Pediatric Foot Orthoses PPT

 Most orthoses made for children are motion-
controlling or motion-altering
 Accommodative devices are less frequently
required in this age group.
 The relatively light weight of a child means
materials that are more forgiving with
increased flex in a heavier individual such as
an adult will resist collapse more readily in a
 This allows you to choose from a wide range
of material properties, shell thicknesses and
filler options while still achieving the desired
goal of motion control
 The ideal orthosis for a child will limit
excessive or undesired motions while still
allowing normal motions that are so
important for ideal development
Key Posting Considerations
 Dynamic compensations for Varus deformities of the rearfoot
and leg require POSTING
The amount of control a post provides is determined by
numerous factors:
 the number of degrees the post is angled
 the stiffness or resistance to compression of the posting material
 anterior-posterior length of the post and the width of the post
 A longer, wider post made of a stiffer material will offer the most
control to the rearfoot and leg
 There is a reduced need for forefoot posting in children under
the age of 6.
Be Aware Of Predisposing Risk
Factors In The Pediatric Pronated
 A child may exhibit a weak foot structure leading to
pronation, but may also have additional predisposing risk
factors that may affect the foot in its overall development and
function. These risk factors include, but are not limited to,
ligamentous laxity, obesity, rotational and angular
disorders and ankle equinus
 Shells made of more rigid materials and/or of increased
thickness are the best choices for treating children who have
generalized ligamentous laxity
 Other modifications such as a deep heel seat, increased
calcaneal pitch to lock the oblique midtarsal joint axis and
medial and lateral flanges to reduce transverse plane
compensations of the midfoot will aid in control of the foot
with notable laxity
 Thicker shells and more rigid materials are also necessary in
managing the pronated foot in the obese child
 Longitudinal arch fillers will help reduce the increased
compression of the arch area of the shell in overweight
patients. Soft tissue supplementation at the foot/orthosis
interface may help reduce the hard feel of such devices and
increase shock absorption necessary for sports.
How To Handle Rotational And
Angular Disorders
Rotational and angular disorders that produce both intoeing and out-toeing, bowing and knock-knees may
contribute to a compensatory pes valgus. Orthoses for
angular disorders benefit from high posting and outflared or wide posts to stabilize the post plate in the
frontal plane.
Treatment Tips For Ankle Equinus
 Fully compensated equinus foot, often characterized by pronation of
the subtalar joint with consequent unlocking of the oblique
midtarsal joint axis to allow for dorsiflexion and abduction to occur
at the midfoot, is a major cause of pediatric pronation
 Childhood ankle equinus may be developmental or pathologic:
 Developmental equinus typically accompanies a rapid bone growth
spurt, resulting in relative shortening of the muscles
 Pathologic equinus may be congenital or result from other etiologic
 Both exert harmful forces on the foot, either initiating abnormal
pronation or aggravating pronation already present in the child.
 In addition to stretching the tight musculature, orthotic
control of the abnormal midfoot is usually necessary
 Adding heel raises to an orthotic device to plantarflex
the foot and increasing the amount of available
dorsiflexion of the ankle for midstance are effective at
helping to reduce compensation in this foot type
 In addition, the presence of equinus may limit the
degree of control that can be tolerated by
Other Helpful Treatment Insights
 Patients with a talocalcaneal coalition have reduced subtalar
joint motion and frequent peroneal spasm. Employing a rigid
orthosis from a pronated cast with a deep heel seat and a 0degree rearfoot post is often successful at reducing painful
 When you treat children with a calcanonavicular coalition,
keep in mind that reduced subtalar joint motion and
peroneal spasm are less common
 Calcaneal apophysitis (Sever’s disease) is an inflammation
(sometimes considered an osteochondrosis) of the secondary
growth center of the calcaneus. It is frequently accompanied
by a tight heel cord and may be aggravated by high loads
through the heel.
 “Dynamic Ankle-Foot Orthosis” (also called “Tone Reducing AFO”
and “Total Contact AFO”)
 A dynamic, total contact orthosis which works exceptionally well for
children with spasticity.
