mojolaban Sukoharjo
KUSPITO 3 - Prefabricated Orthosis Factory – Cengklik 05/03 Jetis Karangpung Kalijambe Sragen
KUSPITO 4 - Klinik OP, FT – Jl.Pinang 2 03/15 no.13 Limo Cinere Depok
KUSPITO 5 – Pemasaran – Jl. Kav Madukismo no 10 Seturan Condong catur Sleman Yogyakarta

KUSPITO Prosthetic Orthotic memiliki staf sebanyak 30 orang yang terbagi dalam 5 tempat.
Penanggung jawab adalah Bp. Rachmat Winarno
Direktur adalah Nur Rachmat, BPO
contact us:

IM3 085642045678
SIMPATI 082137774443
FLEXY 02717997888
FAX 0271821843
PIN BB 268AA9A0
Skype: infobiru
YM: op_nurrachmat@yahoo.co.id
Email: info@kuspito.com
Website: www.kuspito.com

Foto Kaki Palsu | Tangan Palsu | Alat bantu Orthopedi | CV. KUSPITO Prosthetic Orthotic

2011-08-04T15:37:00.001+07:00

CV. KUSPITO Prosthetic Orthotic bergerak dibidang:

Pembuatan Kaki Palsu, Tangan Palsu (Prosthesis)
Pembuatan Alat Bantu Orthopedi, pengkoreksi kecacatan dan disabilitas (Orthosis / Splint / Brace)
Pembuatan Alat bantu Mobilitas
Penjualan Komponen Prosthesis Orthosis
Layanan Terapi Wicara
Layanan Fisioterapi
Konsultasi masalah Orthopedi

Foto Gallery produk Kuspito jg bisa dilihat di www.foto.kuspito.com

agar tidak ketinggalan informasi promo, silakan daftar dengan klik disamping http://www.kuspito.com/index.php/component/user/register
KUSPITO Prosthetic Orthotic berlokasi di:

KUSPITO 1 – Main Office, Klinik OP, TW, Pemasaran – Jl.Raya Solo-KRA KM.10 Jaten KRA Solo
KUSPITO 2 – Workshop Custom P&O – Ngiri 04/07 Sapen Mojolaban Sukoharjo
KUSPITO 3 - Prefabricated Orthosis Factory – Cengklik 05/03 Jetis Karangpung Kalijambe Sragen
KUSPITO 4 - Klinik OP, FT – Jl.Pinang 2 03/15 no.13 Limo Cinere Depok
KUSPITO 5 – Pemasaran – Jl. Kav Madukismo no 10 Seturan Condong catur Sleman Yogyakarta

KUSPITO Prosthetic Orthotic memiliki staf sebanyak 30 orang yang terbagi dalam 5 tempat.
Penanggung jawab adalah Bp. Rachmat Winarno
Direktur adalah Nur Rachmat, BPO
contact us:

IM3 085642045678
SIMPATI 082137774443
FLEXY 02717997888
FAX 0271821843
PIN BB 268AA9A0
Skype: infobiru
YM: op_nurrachmat@yahoo.co.id
Email: info@kuspito.com
Website: www.kuspito.com

Pengobatan Dukun Patah Tulang VS Dokter Bedah Ortopedi

2010-10-14T23:58:00.000+07:00

Kenapa harus ke dukun patah Tulang ? kalau ternyata biaya, waktu, dan risiko infeksi dan AMPUTASI menghadapi di muka. Ada 3 alasan orang pergi ke dukun patah tulang ; ekonomi katanya lebih murah, pegaruh lingkungan , takut operasi. Mari kita bahas disini .

Masalah ekonomi, kalau dihitung total biaya yg dikeluarkan ternyata biaya ke dukun dan ke dokter tulang tidak jauh beda, contoh kasus seorang manager yg bekerja di UNILEVER pada saat itu kalau dia tidak mengikuti kakaknya yg nganjurkan ke dukun mungkin dia saat ini masih bekerja , tdk keluar biaya sepeserpun utk berobat, dan tdk cacat .Dari hasil wawancara saya di dptkan keterangan , dia di rawat inap oleh dukun selama satu setengah bulan dgn biaya pondok seratus ribu per hari, ada biaya utk minyak urut krn tiap hari di urut.

