Pediatric Orthoses Most orthoses made for children are

Pediatric Orthoses

�Most orthoses made for children are motioncontrolling or motion-altering �Accommodative devices are less frequently required in this age group. �The relatively light weight of a child means materials that are more forgiving with increased flex in a heavier individual such as an adult will resist collapse more readily in a child

�This allows you to choose from a wide range of material properties, shell thicknesses and filler options while still achieving the desired goal of motion control �The ideal orthosis for a child will limit excessive or undesired motions while still allowing normal motions that are so important for ideal development

Key Posting Considerations �Dynamic compensations for Varus deformities of the rearfoot and leg require POSTING The amount of control a post provides is determined by numerous factors: �the number of degrees the post is angled �the stiffness or resistance to compression of the posting material �anterior-posterior length of the post and the width of the post �A longer, wider post made of a stiffer material will offer the most control to the rearfoot and leg �There is a reduced need forefoot posting in children under the age of 6.

Be Aware Of Predisposing Risk Factors In The Pediatric Pronated Foot �A child may exhibit a weak foot structure leading to pronation, but may also have additional predisposing risk factors that may affect the foot in its overall development and function. These risk factors include, but are not limited to, ligamentous laxity, obesity, rotational and angular disorders and ankle equinus �Shells made of more rigid materials and/or of increased thickness are the best choices for treating children who have generalized ligamentous laxity

�Other modifications such as a deep heel seat, increased calcaneal pitch to lock the oblique midtarsal joint axis and medial and lateral flanges to reduce transverse plane compensations of the midfoot will aid in control of the foot with notable laxity �Thicker shells and more rigid materials are also necessary in managing the pronated foot in the obese child �Longitudinal arch fillers will help reduce the increased compression of the arch area of the shell in overweight patients. Soft tissue supplementation at the foot/orthosis interface may help reduce the hard feel of such devices and increase shock absorption necessary for sports.

How To Handle Rotational And Angular Disorders Rotational and angular disorders that produce both intoeing and out-toeing, bowing and knock-knees may contribute to a compensatory pes valgus. Orthoses for angular disorders benefit from high posting and outflared or wide posts to stabilize the post plate in the frontal plane.

Treatment Tips For Ankle Equinus �Fully compensated equinus foot, often characterized by pronation of the subtalar joint with consequent unlocking of the oblique midtarsal joint axis to allow for dorsiflexion and abduction to occur at the midfoot, is a major cause of pediatric pronation �Childhood ankle equinus may be developmental or pathologic: �Developmental equinus typically accompanies a rapid bone growth spurt, resulting in relative shortening of the muscles �Pathologic equinus may be congenital or result from other etiologic causes �Both exert harmful forces on the foot, either initiating abnormal pronation or aggravating pronation already present in the child.

�In addition to stretching the tight musculature, orthotic control of the abnormal midfoot is usually necessary �Adding heel raises to an orthotic device to plantarflex the foot and increasing the amount of available dorsiflexion of the ankle for midstance are effective at helping to reduce compensation in this foot type �In addition, the presence of equinus may limit the degree of control that can be tolerated by

Other Helpful Treatment Insights �Patients with a talocalcaneal coalition have reduced subtalar joint motion and frequent peroneal spasm. Employing a rigid orthosis from a pronated cast with a deep heel seat and a 0 degree rearfoot post is often successful at reducing painful motion �When you treat children with a calcanonavicular coalition, keep in mind that reduced subtalar joint motion and peroneal spasm are less common �Calcaneal apophysitis (Sever’s disease) is an inflammation (sometimes considered an osteochondrosis) of the secondary growth center of the calcaneus. It is frequently accompanied by a tight heel cord and may be aggravated by high loads through the heel.

