Foot Orthotics - Toronto Orthopedic Services

	UPPER EXTREMITY ORTHOTICS Upper extremity orthoses can improve grasp, range of motion, and decrease muscle tone. Wrist-hand orthotics Wrist-hand-finger orthotics Elbow and Shoulder Orthotics
	SPINAL ORTHOTICS Spinal orthoses, also known as braces, are devices worn on the body to treat conditions such as scoliosis, back pain, and injury. Most spinal orthoses are designed to adjust skeletal alignment, limit torso movement, and compress the stomach.
	Cervical Orthosis *Soft Collar:* A soft collar is made of foam rubber covered with stockinette. The soft collar will be used for patients who have pain in the neck due to strain or stress. It acts as a reminder for the client to not flex his/her neck through a sensory feedback. It could be custom or pre-fabricated. *Hard Collar:* A hard collar provides a more effective way of controlling flexion and extension of the cervical vertebrae of the spine. It is made of padded polyethylene. *Philadelphia Collar:* A Philadelphia collar is bivalved. It is made of plastazote and reinforced with rigid anterior and posterior plastic strips. It comes with different sizes and depths.
	Lumbosacral Orthosis *Lumbosacral Supports:* The lumbosacral corset is made of fabric with adjustable front velcro fasteners allow user to control degree of tension for proper support and comfort. They support the lower spine, reduce pressure on the lumbar sacral region by increasing intra-abdominal pressure also acting as a reminder to the client to maintain correct posture. This orthosis is very popular in the treatment of lower back pain. Thoracolumbosacral Orthosis *Jewett Brace:* A Jewett brace is a three points pressure system of orthosis, which is used for controlling the flexion of the spine. It is a hyperextension orthosis, which allows extension but prevents flexion of the spine. *TLSO:* The Thoracal Lumbar Sacral Orthosis (TLSO) as shown is a postoperative brace for a spinal operation. The material used for the brace is Pe-Lite with reinforced Polypropylene strips finalized with plastazote. A TLSO, or body jacket, can be used either in a corrective way or to accumulate the spinal cord. It might be made as soft, semi-rigid or rigid depending on the degree of deformity of the client. Boston Brace: A Boston brace is used to control the further progression of the scoliotic spine. It is made of pelite lining and polypropylene.

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