 Maintains the correct alignment of the bones in the foot and ankle.
 Application: Cerebral palsy, hemiplegia, spastic diplegia
 Description: Thin, flexible, molded thermoplastic orthosis covering
the entire foot; custom-contoured footplate; designed to distribute
weight-bearing forces over large area
 Function: Reduce ankle hypertonicity, increase ankle stability and
provide proper alignment
1 Low Profile D-DAFO
 Provides dynamic alignment and support for the foot
and ankle
 Allows plantar flexion and dorsiflexion
2 Full Length D-DAFO
 The dynamic design and material work on volume and
will remain very comfortable even as children begin to
outgrow them. This feature allows more time in the
orthoses and a decrease in the likelihood that the patient
will be unable to wear them before a new, larger DDAFO is needed
 Blocks plantar flexion and allows dorsiflexion.
3 Solid Ankle AFO
 Application: Varum and valgus deformities
 Description: Custom-fabricated thermoplastic, metal or
composite device designed and trimmed for a patient’s
unique needs
 Function: Provide proper alignment, block plantar flexion
and dorsiflexion
4 Solid Ankle AFO w/ pre-tibial shell (anti-crouch)
 This Solid Ankle AFO with anterior panel is designed to
prevent dorsiflexion and plantar flexion.
 The 'ground reaction' will also help to push the knee into
extension during weight bearing.
5 Articulating AFO
 Allow flexion at the ankle and has an
adjustable/removable plantar flexion stop
 It is also possible to add dorsiflexion assist or check
 Custom made insert for controlling a hyper-mobile
pes-planus or cavus.
 It supports the arches of the foot and maintains the
relative position of the hindfoot, midfoot, and
7 Reciprocating Gait Orthosis
 Provides parlalitic patients with the support and ability to stand
and take steps with assistance
 The entire system can wiegh as little as 3.5 lbs. for smaller
 RGO is the most frequently used brace for the ambulatory needs
of a paralyzed child or adult
 HKAFO incorporating cable system or similar method of
mechanically translating hip extension on one side into hip
flexion on the contralateral side.
 Lower-body neurologic impairment indicated in L1-L3 lesions in
children with functioning iliopsoas and hip adductors.
 Provides standing and ambulation ability thereby raising
physical and psychological horizons.
8 HKAFO (hip-knee-ankle Foot Orthosis)
 Used on patients requiring more stability of the hip and
lower torso, due to paralysis and weakness, in addition to the
lower extremity involvement. The brace will provide pelvic
stability in several planes, from rotation, to side-to-side, and
front-to-back motions
Purpose of the Device
 Provides adjustable control of the hip, knee and ankle.
 Manual locks maybe added to hip and knee joints
 Ankle motion maybe fixed or adjustable
 Hip fractures/replacement
 Femur fractures
 ORIF’s, Hip, Femur, Tibia
Common Additions
 Anterior tibia shell
 Locking knee
 Range of motion knee joint
 Range of motion Hip joint
 Padded liners
 PRAFO foot plate
 Locking Hip
Special Considerations
 Patients who will be bed-to-chair for an extended time should
be fit with a PRAFO distally to prevent heel breakdown.
9 Counter Rotation system
 An improvement on the Denis Browne splint for post club
foot release splinting
 Description: Plastic multihinged orthosis with bilateral
footplates; three hinged joints and eight circular rotation
 Application: internal tibial torsion, maintenance of post-
operative clubfoot or metatarsus adductus correction.
 Function: hold feet in corrected external or internal
rotated position while allowing independent leg
movement and free hip and knee motion.
10 Developmental dysplasia of the hip (DDH)
 Description: Pelvic band connected to thigh cuffs by
aluminum joint with 20 degree extension stop and 90
degree flexion stop or free motion
 Application: Hip dysplasia in children beyond pre-
walking stage
 Function: Provide positive abduction positioning
11 Floor reactions orthosis
 used with patients affected by neurological conditions such as spina
bifida, cerebral palsy, brain injury, spinal cord injury, and post-polio
 In these cases, the floor reaction AFO functions to maintain the affected
joints in proper alignment, to accentuate knee extension at midstance,
and compensate for weak or absent gastroc soleus (calf) muscles.