PEDIATRIC OTHORSES A. LOWER EXTREMITIES D-DAFO �“Dynamic Ankle-Foot Orthosis” (also called “Tone Reducing AFO” and “Total Contact AFO”) �A dynamic, total contact orthosis which works exceptionally well for children with spasticity. �Maintains the correct alignment of the bones in the foot and ankle. �Application: Cerebral palsy, hemiplegia, spastic diplegia �Description: Thin, flexible, molded thermoplastic orthosis covering the entire foot; custom-contoured footplate; designed to distribute weight-bearing forces over large area �Function: Reduce ankle hypertonicity, increase ankle stability and provide proper alignment

D-DAFO

1 Low Profile D-DAFO �Provides dynamic alignment and support for the foot and ankle �Allows plantar flexion and dorsiflexion

2 Full Length D-DAFO �The dynamic design and material work on volume and will remain very comfortable even as children begin to outgrow them. This feature allows more time in the orthoses and a decrease in the likelihood that the patient will be unable to wear them before a new, larger D-DAFO is needed �Blocks plantar flexion and allows dorsiflexion.

3 Solid Ankle AFO �Application: Varum and valgus deformities �Description: Custom-fabricated thermoplastic, metal or composite device designed and trimmed for a patient’s unique needs �Function: Provide proper alignment, block plantar flexion and dorsiflexion

4 Solid Ankle AFO w/ pre-tibial shell (anti-crouch) �This Solid Ankle AFO with anterior panel is designed to prevent dorsiflexion and plantar flexion. �The 'ground reaction' will also help to push the knee into extension during weight bearing.

5 Articulating AFO �Allow flexion at the ankle and has an adjustable/removable plantar flexion stop �It is also possible to add dorsiflexion assist or check straps

6 UCBL �Custom made insert for controlling a hyper-mobile pes-planus or cavus. �It supports the arches of the foot and maintains the relative position of the hindfoot, midfoot, and forefoot.

7 Reciprocating Gait Orthosis � Provides parlalitic patients with the support and ability to stand take steps with assistance �The entire system can wiegh as little as 3. 5 lbs. for smaller patients �RGO is the most frequently used brace for the ambulatory needs of a paralyzed child or adult Description: �HKAFO incorporating cable system or similar method of mechanically translating hip extension on one side into hip flexion on the contralateral side. Application: �Lower-body neurologic impairment indicated in L 1 -L 3 lesions in children with functioning iliopsoas and hip adductors. Function: �Provides standing and ambulation ability thereby raising physical and psychological horizons.

8 HKAFO (hip-knee-ankle Foot Orthosis) �Used on patients requiring more stability of the hip and lower torso, due to paralysis and weakness, in addition to the lower extremity involvement. The brace will provide pelvic stability in several planes, from rotation, to side-toside, and front-to-back motions Purpose of the Device �Provides adjustable control of the hip, knee and ankle. �Manual locks maybe added to hip and knee joints �Ankle motion maybe fixed or adjustable

Indications �Hip fractures/replacement �Femur fractures �ORIF’s, Hip, Femur, Tibia Common Additions �Anterior tibia shell �Locking knee �Range of motion knee joint �Range of motion Hip joint �Padded liners �PRAFO foot plate �Locking Hip Special Considerations �Patients who will be bed-to-chair for an extended time should be fit with a PRAFO distally to prevent heel breakdown.

9 Counter Rotation system �An improvement on the Denis Browne splint for post club foot release splinting �Description: Plastic multihinged orthosis with bilateral footplates; three hinged joints and eight circular rotation joints. �Application: internal tibial torsion, maintenance of postoperative clubfoot or metatarsus adductus correction. �Function: hold feet in corrected external or internal rotated position while allowing independent leg movement and free hip and knee motion.

