Atlas of Orthoses and Assistive Devices

Principles and Components of Spinal Orthoses

Key Points Spinal bracing serves three primary objectives: controlling pain by limiting motion and unloading discs, vertebrae, and other spinal structures; stabilizing weak or injured structures by immobilizing the spine; and providing a three-point force system to provide correction or…

Biomechanics of the Spine

Key Points The primary biomechanical functions of the spinal column are to support the substantial loads induced during activities of daily living and protect the spinal cord while allowing physiologic mobility. This chapter presents a framework for understanding these biomechanical…

Principles of Normal and Pathologic Gait

Key Points Human gait is a complex phenomenon that involves intricate interactions between the pelvis, hips, knees, and ankles. Understanding human gait requires a solid knowledge of underlying physiology and biomechanical principles. Observational gait analysis skills are essential in the…

Principles of Fabrication

Key Points Fabrication can be classified into three subsets: (1) constructed from raw materials; (2) combined from raw materials and specially designed components; or (3) mass-produced, generic, completed devices that can be modified to fit the patient. Although meticulous fabrication…

Materials Science

Key Points A thorough knowledge of the material science, its application, and other general principles summarized in this chapter is prerequisite to ensuring that the orthosis and assistive devices provided by practitioners will be durable, safe, and as unobtrusive as…

Orthotic Prescription

Key Points A prescription for an orthosis communicates the type of device recommended to meet the biomechanical needs of the patient to improve function and promote participation in life activities. An appropriate orthotic prescription and treatment plan is generated based…