 A floor reaction AFO places the extension force closer to the knee than
other AFO’s and uses a rigid anterior shell with padding
 Description: Rigid thermoplastic or laminate AFO with neutral ankle
position and a broad anterior panel just below the knee
 Application: Cerebral palsy “crouch gait” - Knee instability
 Function: Apply knee extension moment during stance phase to prevent
knee buckling and excessive flexion associated with crouch gait.
12 Orthopedic shoes
 Shoes that are specially designed shoes that provide
support and pain relief for people suffering with some
type of pain in the legs, ankles, or feet.
 Description: Specially shaped extra-depth design
 Application: Correction and accommodation of foot
 Function: Accommodate for internal modifications
13 Parapodium
 Application: Paraplegic patient, spastic cerebral palsy
 Description: lightweight, high-strength aluminum and
footplate, used to lock and unlock the hip and knee joints.
 Function: For stability, the footplate, sidebars, and back
panel form a continuous rigid loop, cross-braced by a bar at
the level of the knee. The shape of the bar virtually
eliminates side-to-side movement, thus improving the
anterior-posterior and medial-lateral stability of the unit.
14 Scoliosis Jacket
 Application: Idiopathic scoliosis
 Description: Custom thermoplastic TLSO
 Function: Limit curve progression and need for surgical
15 Scottish Rite Orthosis
 Application: Legg-CalvePerthes disease
 Description: Lightweight orthosis consisting of metal pelvic
band, plastic thigh cuffs, aluminum hip joints with thrustbearing hip joints or a telescoping spreader bar (older design)
 Maintain hips in abduction containing femoral head in the
16 SWASH (Standing, Walking and Sitting Hip Orthosis)
 Application: Cerebral palsy; any child whose adduction and/or
internal rotation at hip joint interferes with function or induces
lateral migration of the femoral head
 Description: Plastic padded waist band and two joint assemblies
connected by shaped leg bars to adjustable plastic thigh bands
 Function: Stabilize hip and oppose excessive adduction and
internal rotation; reduce scissor gait while walking and improve
balance while standing
17 Tibial Fracture Orthosis
 Application: In lieu of plaster cast to provide greater freedom of
activity during healing, reduced muscle atrophy and shorter
disability time
 Description: Total contact, usually thermoplastic, brace with
plastic or metal ankle joints and heel insert. Most often custommolded for pediatric applications
 Function: Allow mobilization of the leg during fracture healing;
minimize rotation and sheer forces support tibia and fibula
18 Wheaton Brace
 Application: Metatarsus adductus; clubfoot; tibial torsion.
Used in place of serial casting or corrective shoes
 Description: Molded thermoplastic and Velcro knee anklefoot orthosis
 Function: Applies direct corrective rotational force on the
tibia without any torque on the femur or hip.
19 Dennis Brown Bar
The Dennis Brown Bar attaches to corrective shoes to
maintain proper hip and foot position. The adjustable
rotation allows for desired external/internal rotation.
20 Ponseti Orthosis
 Abduction device similar to Dennis brown bar with total
contact AFO section that delivers excellent correction of
clubfoot (deformity with a downward and inward pointed
foot) without the risk and complications of foot surgery
21 Pediatric UFO
 The pediatric UFO from Orthomerica is a comfortable,
prefabricated orthosis for stretching and maintaining
dorsiflexion range of motion. This unique lower-limb
orthosis positions the foot and ankle in optimal alignment
for placing stretch on the soleus while the patient is
sleeping. When used in conjunction with a knee
immobilizer, this orthosis can also stretch the two-joint
gastrocnemius group.