Uang utk minyak 160.000 rph /minggu. Ada lagi biaya urut utk pegal2 badan 30.000/urut, dan si dukun juga memberi obat ramuan yg hrs diminum setiap minggu seharga 200.000 rp.setelah dirawat mondok penderita dibolehkan pulang , setelah itu ada kunjungan rmh 2 x seminggu dengan biaya sekali kunjungan 100.000 rph diluar obat dan minyak urutnya.

Si manager ini tlh mengalami pengobatan oleh dukun selama 8 bulan, jadi total biaya yg dikeluarkan 4,5 jt utk mondok + 1,4 jt utk obat +960.000 rph minyak urut+ 4 jt kunjungan rmh + 4 jt obat utk selama 5 bln = 14,860.000 rph. Jadi pada kasus ini tdk benar bila dikatakan berobat ke dukun patah lebih murah dari pada ke dokter tulang, sang manager di PHK karena di beri waktu 6 bulan tetap tdk bisa bekerja, dan kondisi tulang setelah di periksa oleh dokter dan di foto rontgen tetap tdk menyambung.

Dari kasus di atas kita belajar betapa mahalnya biaya dan risiko yg harus diterima sang manager . Kasus patah tulang yg datang ke dokter tdk selalu harus di operasi kadang2 hanya perlu pakai gips atau bahkan cuma pakai bandage saja tergantung jenis patahnya, usia penderita, ada luka atau tdk ada luka. Ada rumor yg salah menyatakan kalau ke dokter pasti di operasi. Metode pengobatan patah tulang tanpa operasi juga kita lakukan , malah Prof Sarmiento telah meneliti selama 17 thn.

Memang ada beda antara yg di operasi atau dengan cara tanpa operasi. Biaya pun tdk mahal. Tips bagaimana mendapatkan pelayanan yg murah sebenarnya tdk sulit, anda pertama hrs tahu bahwa rumah sakit seperti anda memilih hotel harga hotel bintang lima akan beda dgn harga hotel bintang 3, semua berpengaruh juga terhadap jasa dr , obat dan lainnya.

Masalah terakhir adalah TAKUT dioperasi, rumor di masyarakat kalau di operasi tulang pasti di potong atau kalau di bius nanti tdk bangun lagi itu tdk benar krn saat ini obat2 bius aman, dan malah ada tehnik pembiusan yg membuat orang tetap sadar saat operasi, malah saat ini berkembang tehnik2 operasi yg sayatan operasinya kecil yg kita sebut MIS (Minimally Invasif Surgery).

Dislocation & Subluxation

2009-04-21T23:03:00.001+07:00

Definition
Dislocation is Condition where bones that usually meet at a joint, have completely lost contact with each other at the joint surface and are displaced. The most often dislocated joint are the shoulder, patella-femoral and ankle. While Subluxation, is partial dislocation of one of the bones of a joint. According to nature cause subluxation may happen to any joint. It can be shoulder Subluxation, patellar Subluxation, vertebral Subluxation, atlantoaxial Subluxation, hip Subluxation, etc.

Causes
Many causes, such as: Congenital, Trauma, Chronic osteoarthritis,Occupational hazards, Muscular weakness,Incorrect weight lifting, Lack of rest, etc

Signs & Symptoms
Sudden pain in the joint, swelling of the joint, Deformity of the joint, the joint may not function or painful, Nerves and blood vessels that pass near the joint may be damaged.

