Contracture Correction Devices
Knee&Ankle CCD
The treatment of contractures that do not respond to physiotherapy can pose difficult problems for clinicians. There are a number of Contracture Correction Devices available both stock and custom made.
The technicians at T&S Orthotics are very experience in the manufacture of Contracture correction Device (CCD) working along side ORLAU and Dirame Ortho we manufacture bothe upper and lower limb.
The Orlau Contracture Correction Device is manufactured using specially modified conventional knee joints supplied in kit form, with the addition of two custom made above and below knee thermoplastic shells. The mechanical means of applying a continuous corrective moment to the contracture is done by the means of a gas spring. The design allows simple alteration of mounting positions of the springs, thus offering a range of corrctive moments to meet the needs of the majority of patients.
Benefits
- The system is non ambulatory
- The CCD produces a continuous dynamic force
- less expensive than serial casting
- Cost
UltraFlex System
Ultraflex neurological components and custom braces provide postural support and therapeutic assist to lengthen and strengthen muscles and improve passive range of motion. Ultralex can also be used to control musculoskeletal alignment and assist movement for weak musculature. Ultralex orthoses provide precise external torque to the involved limb segment(s) to stimulate muscle growth and improve posture and function. The combination dynamic/static orthoses have integrated controls that are used to ease donning and posture the limbs for maximum therapeutic stimulus below the stretch reflex. Ultralex dynamic stimulus technology is based on low-load, prolonged stress (LLPS) set precisely for maximum compliance. This allows for consistent low level tension over an extended period of time. Precise LLPS technology positively afects limb range, posture, and function.
Common Treatment Goals
• Conservatively maintain and increase muscle length
• Maintain muscle length during growth
• Improve posture, muscle balance
• Improve function: lower extremity - gait; upper extremity - grasp, pinch and release
• Extend treatment to ADLs
• Delay time between more involved treatments
• Simplify and reduce daytime/functional bracing
Compliance
Ultraflex orthoses should be worn for as many hours as tolerated during rest, sleep, or quiet activity. Research shows a positive correlation between brace wear and range of motion, therefore 5-10