10 Developmental dysplasia of the hip (DDH) orthosis �Description: Pelvic band connected to thigh cuffs by aluminum joint with 20 degree extension stop and 90 degree flexion stop or free motion �Application: Hip dysplasia in children beyond prewalking stage �Function: Provide positive abduction positioning

11 Floor reactions orthosis �used with patients affected by neurological conditions such as spina bifida, cerebral palsy, brain injury, spinal cord injury, and post-polio paralysis. �In these cases, the floor reaction AFO functions to maintain the affected joints in proper alignment, to accentuate knee extension at midstance, and compensate for weak or absent gastroc soleus (calf) muscles. �A floor reaction AFO places the extension force closer to the knee than other AFO’s and uses a rigid anterior shell with padding �Description: Rigid thermoplastic or laminate AFO with neutral ankle position and a broad anterior panel just below the knee �Application: Cerebral palsy “crouch gait” - Knee instability �Function: Apply knee extension moment during stance phase to prevent knee buckling and excessive flexion associated with crouch gait.

12 Orthopedic shoes �Shoes that are specially designed shoes that provide support and pain relief for people suffering with some type of pain in the legs, ankles, or feet. �Description: Specially shaped extra-depth design �Application: Correction and accommodation of foot deformities �Function: Accommodate for internal modifications

13 Parapodium �Application: Paraplegic patient, spastic cerebral palsy �Description: lightweight, high-strength aluminum and footplate, used to lock and unlock the hip and knee joints. �Function: For stability, the footplate, sidebars, and back panel form a continuous rigid loop, cross-braced by a bar at the level of the knee. The shape of the bar virtually eliminates side-to-side movement, thus improving the anterior-posterior and medial-lateral stability of the unit.

14 Scoliosis Jacket �Application: Idiopathic scoliosis �Description: Custom thermoplastic TLSO �Function: Limit curve progression and need for surgical correction 15 Scottish Rite Orthosis �Application: Legg-Calve. Perthes disease �Description: Lightweight orthosis consisting of metal pelvic band, plastic thigh cuffs, aluminum hip joints with thrustbearing hip joints or a telescoping spreader bar (older design) �Maintain hips in abduction containing femoral head in the acetabulum

16 SWASH (Standing, Walking and Sitting Hip Orthosis) �Application: Cerebral palsy; any child whose adduction and/or internal rotation at hip joint interferes with function or induces lateral migration of the femoral head �Description: Plastic padded waist band two joint assemblies connected by shaped leg bars to adjustable plastic thigh bands �Function: Stabilize hip and oppose excessive adduction and internal rotation; reduce scissor gait while walking and improve balance while standing 17 Tibial Fracture Orthosis �Application: In lieu of plaster cast to provide greater freedom of activity during healing, reduced muscle atrophy and shorter disability time �Description: Total contact, usually thermoplastic, brace with plastic or metal ankle joints and heel insert. Most often custommolded for pediatric applications �Function: Allow mobilization of the leg during fracture healing; minimize rotation and sheer forces support tibia and fibula

18 Wheaton Brace �Application: Metatarsus adductus; clubfoot; tibial torsion. Used in place of serial casting or corrective shoes �Description: Molded thermoplastic and Velcro knee anklefoot orthosis �Function: Applies direct corrective rotational force on the tibia without any torque on the femur or hip.

19 Dennis Brown Bar The Dennis Brown Bar attaches to corrective shoes to maintain proper hip and foot position. The adjustable rotation allows for desired external/internal rotation.

20 Ponseti Orthosis �Abduction device similar to Dennis brown bar with total contact AFO section that delivers excellent correction of clubfoot (deformity with a downward and inward pointed foot) without the risk and complications of foot surgery

21 Pediatric UFO �The pediatric UFO from Orthomerica is a comfortable, prefabricated orthosis for stretching and maintaining dorsiflexion range of motion. This unique lower-limb orthosis positions the foot and ankle in optimal alignment for placing stretch on the soleus while the patient is sleeping. When used in conjunction with a knee immobilizer, this orthosis can also stretch the twojoint gastrocnemius group.