Orthotic Treatment
The treatment will be depends on the location of Dislocation or Subluxation. The main principle is to realign the joint. Hip abduction orthoses and Hip stabilization orthoses are use to provides appropriate anatomical alignment to positions the head of the femur in the acetabulum allowing for the ligaments, bone, and surrounding musculature to heal.
For knee joint dislocation or subluxation, prescribe the Knee Orthosis, either free knee or lock knee, depend on severity of Subluxation. For Ankle dislocation or subluxation, Solid Ankle Foot Orthosis is used.
Shoulder Stabilizer aids in prevention of excessive extension and abduction of the shoulder. Elbow orthosis for the elbow joint dislocation or subluxation. Thumb Immobilizer Orthosis, For Spine, Soft Orthosis or hard orthosis can be options, depending on the level and severity, such as TLSO, CTLSO, Hard Collar, and Soft Collar.
Complications

If not treated, Upper Limb Joint dislocation or subluxation may lead to: Medial rotational contracture of shouler joint, Vaglus deformity of elbow, Swan neck deformity finger. While in lower limb: Shortening, Lengthening, Genu Recurvatum. It may also affect the spine, such as Kyphosis Scoliosis.
Orthotic Treatment post complication
If the complication happens, then, the treatment is not only on the dislocation or subluxation of joint, but also to treat the contracture and deformity which arises due to untreated problems.

Orthotic Treatment Management of Contracture

2009-04-21T23:01:00.001+07:00

Definition
A contracture is a shortening of a muscle or tendon in the human body in response to stress exerted on that muscle or tendon. Contractures can occur at any joint of the body.

Causes:
Muscle imbalance, Immobilization of joint, Trauma, injury, disease, Nerve injury, stroke, damage to muscle, tendon, or ligament, burn, etc.

Sign & Symptoms:
Significant loss of motion, Pain, the joint can’t be move in its full Range of Motion.

Complication:
If not treated complication may lead to deformity, such as Pes Equinus, Dupuytren's deformity, Scoliosis, etc. Leg length discrepancy may also occur.

Orthotic treatment:
Orthotic treatment of severe contracture is usually post-operative treatment, to maintain to surgically corrected contractures. In mild to moderate contracture, sometime surgical intervention is not necessary. Orthotic treatment can be prescribed side by side with physiotherapy treatment. In some cases, serial static orthosis, static motion block or dynamic motion block orthosis can be prescribe to reduce the contracture. It is better to use long lever arm in the application of orthosis, to achieve better pressure distribution.

The objective of orthotic intervention should be follow, those are:

• to reduce or correct contracture
• to provide stability
• To stop movement in the direction of contracture, but allow the movement opposite to contracture
The contracture patient may need serial type of orthosis according to location of contracture. For lower limb: AFO, KO, KAFO, HKAFO etc. For upper limb: EWHO, EO, Wrist resting hand orthosis, etc.

Orthotic Treatment Management of Lordosis

2009-04-21T22:59:00.001+07:00

Definition
Increased posterior concavity of the lumbar and cervical curves. giving a "swayback" appearance.

Causes
The cause of lordosis is unknown. However, lordosis may be associated with poor posture, a congenital (present at birth) problem with the vertebrae, neuromuscular problems, back surgery, or a hip problem.

Signs & Symptoms
Prominence of the buttocks. pain at lumbar region. When lying on the back on a hard surface, someone with a large degree of lordosis will have a space beneath the lower back and the surface

Orthotic Treatment
Treatment of Lordosis is depending on the age of patient, cause of lordosis, apical vertebrae and the magnitude of the lordotic Cobb’s angle. Types of Orthosis for lordosis treatment: Soft orthosis, Lumber corset, Boston over lap brace, TLSO can be prescribe
The Biomechanical principle of application of forces are used in the Orthosis, those are 3 Point pressures (in sagital plane)
• One corrective force toward the apical vertebra
• Two counter forces located proximal and distal to the corrective force, to stabilize the proximal and distal segment of the curve, so that the correction can be achieved.

Complications
Lumber spondylosis
Sciatica
Lower limb paralysis
Orthotic Treatment post complication
For the Lumbar spondylosis and sciatica, realignment of spine is to be achieve with spinal orthosis. For lower limb paralysis, Lower Limb orthosis is prescribe according to the severity of paralysis.

