Orthoses in Cerebral Palsy

With cerebral palsy, especially the spastic forms, many children have got a subluxation of the hip. The progression of hip subluxation in cerebral palsy limits the choice of strategy for rehabilitation of the child, as excludes the possibility of applying the most efficient physiotherapeutical methods in terms of active movement’s development, including dynamic proprioceptive correction (DPC). This is because the axial load may further worsen the position of the hip in the acetabulum. Currently, the application of “Graviton” for the active motor skills development is possible even with subluxation, but only in case of simultaneous use of the adjustable hip abduction brace orthosis (developed by research and production center “Ogonek”) – the method of dynamic orthotics. This one is required for the treatment of children from 2.5-3 to 15-16 years old, suffering from spastic or atonic paralytic subluxation of the hip, or in case pathological hip’s position (when the risk of subluxation is high). With the help of an adjustable hip abduction brace orthosis, the correction of the position of the femoral head in the acetabulum is performed, while retaining the possibility of active movements in the hip joint within the required volumes. With the hip abduction brace orthosis a child can sit, stand and walk, without damage to the position of the femoral head in the acetabulum. Thereby in most cases an application of this one can be an alternative method of gypsuming. Prolonged use of the orthosis (usually one year) helps to reduce spasticity in the thigh adductors and power imbalance of muscles, which motion the hip joint.

Mode of the adjustable hip abduction brace orthosis application – to wear when awake. With prolonged use of this one it is necessary to correct the settings, as a rule once in 4 months..