 Cerebral Palsy or other neuromuscular diseases
 Idiopathic toe walking
 Severs disease
 Tightness at the foot and ankle
 Following achilles tendon lengthening
Stretching Orthoses
 Designed to increase and maintain ROM and maintain
joint alignment during the night.
 Dynamic orthoses provide an adjustable stretch that will
follow the patient’s ROM as it increases. It also allows for
flexion/ extension within the orthosis when the patient
is awake and provides a long term, low-load stretch while
they are relaxed.
1. Roosterboot
 The Rooster boots are available in varying colors which
each patient can choose at their casting appointment.
Rubber sole on the Rooster boots so that children can get
up to use the restroom during the night without slipping
and falling or having to remove the orthosis
 It is designed to provide an adjustable, dynamic stretch to
the heel cords. The custom-overlapping padding provides
total contact for pressure reduction and maintaining
correct alignment.
Rooster Boots
2. KAFO with the D-DAFO
 This KAFO has a dynamic stretching joint at the knee and
incorporates the D-DAFO. This design is made for
children with severe spasticity and/or malalignment
throughout the foot and ankle. The D-DAFO provides a
very intimate, total contact hold for correction and
pressure distribution.
 Holding the ankle at 90 degrees and maintaining correct
alignment throughout the foot is crucial for achieving an
effective stretch on the gastrocnemius.
3 Roosterboot with KO attachment
This “KAFO” is in two parts.
 The knee orthosis snaps onto the Roosterboot.
 Both the knee and ankle have dynamic adjustable joints for
comfort and stretch. Making this in two parts allows parents
the option of using only the Rooster boots at certain times.
The KO section also be fabricated at a later date once need is
4 Dynamic KAFO
 a. This parrticular KAFO has dynamic stretching joints at
both the knee and ankle. Each joint can be adjusted for
patient cofort and maximum stretch.
 b. This Dynamic KAFO has a dynamic joint at the knee only.
The ankle is held at 90 degrees and in correct alignment.
C. Cranial
 Cranial remolding orthoses is used to treat deformational
plagiocephaly, brachycephaly, scaphocephaly and other head
shape deformities in infants 3—18 months of age.
 These orthoses can be used to effectively manage a broad
spectrum of head shape deformities and clinical indications.
 Orthomerica's A-Flex Protective
Headgear is an adjustable alternative to
other hard protective devices. It is fabricated
from a flexible plastic that readily conforms to varying
head shapes, making it easy to fit upon demand.
 The protection is ideal for low impact forces that are distributed (like a
shock absorber) across the entire surface without cracking or
 The headgear is equipped with easy-to-adjust straps minimizing the
need for chin straps. Optional chin straps are recommended for active
and noncompliant patients
 The posterior strap "locks" the device below the mastoids and
accommodates size variations while the lateral straps are used for easy
donning and doffing. Lateral straps and side-slits are also optional.
 The A-Flex features ventilation holes to reduce trapped heat. It can be
easily trimmed with a pair of shop snips without the need for complex
equipment and tools.
D. Spinal
 Complementing the standard range, spinal orthoses have
been designed to accommodate the unique clinical needs
and anatomy of children, to provide the same high standards
of protection and support.
 Specially designed to fit the head shape of young children,
They ensure young patients enjoy the same quality of care.
New Options PL1 Elastic Double-side pull lumbar
 Features 6" wide elastic belt, two 2" wide adjustable side
pulls that overlap in front to increase support and 1/16"
nylon 2-sides neoprene pocket for insert.
Shoulder Abduction rotation orthosis (SARO)
• Increased adjustability at the shoulder
and elbow joints
• Humeral cuff with raised posterior
wall for additional control
• Lightweight, universal, design can be
used for the left or right shoulder
• Paralysis or damage to the Brachial Plexus (Erb palsy)
• Prevention of upper extremity joint contactures
• Brachial Plexus exploration and nerve repair
• Soft tissue surgery including tendon transfers
 Unique wrist, hand and finger orthosis applys low stretch therapy
to contracted fingers, hand and wrist. Features dynamic inflatable
air bladders. Fleece type liner helps reduce pressure points and
provide comfortable fit.