Orthotic Treatment Management of Kyphosis

2009-04-21T22:58:00.001+07:00

Definition
Increased anterior concavity of the normal thoracic curve. Or reduction of its normal lordotic curve in the lumbar spine
Causes
• Congenital (structural)
• Postural
• Spine Muscular abnormality
• metabolic problems, nutritional deficiencies
• secondary to osteogenesis imperfecta, spina bifida, Scheuermann's disease
Signs & Symptoms
• Difference in shoulder height
• The head bends forward compared to the rest of the body
• Difference in shoulder blade height or position
• When bending forward, the height of the upper back appears higher than normal
• Tight hamstrings (back thigh) muscles
Orthotic Treatment
Treatment of kyphosis is depending on the age of patient, cause of lordosis, apical vertebrae and the magnitude of the kyphosis Cobb’s angle. Types of Orthosis for kyphosis treatment:

• Milwaukee brace for apex above T9
• TLSO for apex below T9 and thoracic lumbar curves,
Orthosis is used for vertebral wedging greater than 5ºand curves between 45º-65º
The Biomechanical principle of application of forces are used in the Orthosis, those are 3 Point pressures (in sagital plane)
• One corrective force toward the apical vertebra
• Two counter forces located proximal and distal to the corrective force, to stabilize the proximal and distal segment of the curve, so that the correction can be achieved.
Complications
• Compression fractures due to osteoporosis
• Deformity become severe
• Affects in function and structural of internal organs
• Neurological deficit
Orthotic Treatment post complication
Orthotic treatment for untreated kyphosis is depending on the complication. The treatment should be in preference of correction of kyphosis, and then followed the treatment of complication.

Orthotic Treatment Management of Scoliosis

2009-04-21T22:55:00.001+07:00

Definition
an abnormal lateral curve to the vertebral column

Causes
Idiopathic
Secondary to shortening, cerebral palsy, spina bifida, etc

Signs & Symptoms
• Uneven musculature on one side of the spine
• A rib "hump" and/or a prominent shoulder blade, caused by rotation of the ribcage in thoracic scoliosis
• Uneven hip, rib cage, and shoulder levels
• Asymmetric size or location of breast in females
• Unequal distance between arms and body
• Slow nerve action (in some cases)

Complications
• Leg length Discrepancy
• Problem with respiration
• Kyphoscoliosis

Orthotic Treatment
Treatment of scoliosis is depending on the age of patient, type of the scoliosis, level of apical vertebrae and the magnitude of the Cobb’s angle. For the apical vertebrae below T8, TLSO can be used, but above that, high profile CTLSO is required for the correction.
Types of TLSO for Scoliosis treatment:
• Boston
• New York Orthopedic Hospital Orthosis
• Wilmington
• Miami
• Charleston, etc

Most common CTLSO, which proved success, is Milwaukee Orthosis.
The Biomechanical principle of application of forces are used in the Orthosis, those are 3 Point pressures:

One corrective force toward the apical vertebra
Two counter forces located proximal and distal to the corrective force, to stabilize the proximal and distal segment of the curve, so that the correction can be achieved.
For the scoliosis double curve (S shape), six point pressures are needed, but the force can be combine in the form of four point pressures.

Orthotic Treatment post complication
When Leg length Discrepancy is occur due to untreated scoliosis, treatment of scoliosis should be considered first, with the successful treatment of Scoliosis, the shortening will be diminished.
In fixed deformity equinus or knee Flexion contracture, the Orthotic treatment to reduce / correct the deformity should be considered.
If the KyphoScoliosis occurred, the application of pressures will be both in Sagital plane and frontal plane, each curve required 3 point pressures application.

Orthotic Treatment Management of Arthritis

2009-04-21T22:53:00.001+07:00

It is an inflammation or swelling of the joints. Osteoarthritis, Gouty and rheumatoid arthritis are most common arthritis.

Sign & Symptoms:
• Joint pain
• Joint swelling
• Joint stiffness
• Tenderness or pain when touching a joint
• Problems using or moving a joint normally
• Warmth and redness in a joint.