CLINICAL INDICATIONS �Cerebral Palsy or other neuromuscular diseases �Idiopathic toe walking �Severs disease �Tightness at the foot and ankle �Following achilles tendon lengthening

B. Night Stretching Orthoses NIGHT TIME �Designed to increase and maintain ROM and maintain joint alignment during the night. �Dynamic orthoses provide an adjustable stretch that will follow the patient’s ROM as it increases. It also allows for flexion/ extension within the orthosis when the patient is awake and provides a long term, low-load stretch while they are relaxed.

1. Roosterboot �The Rooster boots are available in varying colors which each patient can choose at their casting appointment. Rubber sole on the Rooster boots so that children can get up to use the restroom during the night without slipping and falling or having to remove the orthosis �It is designed to provide an adjustable, dynamic stretch to the heel cords. The custom-overlapping padding provides total contact for pressure reduction and maintaining correct alignment.

Rooster Boots

2. KAFO with the D-DAFO �This KAFO has a dynamic stretching joint at the knee and incorporates the D-DAFO. This design is made for children with severe spasticity and/or malalignment throughout the foot and ankle. The D-DAFO provides a very intimate, total contact hold for correction and pressure distribution. �Holding the ankle at 90 degrees and maintaining correct alignment throughout the foot is crucial for achieving an effective stretch on the gastrocnemius.

3 Roosterboot with KO attachment This “KAFO” is in two parts. �The knee orthosis snaps onto the Roosterboot. �Both the knee and ankle have dynamic adjustable joints for comfort and stretch. Making this in two parts allows parents the option of using only the Rooster boots at certain times. The KO section also be fabricated at a later date once need is determined.

4 Dynamic KAFO �a. This parrticular KAFO has dynamic stretching joints at both the knee and ankle. Each joint can be adjusted for patient cofort and maximum stretch. �b. This Dynamic KAFO has a dynamic joint at the knee only. The ankle is held at 90 degrees and in correct alignment.

C. Cranial �Cranial remolding orthoses is used to treat deformational plagiocephaly, brachycephaly, scaphocephaly and other head shape deformities in infants 3— 18 months of age. �These orthoses can be used to effectively manage a broad spectrum of head shape deformities and clinical indications.

Orthomerica �Orthomerica's A-Flex Protective Headgear is an adjustable alternative to other hard protective devices. It is fabricated from a flexible plastic that readily conforms to varying head shapes, making it easy to fit upon demand. �The protection is ideal for low impact forces that are distributed (like a shock absorber) across the entire surface without cracking or penetrating. �The headgear is equipped with easy-to-adjust straps minimizing the need for chin straps. Optional chin straps are recommended for active and noncompliant patients �The posterior strap "locks" the device below the mastoids and accommodates size variations while the lateral straps are used for easy donning and doffing. Lateral straps and side-slits are also optional. �The A-Flex features ventilation holes to reduce trapped heat. It can be easily trimmed with a pair of shop snips without the need for complex equipment and tools.

D. Spinal �Complementing the standard range, spinal orthoses have been designed to accommodate the unique clinical needs and anatomy of children, to provide the same high standards of protection and support. �Specially designed to fit the head shape of young children, They ensure young patients enjoy the same quality of care.

New Options PL 1 Elastic Double-side pull lumbar support �Features 6" wide elastic belt, two 2" wide adjustable side pulls that overlap in front to increase support and 1/16" nylon 2 -sides neoprene pocket for insert.

E. SHOULDER and ARM Shoulder Abduction rotation orthosis (SARO) • Increased adjustability at the shoulder and elbow joints • Humeral cuff with raised posterior wall for additional control • Lightweight, universal, design can be used for the left or right shoulder INDICATIONS: • Paralysis or damage to the Brachial Plexus (Erb palsy) • Prevention of upper extremity joint contactures • Brachial Plexus exploration and nerve repair • Soft tissue surgery including tendon transfers

F. WRIST & HAND 1 DEROYALE �Unique wrist, hand finger orthosis applys low stretch therapy to contracted fingers, hand wrist. Features dynamic inflatable air bladders. Fleece type liner helps reduce pressure points and provide comfortable fit.