Fillauer Pediatric Action Wrist Support
 1/8" nylon two sides neoprene. Circumferential
adjustable wrist strap. Hook and loop closures.
Removable splint for washing.
Comfy Splints Pediatric Hand Wrist Orthosis
 Provides support and positioning for weak or
deformed hands at the wrist, hand and fingers. It
serves as an excellent resting splint to prevent trauma
to joints and positions to increase ROM. The wings on
the side adjust to prevent ulnar or radial deviation and
to allow for custom fit and comfort.
Comfyprene Pediatric Separate Finger
Hand Orthosis
 The Comfyprene Pediatric Separate Finger Hand
Orthosis unique splint allows for individualized finger
adjustments. Excellent for many deformities,
including; dupytrens, swan neck or boutonneire
contractures, as well as sprains and fractures. Comes
with Finger Separator and available in Left or Right.
Comfy Splints Pediatric Hand Thumb Orthosis
 Is uniquely designed to support the thumb without
stressing the web space between the index finger and the
thumb, known as the thenar eminence. The thumb tab
functionally positions the thumb without stretching the
thenar eminence like the traditional “C” bar opposition
hand splints, making this splint excellent for use on
patients with tightly adducted thumbs. The splint is
adjustable and re-adjustable without the use of tools,
making it easy to use and customize.
A-Frame Orthosis
 The A frame orthoses correct the problems associated
with rotational and angular malformations. This type of
orthotic is used to apply corrective forces for more
proximal malformations.
 Calf and thigh bands and pressure pads are attached to
an “A”-shaped metal frame. All components are either
adjustable or available in several sizes, so that children
of varying heights and girths can be accommodated.”
 Indicated for femoral torsion, angular deformities, and
rotational deformities.
Becker Pediatric Hip Abduction Orthosis
 This prefabricated hip orthosis is designed
primarily for the treatment of Legg-CalvePerthes disease. The preset hip abduction angle
is intended to achieve maximum containment
during ambulation. The hip joint allows the
range of hip flexion and extension to be
controlled in 20° increments.
Becker Spherical Hip Abduction Orthosis
 This orthosis is made with spherical joints in
order to provide precise positioning of the hip in
all planes. The hip band and calf cuffs are
constructed of aluminum, which is padded and
covered with naugahyde.
FAST-WRAP Pavlik Harness
 Utilizes the principle of flexion with free abduction to
achieve reduction of hip dysplasia and dislocation in
infants. Ideal alternative to hip casting. Hook and pile
provides easy application, size adjustment and removal.
Plastic quick-release buckle for secure closure.
Ilfeld Pediatric Hip Abduction Splint
 The Ilfeld Splint consists of two aluminum thigh
bands fastened to a stainless steel cross bar with
swivel joints. The metal thigh bands are covered
with fabric or dipped in plastisol. The thigh bands
are adjustable and are locked in place with a 3/16"
hexagon wrench. The splint is adjustable for
growth and progressive relaxation of abductor
spasms. For treatment of congenital dislocation of
the hip, congenital dyplasia of the hip and hip
dysplasia and dislocation due to cerebral palsy
and other neuro-muscular
Pavlik Harness
 A Pavlik harness is used in the treatment of
hip dysplasia in infants. The Pavlik harness is
fit to the baby and holds his or her hips in
proper position. By flexing up the legs, and
allowing the knees to fall outwards, the hips
are held in proper position.
 A Pavlik harness that is too tight can do more
damage to the baby's hips, and a Pavlik
harness that is too loose will not hold the
hips properly.
Pediatric Abduction Bar
 Indicated postsurgically, or for conditions requiring
abduction control of the hips.
 Adjustable bar provides abduction and adduction control
during restricted ambulation. Nylon ball and socket joint
duplicate the anatomical motion of the hip joint.
Pediatric Hip Abduction Splint
 Lightweight pediatric orthosis available in standard or
adjustable styles.