Causes:
• Joint instability
• Age-related changes
• Altered biochemistry
• Hormonal factors
• Genetic predisposition
• Environmental factors

Orthotic treatment:
The main objective of orthosis is to rest the inflamed joint, so that the inflammation reduced. The joint needs to be immobilized in proper position, so that the alignment of joint will not be disturbed due to arthritis. Variety of orthosis is prescribed according to location and severity of arthritis. For example: FO, AFO, KO, KAFO, SO- lumber corset, CO, TLSO, EWHO, WHO

Complications:

• Ankle valgus/varus
• Knee valgus/varus
• Lumber Spondylosis
• Scoliosis/ Kyphosis
• Cervical spondylosis
• Elbow joint contracture
• Hand contracture- boutonniere deformity
Orthotic Treatment post complication
In this step, main objective is to correct or reduce the contracture or deformity. The complication should be treating accordingly.

Orthotic Treatment Management of Monoplegia

2009-04-21T22:52:00.001+07:00

Definition
Paresis or paralysis affecting one limb only.

Causes:
• Cerebral palsy
• Injury to the brain

Sign & symptoms:
• Unable to walk properly-(if lower limb affected)
• Unable to perform any activity-(if upper limb affected)
Complications
• Pes equines
• Shortening
• Severe contracture
• Scoliosis
• Loss of function

Orthotic Treatment

For Lower limb
KAFO- If knee extensors/flexor affected
AFO-If quadricep weakness with genu recurvatum
Rigid AFO- If tibialis anterior and tricep surae weakness
In case of AFO- If muscle grading is 3- , Solid AFO
- If muscle grading is 3+, AFO with Ankle joint
In case of KAFO- If knee flexor is 3-, Knee extensor is 3+, KAFO with drop lock knee joint. If knee flexor is 3+, Knee extensor is 3-, KAFO with free lock
For upper Limb
Wrist hand orthosis
Elbow wrist hand orthosis

Orthotic Treatment Management of Tetraplegia / Quadriplegia

2009-04-21T22:49:00.001+07:00

Definition
Quadriplegia, also known as tetraplegia, is a symptom in which a human experiences paralysis affecting all four limbs, although not necessarily total paralysis or loss of function.

Causes
It is caused by damage to the brain or the spinal cord at a high level - in particular spinal cord injuries secondary to an injury to the cervical spine. Typical causes of this damage are trauma (such as car crash, gunshot wound, fall, or sports injury) or disease (such as transverse myelitis, polio, or spina bifida). Fractured or dislocated cervical vertebrae, ruptured disc or bony spur on the vertebra protrudes pressing the spinal cord

Signs & Symptoms
• Motor/ sensory function of limbs are lost
• Uncontrollable hand motions
• Difficulty in Speech, swollen
• Unable to maintain balance body posture
• Bowel & bladder problem

Complications

Elbow flexion contracture, Wrist flexion contracture, Leg length discrepancy, Pes Equinus, Knee flexion contracture, Hip flexion contracture, Scoliosis, Kyphosis
Orthotic Treatment
Type and design of orthosis should be considered according to muscle grading, ROM level of loss of function & stability of joint.
For Lower limb
HKAFO- Hip flexion/extension instability
Hip adduction/abduction weakness
Hip internal rotation/external rotation instability
KAFO- If knee extensors/flexor affected
AFO-If quadricep weakness with genu recurvatum
Rigid AFO- If tibialis anterior and tricep surae weakness
In case of AFO- If muscle grading is 3- , Solid AFO
- If muscle grading is 3+, AFO with Ankle joint
In case of KAFO- If knee flexor is 3-, Knee extensor is 3+, KAFO with drop lock knee joint. If knee flexor is 3+, Knee extensor is 3-, KAFO with free lock
HKAFO if Hip flexor or extensor weakness 3- or less.
For upper Limb
Wrist hand orthosis
Elbow wrist hand orthosis

Orthotic Treatment Management of Paraplegia

2009-04-21T22:47:00.000+07:00

Definition
Paraplegia is impairment in motor and/or sensory function of the lower extremities

Causes
The causes range from trauma (acute spinal cord injury: transaction or compression of the cord, usually by bone fragments from vertebral fractures) to tumors (chronic compression of the cord), myelitis transversa and multiple sclerosis.