Fillauer Pediatric Action Wrist Support � 1/8" nylon two sides neoprene. Circumferential adjustable wrist strap. Hook and loop closures. Removable splint for washing.

Comfy Splints Pediatric Hand Wrist Orthosis �Provides support and positioning for weak or deformed hands at the wrist, hand fingers. It serves as an excellent resting splint to prevent trauma to joints and positions to increase ROM. The wings on the side adjust to prevent ulnar or radial deviation and to allow for custom fit and comfort.

Comfyprene Pediatric Separate Finger Hand Orthosis �The Comfyprene Pediatric Separate Finger Hand Orthosis unique splint allows for individualized finger adjustments. Excellent for many deformities, including; dupytrens, swan neck or boutonneire contractures, as well as sprains and fractures. Comes with Finger Separator and available in Left or Right.

Comfy Splints Pediatric Hand Thumb Orthosis �Is uniquely designed to support the thumb without stressing the web space between the index finger and the thumb, known as thenar eminence. The thumb tab functionally positions the thumb without stretching thenar eminence like the traditional “C” bar opposition hand splints, making this splint excellent for use on patients with tightly adducted thumbs. The splint is adjustable and re-adjustable without the use of tools, making it easy to use and customize.

G. HIP A-Frame Orthosis �The A frame orthoses correct the problems associated with rotational and angular malformations. This type of orthotic is used to apply corrective forces for more proximal malformations. �Calf and thigh bands and pressure pads are attached to an “A”-shaped metal frame. All components are either adjustable or available in several sizes, so that children of varying heights and girths can be accommodated. ” �Indicated for femoral torsion, angular deformities, and rotational deformities.

Becker Pediatric Hip Abduction Orthosis � This prefabricated hip orthosis is designed primarily for the treatment of Legg-Calve. Perthes disease. The preset hip abduction angle is intended to achieve maximum containment during ambulation. The hip joint allows the range of hip flexion and extension to be controlled in 20° increments.

Becker Spherical Hip Abduction Orthosis � This orthosis is made with spherical joints in order to provide precise positioning of the hip in all planes. The hip band calf cuffs are constructed of aluminum, which is padded and covered with naugahyde. FAST-WRAP Pavlik Harness � Utilizes the principle of flexion with free abduction to achieve reduction of hip dysplasia and dislocation in infants. Ideal alternative to hip casting. Hook and pile provides easy application, size adjustment and removal. Plastic quick-release buckle for secure closure.

Ilfeld Pediatric Hip Abduction Splint �The Ilfeld Splint consists of two aluminum thigh bands fastened to a stainless steel cross bar with swivel joints. The metal thigh bands are covered with fabric or dipped in plastisol. The thigh bands are adjustable and are locked in place with a 3/16" hexagon wrench. The splint is adjustable for growth and progressive relaxation of abductor spasms. For treatment of congenital dislocation of the hip, congenital dyplasia of the hip and hip dysplasia and dislocation due to cerebral palsy and other neuro-muscular

Pavlik Harness �A Pavlik harness is used in the treatment of hip dysplasia in infants. The Pavlik harness is fit to the baby and holds his or her hips in proper position. By flexing up the legs, and allowing the knees to fall outwards, the hips are held in proper position. �A Pavlik harness that is too tight can do more damage to the baby's hips, and a Pavlik harness that is too loose will not hold the hips properly.

Pediatric Abduction Bar �Indicated postsurgically, or for conditions requiring abduction control of the hips. �Adjustable bar provides abduction and adduction control during restricted ambulation. Nylon ball and socket joint duplicate the anatomical motion of the hip joint. Pediatric Hip Abduction Splint �Lightweight pediatric orthosis available in standard or adjustable styles. �The standard model holds the infant in 90° hip flexion and 60° abduction. �Sturdy polypropylene frame with closed-cell foam lining does not retain moisture.

