Ed Wheldon

Review of ISPO Publication 10-12 November 1994

Ed WheldonSenior OrthotistPeacocks Medical Group

Cover of original report -

Report of a Consensus Conference on The Lower Limb Orthotic Management of Cerebral Palsy –10 – 12 November 1994

Cover of new report:

Recent Developments in Healthcare for Cerebral Palsy: Implications and Opportunities for Orthotics8-11 September 2008

Prescription

a. Dialogueb. Role of Orthotistc. Use / Weard. Compliance

Upper Limb

Thumb Abduction Splints

Spinal Orthoses

a. Reduce rate of progressionb. Head controlc. Upper limb functiond. Social interactione. Family confidence

Hip Orthoses

a. Sitting postureb. Control scissoring / rotation

Lycra Garments

Lower Limb

Hemiplegia Diplegia

Velocity

Cadence

Step length

Stride length

Single support

Double support

1. Do lower limb orthoses influence the temporal and spatial parameters of gait

2. What are the effects of orthoses on the ankle and foot?

a. Ankle Kineticsb. Ankle Kinematicsc. Effect of Orthoses on foot

alignment

3. What are the indirect effects of the orthoses on the knee, hip and pelvis?

4. What effects do orthoses have on muscle activity and length?

5. How do AFOs effect function and ability?

a. Sit to standb. Stair climbingc. Sitting balance / standing

balance / upper limb function

6. What are the benefits of tuning AFOs?

Observations of the Review

Incorrect Y Strap Fitting

Correct Y Strap Fitting

Thank You