Signs & Symptoms
• Difficulty walking (may trip and stumble frequently)
• Difficulty with balance
• Urinary frequency and urgency
• Muscle spasms

Complications
• Pressure sores, thrombosis, Pneumonia
• Deformities-
• Pes Equinus
• Knee flexion contracture
• Hip flexion contracture
• Scoliosis
• Lumbar lordosis

Orthotic Treatment

Type and design of orthosis should be considered according to muscle grading, ROM level of loss of function & stability of joint.
• HKAFO- If hip flexor/ extensor are weak
• KAFO- If knee extensors/extensor affected
• AFO-If quadricep weakness with genu recurvatum
• Rigid AFO- If tibialis anterior and tricep surae weakness
• In case of AFO- If muscle grading is 3- , Solid AFO
• If muscle grading is 3+, AFO with Ankle joint
• In case of KAFO- If knee flexor is 3-, Knee extensor is 3+, KAFO with drop lock knee joint
• If knee flexor is 3+, Knee extensor is 3-, KAFO with free lock
• For Spine: Spinal orthosis – TLSO

Orthotic Management of Hemiplegia

2009-04-21T22:17:00.001+07:00

Definition
Hemiplegia is a condition in which one-half of a patient's body is paralyzed

Causes
Stroke (Cerebro Vascular Accident)
Diabetes
Cerebral Palsy

Signs & Symptoms
Aphasia, ataxia, difficulty using arms to dress, visual impairments, the inability to control urination, decreased sensation, numbness, or tingling on affected side of the body, Slow, labored and uncoordinated limb movements. Residual muscle weakness, abnormal movement synergies, and spasticity result in altered gait patterns and contribute to poor balance, greater risk of falling and increased energy expenditure during walking, or single-limb balance and difficulty controlling forward progression.

Objectives of Orthotic Intervention
a. To correct and/or prevent deformity
b. To provide a base of support
c. To facilitate training in skills
d. To improve the efficiency of gait

Orthotic Treatment
When hemiplegia are present, ankle-foot function is disrupted and an Ankle Foot Orthoses (AFO) may be worn in an attempt to restore function. AFOs are used to improve toe clearance during swing and ankle position at initial contact. Leaf Spring AFO which are mainly Dorsi Flexion assist is often used. Plantar flexion-stop dynamic ankle-foot orthoses (DAFOs) can also be the option. in upper limb, spasticity is usually present, orthotic treatment mainly is to reduce the tone, and prevent contracture & deformity, Elbow Orthosis, Resting Hand Orthosis are the options

Complications

Equinus varus deformity, knee flexion contracture, Hip Flexion contracture, clenched hand position, elbow & wrist flexion contractures, Scoliosis

Orthotic Treatment post complication
When the deformity present, orthotic treatment is to reduce or correct the deformity. In equinus varus deformity, Solid AFO which maintains the correction of manipulation or surgery can be used. Knee Orthosis is used for Knee Flexion contracture, Elbow orthosis for Elbow Flexion contracture. For the Scoliosis has to be treating not with spinal orthosis, but by correction of the underlying cause in lower limb.

Orthotic Treatment Management of Poliomyelitis

2009-04-21T22:14:00.002+07:00

Definition
Acute infection by the polio virus, especially of the motor neurons in the spinal cord and brainstem, leading to muscle weakness, paralysis and sometimes deformity.

Causes
polio virus

Signs & Symptoms
Sub clinical Infection: General discomfort or uneasiness (malaise), Headache, Red throat, Slight fever, Sore throat, Vomiting
No paralytic Poliomyelitis: Back pain or backache, fatigue, Headache, Irritability, Muscle stiffness, Muscle tenderness and spasm in any area of the body, Neck pain and stiffness, etc
Paralytic Poliomyelitis: Irritability or poor temper control, Muscle contractions or muscle spasms in the calf, neck, or back, Muscle pain, Muscle weakness, asymmetrical (only on one side or worse on one side), Location depends on where the spinal cord is affected, Progresses to paralysis, Rapid onset, Sensitivity to touch; mild touch may be painful

Orthotic Treatment
The orthotic goal to halt increasing debility may be to stop the motion at a joint to compensate for failing compensatory motion in order to increase safety and stability, improve walking ability and perceived walking safety with less overall pain.