Pediatric Hip Abduction Spreader Bar �Maintains child in abducted position, �For proper hip alignment. �The Pediatric Hip Abduction Spreader Bar attaches by aligning the holes on the medial aspects of the thigh lacers with the holes in the swivel brackets on each end of the Spreader Bar. Adjustable positioning is achieved by loosening the dial located at the center of the adjustment bracket, and sliding the bracket to the desired width.

RCAI HD Pediatric Hip Orthosis �The Pediatric Hip Orthosis Bi-Lateral by RCAI is designed to provide the patient with hip stability and proper hip alignment. �The orthosis also limits unwanted motion and will reduce the stress put on the pediatric hip. The orthosis is designed to allow for a controlled range of motion. �This orthosis is ideal for patients that have suffered from hip problems that have required surgery. Features: • Provide hip stability and alignment following surgery. • Reduces stress on the pediatric hip and limits motion. • Washable liner pads. • Ideal for use with universal leg braces. • Vertical adjustability for the hip and thigh.

RCAI Pediatric Hip Abduction Orthosis �Congenital Dysplasia of the Hip (CDH) Features: �One piece design for ease of application �Durable polypropylene construction with closed cell foam lining �Holds infant in 90° hip flexion and 60° abduction �Allows nappy changes without removal of the orthosis �Washable Trulife Pediatric Hip Abduction Orthosis �Ideal for congenital hip dysplasia. �Made of easy-to-clean plastizote. .

H. UPPER EX- ELBOW ORTHOSES De. Royal pro-glide jr. Elbow Orthosis �Addresses joint stiffness of the elbow by using a low load, prolonged stretch modality. Features include single hinge design and lightweight construction. �The unit easily converts from an extension splint to a flexion splint with the simple turn of a screw. �Fully adjustable. �Liner is machine washable. �Weight 1 lb 10 oz.

Pediatric comfy elbow hand combo orthosis �Adjustable and readjustable to individual patient without the use of heat or tools. �Can be graded up to increase elbow extension. �Lightweight and durable.

Pediatric comfy elbow orthosis �Provides excellent support for flaccid or weak extremities �Helps immobilize painful extremities. �The splint spine can bend to the desired ROM and the cuffs can adjust to the wrists and MP joints for optimal fit. �It can also be adjusted to provide for gradual extension of the non-fixed elbow contracture.

Pediatric comfy goniometer elbow orthosis �Designed to increase elbow extension following CVA, surgery, injury or neurological complications. �Also excellent for individuals with strong flexor tone. �Has the same benefits as serial casting and allows for progressive extension of the elbow in 10° increments, but does so in a comfortable, adjustable and removable splint form. �The goniometer hinge allows one to set a range within which the elbow can flex and extend and it can also lock at a desired degree of extension.

Pediatric comfy spring loaded goniometer elbow orthosis �Designed to increase elbow extension following CVA, surgery, injury or neurological complications. �It is also excellent for individuals with strong flexor tone. �The orthosis has the same benefits as serial casting and allows for progressive extension of the elbow in 10° increments, but does so in a comfortable, adjustable and removable splint form. �The goniometer hinge allows one to set a range within which the elbow can flex and extend and it can also lock at a desired degree of extension.

Pediatric comfyprene elbow orthosis �Provides excellent support for flaccid or weak extremities and helps immobilize painful extremities. The splint spine can bend to the desired ROM and the cuffs can adjust to the wrists and MP joints for optimal fit. It can also be adjusted to provide for gradual extension of the non-fixed elbow contracture. Pediatric comfyprene goniometer elbow orthosis �Designed to increase elbow extension following CVA, surgery, injury or neurological complications. The orthosis has the same benefits as serial casting and allows for progressive extension of the elbow in 10° increments, but does so in a comfortable, adjustable and removable splint form. The goniometer hinge allows one to set a range within which the elbow can flex and extend, and it can also lock at a � desired degree of extension.