 The standard model holds the infant in 90° hip flexion and
60° abduction.
 Sturdy polypropylene frame with closed-cell foam lining
does not retain moisture.
Pediatric Hip Abduction Spreader
 Maintains child in abducted position,
 For proper hip alignment.
 The Pediatric Hip Abduction Spreader Bar attaches
by aligning the holes on the medial aspects of the
thigh lacers with the holes in the swivel brackets on
each end of the Spreader Bar. Adjustable
positioning is achieved by loosening the dial located
at the center of the adjustment bracket, and sliding
the bracket to the desired width.
RCAI HD Pediatric Hip Orthosis
 The Pediatric Hip Orthosis Bi-Lateral by RCAI is designed
to provide the patient with hip stability and proper hip
 The orthosis also limits unwanted motion and will reduce
the stress put on the pediatric hip. The orthosis is designed
to allow for a controlled range of motion.
 This orthosis is ideal for patients that have suffered from
hip problems that have required surgery.
• Provide hip stability and alignment following surgery.
• Reduces stress on the pediatric hip and limits motion.
• Ideal for use with universal leg braces.
• Vertical adjustability for the hip and thigh.
RCAI Pediatric Hip Abduction Orthosis
 Congenital Dysplasia of the Hip (CDH)
 One piece design for ease of application
 Durable polypropylene construction with closed cell foam
 Holds infant in 90° hip flexion and 60° abduction
 Allows nappy changes without removal of the orthosis
 Washable
Trulife Pediatric Hip Abduction Orthosis
 Ideal for congenital hip dysplasia.
 Made of easy-to-clean plastizote..
DeRoyal pro-glide jr. Elbow Orthosis
 Addresses joint stiffness of the elbow by using a low load,
prolonged stretch modality. Features include single hinge
design and lightweight construction.
The unit easily converts from an extension splint to a
flexion splint with the simple turn of a screw.
Fully adjustable.
Liner is machine washable.
Weight 1 lb 10 oz.
Pediatric comfy elbow hand combo
 Adjustable and readjustable to individual
patient without the use of heat or tools.
 Can be graded up to increase elbow extension.
 Lightweight and durable.
Pediatric comfy elbow orthosis
 Provides excellent support for flaccid or weak
 Helps immobilize painful extremities.
 The splint spine can bend to the desired ROM
and the cuffs can adjust to the wrists and MP
joints for optimal fit.
 It can also be adjusted to provide for gradual
extension of the non-fixed elbow contracture.
Pediatric comfy goniometer elbow
 Designed to increase elbow extension following CVA, surgery,
injury or neurological complications.
 Also excellent for individuals with strong flexor tone.
 Has the same benefits as serial casting and allows for
progressive extension of the elbow in 10° increments, but does
so in a comfortable, adjustable and removable splint form.
 The goniometer hinge allows one to set a range within which
the elbow can flex and extend and it can also lock at a desired
degree of extension.
Pediatric comfy spring loaded
goniometer elbow orthosis
 Designed to increase elbow extension
following CVA, surgery, injury or
neurological complications.
 It is also excellent for individuals with
strong flexor tone.
 The orthosis has the same benefits as serial
casting and allows for progressive
extension of the elbow in 10° increments,
but does so in a comfortable, adjustable
and removable splint form.
 The goniometer hinge allows one to set a
range within which the elbow can flex and
extend and it can also lock at a desired
degree of extension.
Pediatric comfyprene elbow orthosis
 Provides excellent support for flaccid or weak extremities and
helps immobilize painful extremities. The splint spine can
bend to the desired ROM and the cuffs can adjust to the
wrists and MP joints for optimal fit. It can also be adjusted to
provide for gradual extension of the non-fixed elbow
Pediatric comfyprene goniometer elbow
 Designed to increase elbow extension following CVA, surgery,
injury or neurological complications. The orthosis has the
same benefits as serial casting and allows for progressive
extension of the elbow in 10° increments, but does so in a
comfortable, adjustable and removable splint form. The
goniometer hinge allows one to set a range within which the
elbow can flex and extend, and it can also lock at a
desired degree of extension.