Objectives of orthotic intervention
1. correcting or accommodating and preventing deformity;
2. supporting the limb for stability;
3. decreasing the stresses placed on the joints;
4. decreasing the energy expenditure that is causing the muscles to become fatigued;
5. To normalize the gait pattern, since normal gait is the most energy-efficient and least stressful way to walk.

The orthotic management of polio patients may consist of the return to functional orthoses, often after many years of nonuse. Designs incorporating increased function and stability with decreased weight are desirable

Management of Ankle Foot Complex

The plantar surface of the foot should be carefully examined for weight bearing, the presence of metatarsalgia or hypercalosity indicate the needs for improvement of weight bearing. If the hip and knee are stable, painless and free from gross deformity, an AFO can be applied. When useful talocrural motion is present, the articulating AFO can be applied.
If there is weakness of pretibial muscles, posterior leaf spring AFO can be used. If the knee is relatively free from transverse plane deformity and recurvatum, but weakness of Calf muscle present, an Anterior Floor Reaction AFO design may suffice.

Management of Knee
Genu recurvatum is common, secondary to weak quadriceps, when there is present of other weakness or deformity at ankle, KAFO with knee Lock often used.

Management of Hip
When the weakness also present on Hip muscle, Ischial Weight Bearing KAFO often used, with Quadrilateral style Brim.

Complications
Contracture, and deformity may develop, such as, cavus, forefoot adductus, halus Valgus, equinus, pes Valgus, pes varus, genu recuravatum, genu valgum, genu varum, Lordosis, scoliosis, etc.

Orthotic Treatment post complication
With the present of contracture and deformity, the orthotic treatment is to reduce / correct the deformity, along with proving stability as well as enhance mobility, so that patient can perform the Activity daily living.

Prosthetic Orthotic Treatment Management of Leprocy

2009-04-21T22:12:00.000+07:00

Definition
A chronic granulomatous infection caused by Mycobacterium Leprae. Lesions are manifested in the skin, the mucous membranes, and the peripheral nerves

Causes
Mycobacterium Leprae

Signs & Symptoms
• one or more hypopigmented (lighter than normal skin color) skin lesions that have decreased sensation to touch, heat, or pain
• skin lesions that do not heal after several weeks to months
• numbness or absent sensation in the hands and arms, or feet and legs
• muscle weakness resulting in signs such as foot drop

Orthotic Treatment
The leprosy patient usually loss their sensory, so any appliance either orthosis or prosthesis should be made in such a way that there should not be any soft tissue damaged by appliances. Orthosis is prescribed according to loss of function and mobility. If the patient having drop foot, dorsi flexion assists AFO (Leaf spring AFO) can be prescribed. If patient having wrist drop, the Cock up Splint can be prescribed and any other assistive devices according to patient needs.

Complications

If untreated, there can be progressive and permanent damage to the skin, nerves, limbs and eyes. Patient May lose their hands or feet (Amputation) due to repeated injury resulting from lack of sensation
Treatment post complication
When patient lost their feet or finger, Prosthesis is prescribed according to level of limb loss. One should consider the absent of sensation in leprosy patient. Socket should not harm the stump, patient will not feel the pain and injury may happens

Prosthetic Orthotic Treatment management of Diabetic

2009-04-21T22:10:00.001+07:00

Definition
A disease in which the body cannot produce insulin or cannot use insulin to its full potential. It is characterized by high blood glucose levels.

Causes
• Heredity
• Autoimmune disease
• Drugs such as steroids, Dilantin, and others may elevate the blood sugar through a variety of mechanisms
• Certain syndromes (for example, Prader-Willi, Down's, Progeria, and Turner's) may result in a hyperglycemic state; if this state is prolonged, the result can be permanent diabetes.

Signs & Symptoms
• Flu-like symptoms
• Weight gain or loss
• Blurred vision
• Slow-healing sores or frequent infections
• Nerve damage (neuropathy)
• Red, swollen, tender gums

Orthotic Treatment
As soon as the active stage of the disease is recognized, the patient must be immediately and aggressively protected from excess weight bearing. More agile diabetics with unilateral involvement have done well with crutch-walking on the contralateral foot. As a general rule, forefoot lesions receive less body weight and hence require less protection, a rocker-soled shoe can be used.
Because many of patients already have trouble walking, we prefer not to lock the ankle against plantarflexion unless hindfoot problems exist. A spring dorsiflexion assist is sometimes useful to reduce footslap or aid toe clearance. The rocker sole is individualized since these feet are generally ulcer-free due to the weight bearing restrictions rocker is reduces forefoot pressures.

