Thursday, October 18, 2018

Orthotics: How to and Considerations

A client wearing a new orthosis may adopt the following schedule:

Wear orthosis for approximately 30-60 minutes per day; may break this time up into the morning and evening times

Days 3/4
Increase morning and evening time to about 1 hour each or 2 hours total per day
Days 5-10
Increase wearing time to approximately 2 hour in the morning and evening, or 4 total hours a day
Days 11-14
Apply the orthosis first thing in the morning, remove, checking skin before lunch.  The orthosis may be put on again and checked after school/dinner;  it may be applied a third time and worn untill bedtime

Note:  Patients, caregivers and therapists should perform a skin check each time the orthosis is removed.  Check for redness, skin irritation, blistering of the skin.  Any redness school disappear within a few seconds after removing the device.  If it persists longer than a few minutes or if skin breakdown develops, the patient should immediately stop wearing the orthosis, and the supervising Physical Therapist and Orthotist should be immediately contacted.

Skin and Orthosis Care:
Clients wearing orthoses should be told to notify the orthotist or other health care provider if the following problems are noticed:
  • The orthosis rubs, causing skin discoloration that does not disappear after a few minutes.
  • After removal of the device, blistering or skin breakdown is evident
  • The orthosis is cracked, broken, loose, or has missing parts
  • The orthosis is uncomfortably tight
  • Excessive swelling develops within or around the trimlines of the orthosis
  • Pain becomes a symptoms, or intensifies.
  • Toes, fingers become discolered
  • An odor or exudates develops
Caring for the orthosis:
The orthosis should be cleaned with mild soap and water.  It should not be soaked in water or dried with a blow dryer, or placed near a heater as heat may cause its shape to change.  It may be towel dried or left at room temperature.  A little talcum powder may help reduce odor.
  • Cotton socks should be worn under the orthosis to prevent friction and protect the skin from perspiration.
  • Seams of socks should be kept away from bony areas
  • Avoid wrinkles or folds in socks.
  • A white cotton t shirt is preferable to wear under spinal orthoses for the same reason as above.
  • For LE orthotic, sandals, high heels, loafers, or other slip on shoes should be avoided.
In general, orthosis should be easily applied and performed independently by the patient.  However children, and others may require additional assistance, and given instruction in how to perform as well.

1 comment:

  1. I always recommend people to resort to physical therapy, because It's so beneficial to our physical and mental health, but mostly because it helps patients on their recovery. It's sad that people don't know how impactful undergoing physical therapy is. A website that has helped me become more aware of physical therapy and its importance is Preferred Rehab , you should check it out!