Dynapro pediatric flex elbow Elbow sleeve �The Pediatric Elbow Sleeve is made of 1/8" nylon 2 sides neoprene. Provides warmth, compression and protection.

Pediatric universal arm brace �The Universal Arm Brace has bilateral hinges, which provide increased flexion/extension elbow control from 0° to 120°. The lightweight stainless steel hinge construction aids in patient compliance. The precision length adjustment hinge arm assures a personalized fit and the unique forearm design provides protection of the olecranon process. The liner is made of a breathable laminate interface. Pediatric hyperextension elbow support �Made of 1/8" nylon 2 -sides neoprene with two loop and lock criss-cross straps.

I. CERVICAL Aspen Pediatric Cervical Collar �Has been carefully designed to provide effective motion restriction without producing the painful pressure points that lead to skin breakdown and noncompliance. Three layers of polyethylene combine to produce a support structure that is extremely rigid yet able to flex at its edges to conform to each patient's anatomy. This layered design spreads the load over a large area, producing a true custom fit, which has been documented not to produce pressure in excess of capillary closing pressure, the underlying cause of skin breakdown.

The Aspen CTO �Combines highly effective immobilization of the cervical and upper thoracic spine with a level of comfort that makes it well tolerated by patients. Research has shown substantially progressive immobilization in going from a stand-alone cervical collar, to a two-post device, and then on to a four-post orthosis.

- Aspen Sierra Pediatric Collar �With just one size, the Sierra provides substantial motion restriction for the vast majority of the pediatric patient population. Its flat back panel facilitates a safe application and the DYNA-Capture system contours to the back of the child's head, increasing motion restriction. Access to the tracheal area is unparalleled, allowing for visualization or any procedure on the anterior neck. Corflex Pediatric Ambu Perfit Collar � chin piece and trachea opening for easy access. Constructed of durable plastic laminated to foam with contact closure.

Corflex Pediatric Ultra Cervical Collar �Features anatomically contoured foam with soft cotton stockinette covering for maximum patient comfort. Manufactured from medium firm density foam with 2" contact closure. De. Royal Comfo-Eze Cervical Collar �Highest quality medium density foam construction. Breathable synthetic stockinette liner. Removable cover can be washed for better patient hygiene.

Infant Cranial Interface �Used to protect the skin, wick moisture, control rashes, and guard against dermatitis. �Nec. Loc Kids Collar �Immobilization of pediatric patients under the age of 12 during emergency transport

Miami Jr. Collar �Engineered to fit the unique anatomies of patients age 12 and under. Indications for Use: �C-Spine precaution for trauma patients �Immobilization for pre and post c-spine surgery �SCIWORA Syndrome Degenerative disorders �Spinal Stenosis �Spondylolisthesis

Papoose Infant Spinal Immobilizer �Designed for newborns up to 3 months, the Papoose cradles the baby's body, securely and gently immobilizing the head and spine while maintaining airway and spine alignment. Indications for Use: �Immobilization of the head and spine in patients 0 – 3 months �Sutures �MR and other diagnostic imaging �Treatment situations requiring temporary immobilization

Pediatric Halo Indications: �Positioning of structurally stable spine �Following complications of standard halo immobilization �Postoperative positioning following sternocleidomasatoid release for congenital muscular torticollis �Reduction of C 1 -C 2 rotary instability

Pediatric one-piece extrication collar �It has an oversized trachea opening for quick access to carotid pulse monitoring and emergency tracheotomies. Chin support maintains patient in neutral alignment. Mandible support adapts to individual patient's unique jaw line.

Torticollis Orthosis �Torticollis is a condition where the head is rotated and tilted to one side due to the shortening of the muscles of the neck. This orthotic supports the head after surgery and then slowly adjusts it into the proper position. �END