At Ortho Rehab Designs we carefully evaluate your specific mechanical profile. We are American Board Certified in Orthotics and Prosthetics. We stress that if you are to be treated by an orthotist for CMT that they should be board certified in the discipline of Orthotics. We feel this is essential in order for basic standards to be met. We will work with your physician or physical therapist in order to ascertain muscle strengths and physical profiles that will help in the design of your orthosis. We pride ourselves in listening to the needs of each patient. Each device is designed for that specific patient’s needs and physical mechanical profile. Our approach is straightforward and honest. We will always be attentive to your needs and goals.
As you are currently researching bracing for CMT, you will have many questions. We will try and address the most common ones here. We urge you to e-mail us with any questions or concerns you may have.
A: Yes, but only if you are braced in proper alignment.
A: It is generally due to a poor fit, or poor fit in conjunction with poor alignment.
A: This is a strong indicator that you are not getting the benefits from an energy return system. Or you might be walking with gait compensations that are causing early fatigue.
A: Generally, this is due to poor mold rectifications. Some practitioners overcorrect, or there simply might not be any correction at all. This is something that needs to be checked.
A: The reaction from the floor as an object, such as a ball or a foot, or a braced limb, strikes it.
A: It can be because:
A: The average human walking speed is 3.0 miles per hour.
If you were just recently diagnosed with CMT, you might be very concerned about what to expect. As the disease progresses, muscular atrophy and weakness become apparent in the peroneal nerve muscles and toe extensors. Subsequently, the disease may advance to involve the tibialis anterior muscles, in which case there is a bilateral drop foot gait.
There are two categories of deformity:
1. The fixed deformity Fixed deformities are also known as contractures. They are essentially rigid malalignments of joints. They can be a result of prolonged malalignment of joints which prevent the normal range of motion of that joint. Management for fixed deformity is quite difficult orthotically. Any kind of prevention of further deformity can be controlled with the proper orthotic system using the proper corrective force systems. Sometimes over long periods of time, orthoses can loosen up fixed deformities to a degree.
2. The dynamic deformity The dynamic deformity consists of a non-fixed malalignment of the joints. This is the result of an imbalance of the muscle's tendonous pull. This is the category that most people with CMT fall under. Most of the time this can be easily corrected with the proper molding, mold rectification, and an appropriate carbon graphite device to maintain corrected joint alignment.
Whenever I receive e-mails or phone calls from CMT'ers, usually someone says "my balance is getting worse", or "will these braces help with my balance". Yes, they do help restore balance. They do this by correcting and stabilizing the deviations in joint alignment. But how is balance achieved? It is achieved through forces that stabilize segments of the body.
What is stability in bracing? Stability: the broader the supporting area…the greater the stability becomes. Greater stability equals greater balance. Through careful mechanical design of the orthosis, stability is achieved by two essential things:
Designing the orthosis with stability brings your center of gravity to a more normal position statically (standing). This directly translates to better balance while walking. In order to maintain balance in standing and walking, the body's center of gravity needs to be in the appropriate location. These laws of physics apply to all things that require stability in remaining upright (including animals, buildings, bridges, etc).
Through proper brace design and reduction of gait deviations, better balance and stability is attainable for you.
At the very least the primary goal of any orthosis is to prevent any further deformity. Once this is done new alignment can be put in place and better balance develops as a result. If you can take care of number one, and in addition take care of numbers two and three, and put all three equations together: the patient will experience improved alignment which is an improved structural outcome. This equals enhanced balance and usually results in an increased velocity or walking speed.
After your initial evaluation at Ortho Rehab Designs your lower limbs will be custom molded. Then a plaster mold is made of your limbs, and then mold rectification takes place. This brings us to the diagnostic stage of your visit. Once the mold is properly rectified with specific measurements and data from your videotape, a diagnostic orthosis is then made. The diagnostic orthosis serves as a fitting tool. From this we get back important information on how to make your final carbon graphite orthosis. The diagnostic orthosis helps us determine:
We will work with you in the diagnostic orthosis for approximately one day. Once we have determined that the fit, alignment, and comfort are all in check, we will then go to final fabrication of your carbon graphite Dynamic Response Orthosis. The diagnostic serves as a prototype to ensure a proper fitting final device.
When a person's joints are malaligned, especially when wearing an orthosis, it fatigues the whole body and causes an increased oxygen consumption. In effect, what this means is that the person is losing energy while they ambulate. This is the worst possible thing that could happen to a brace wearer, as losing energy creates greater fatigue and in addition can cause further deformity as the body tries to compensate for this.
For example: when a foot is derotated, and the knee is taken out of hyperextension, we get corrected alignment. This corrected alignment linked with a proper stabilizing fit that uses corrective three-point pressure systems, will allow the patient to maintain proper alignment and have a much improved gait. Through proper correction the person is less fatigued and has greater endurance while walking in their orthosis, and with the addition of a dynamic release brace, gets more energy from the entire process.
With the proper corrective bracing we get increased energy return.
This is what the term "Creating Corrective Energy" means. I started using this term when I learned how much energy could be returned to a brace wearer, once the proper corrections were linked with a Dynamic Release Orthosis. When a brace user is not in proper alignment or does not have a proper fit, or proper three point pressure systems incorporated, that person will lose energy as they walk. Our goal is to produce energy, energy that corrects and gives back to the wearer. This energy also increases velocity which in turn gives better balance and stability.
Address: 2578 Belcastro St. Suite #101
Las Vegas, Nevada 89117
Toll Free: 888.696.9909
Visit us on line at www.ordesignslv.com