Complications
• Infections
• Gangrene
• Amputation

Treatment post complication
Due to untreated diabetes amputation usually happens. Depends on the level of amputation, Prosthesis has to be prescribed to patient. Extra care should be taken while giving socket. Material such as Derma seal, silicone can be an option for soft in-liner. Avoid any pressure on the bony sensitive area. Prevent any pain or wound, because healing is very slow in diabetes patient.

Orthotic Management of Multiple sclerosis

2009-04-21T22:08:00.001+07:00

Definition
It is an autoimmune condition in which the immune system attacks the central nervous system, leading to demyelination

Causes
Unknown, but likely occurs as a result of some combination of both environmental and genetic factors.

Signs & Symptoms
• Visual Symptoms: Blurred vision, eye pain, loss of colour vision, blindness, etc
• Motor Symptoms: Spasticity, Muscle weakness, wasting of muscles, Footdrop, etc
• Sensory Symptoms: Paraesthesia, Anaesthesia, etc
• Coordination and Balance Symptoms: Ataxia, Intention tremor, etc

Complications
• Contractures: knee flexion contractures, elbow flexion contractures, etc
• Deformity: equinus, etc

Orthotic Treatment
It depends in the location and severity of conditions. If Upper limb effected, Upper Limb Orthoses can be prescribed, for example when the wrist extensor weakness is present, Cock up splint can be used. If Lower limb effected, Lower Limb Orthosis can be prescribed. for example, dorsi flexion assist AFO (Leaf Spring AFO) can be prescribe when patient having Foot drop. But when it becomes equinus, Rigid AFO can be prescribed. So many orthoses can be prescribed according to the severity of condition, but main objectives of orthotic treatment should be followed.

Objective Orthotic Intervention
a. To provide stability for the limb
b. To providing safety and stability & comfort
c. To prevent or Reduces contractures
d. To prevent or correct deformity
e. Control of undesirable motions while permitting motion which occurs normally.

f. Protection of weak muscle.
g. Control of deviations associated with tonus abnormality.
h. Enhancement of experience for those patients who can experience upright posture with the support of biomechanical support devices.

Orthotic management of Spina bifida

2009-04-21T22:03:00.001+07:00

Definition
Spina bifida is a congenital neural tube defect affecting fetal development of the central nervous system. The three types of spina bifida include spina bifida occulta, meningocele, and myelomeningocele.

Causes
The cause of spina bifida is unknown, but it's thought to result from a combination of genetic and environmental factors.

Signs & Symptoms
• In spina bifida occulta, spinal cord does not protrude through the skin, although a patch of hair, a birthmark, or a dimple may be present on the skin over the lower spine.
• In meningocele, a fluid-filled sac visible on the back. The sac is often covered by a thin layer of skin and can be as small as a grape or as large as a grapefruit.
• In myelomeningocele also have a sac-like mass that bulges from the back, but a layer of skin may not always cover it. In some cases, the nerves of the spinal cord may be exposed.

Complications
• In myeomeningocele, usually present paralysis of hip and knee flexor, inversion and inversion, and plantar flexion weakness.
• If left untreated, usually deformity occurred, such as: equino valgus, calcaneo valgus, equinovarus, Club foot etc

Orthotic Options
It depends in the location and severity of conditions. Most orthoses prescribed are custom-made ankle-foot orthoses (AFOs), either floor-reaction or posterior solid in design AFOs. Floor-reaction AFOs are particularly beneficial in providing a knee-extension force at the knee, due to the plastic being formed anteriorly at the proximal tibia region and the toe lever footplate, restricting dorsiflexion. Knee-ankle-foot orthoses (KAFOs) and hip-knee-ankle-foot orthoses (HKAFOs) are also can be prescribed.