ORTHOSES-PEDIATRIC

SUMMARY

1. Caster cart: used for children with developmental delay in ambulatory skills as an initial mobility aid. Common in spina bifida.

2. Standing frame: follows successful use of a caster cart, 8-15 mths of age. Helps balance the body in space and allows free use of the upper limbs for participation in activities.

3. Parapodium: for children who are unlikely to become functional walkers, they should first demonstrate adequate use of a standing frame and exhibit a desire to ambulate; for children aged 2.5-5 years. Children swivel from side-to-side to ambulate.

4. Reciprocating gait orthosis: AKA bilateral Hip Knee Ankle Foot Orthosis. The purpose of the RGO is to provide contralateral hip extension with ipsilateral hip flexion. For children aged 3-6 years.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.