Orthoses for Neurological Ankles

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An orthosis is a device that supports residual function. This is in contrast to a prosthesis which is a device that replaces function. Orthoses provide support to prevent joint movement past normal or target range.

They can be used in a wide variety of clinical scenarios, including:

  • Patients who cannot ambulate to help with correct ankle positioning to allow for standing and help with standing transfers
  • Prevent further loss of range of movement for example in bed-bound patients and in high muscle tone
  • Patients with loss of range of movement by applying a sustained stretch

When prescribing an orthosis, functional aspects such as abnormal movement, posture, and range of motion are more important than the underlying disease process. It is also important to consider aspects of gait and the specific phase or phases of impairment.

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