Dynapro pediatric flex elbow
Elbow sleeve
 The Pediatric Elbow Sleeve is made of 1/8" nylon 2-
sides neoprene. Provides warmth, compression and
Pediatric universal arm brace
 The Universal Arm Brace has bilateral hinges, which
provide increased flexion/extension elbow control
from 0° to 120°. The lightweight stainless steel hinge
construction aids in patient compliance. The precision
length adjustment hinge arm assures a personalized fit
and the unique forearm design provides protection of
the olecranon process. The liner is made of
a breathable laminate interface.
Pediatric hyperextension elbow support
 Made of 1/8" nylon 2-sides neoprene with two loop and
lock criss-cross straps.
Aspen Pediatric Cervical Collar
 Has been carefully designed to provide effective motion
restriction without producing the painful pressure points that
lead to skin breakdown and noncompliance. Three layers of
polyethylene combine to produce a support structure that is
extremely rigid yet able to flex at its edges to conform to each
patient's anatomy. This layered design spreads the load over a
large area, producing a true custom fit, which has been
documented not to produce pressure in excess of capillary
closing pressure, the underlying
cause of skin breakdown.
The Aspen CTO
 Combines highly effective immobilization of the
cervical and upper thoracic spine with a level of
comfort that makes it well tolerated by patients.
Research has shown substantially progressive
immobilization in going from a stand-alone cervical
collar, to a two-post device, and then on to a four-post
Aspen Sierra Pediatric Collar
 With just one size, the Sierra provides substantial motion
restriction for the vast majority of the pediatric patient
population. Its flat back panel facilitates a safe application
and the DYNA-Capture system contours to the back of the
child's head, increasing motion restriction. Access to the
tracheal area is unparalleled, allowing for visualization or
any procedure on the anterior neck.
Corflex Pediatric Ambu Perfit Collar
- Features one-piece flat design with flip out
chin piece and trachea opening for easy
access. Constructed of durable plastic
laminated to foam with contact closure.
Corflex Pediatric Ultra Cervical Collar
 Features anatomically contoured foam with soft cotton
stockinette covering for maximum patient comfort.
Manufactured from medium firm density foam with 2"
contact closure.
DeRoyal Comfo-Eze Cervical Collar
 Highest quality medium density foam
construction. Breathable synthetic
stockinette liner. Removable cover can
be washed for better patient hygiene.
Infant Cranial Interface
 Used
to protect the skin, wick moisture,
control rashes, and guard against dermatitis.
NecLoc Kids Collar
 Immobilization of pediatric patients under the age of
12 during emergency transport
Miami Jr. Collar
 Engineered to fit the unique anatomies of patients age
12 and under.
Indications for Use:
 C-Spine precaution for trauma patients
 Immobilization for pre and post c-spine surgery
 SCIWORA Syndrome Degenerative disorders
 Spinal Stenosis
 Spondylolisthesis
Papoose Infant Spinal Immobilizer
 Designed for newborns up to 3 months, the Papoose
cradles the baby's body, securely and gently
immobilizing the head and spine while maintaining
airway and spine alignment.
Indications for Use:
 Immobilization of the head and spine in patients 0 – 3
 Sutures
 MR and other diagnostic imaging
 Treatment situations requiring
temporary immobilization
Pediatric Halo
 Positioning of structurally stable spine
 Following complications of standard halo
 Postoperative positioning following
sternocleidomasatoid release for congenital
muscular torticollis
 Reduction of C1-C2 rotary instability
Pediatric one-piece extrication collar
 It has an oversized trachea opening for quick access to
tracheotomies. Chin support maintains patient in
neutral alignment. Mandible support adapts to
individual patient's unique jaw line.
Torticollis Orthosis
 Torticollis is a condition where the head is rotated
and tilted to one side due to the shortening of the
muscles of the neck. This orthotic supports the
head after surgery and then slowly adjusts it into
the proper position.
 END 

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