Orthotic treatments involve the use of Custom or Customized Orthoses in order to achieve a desired outcome such as walking better, running faster or jumping higher. Whatever your goals are, we can help you achieve them. The appropriate clinical application and fine tuning of these treatments optimize their overall effectiveness. In other words, matching the appropriate Orthosis to the patient's clinical picture is an art and a science: it requires knowledge, skill and a willingness and desire to turn our patients' goals into reality.
We provide Upper Extremity, Lower Extremity and Spinal Orthoses as prescribed by your doctor or specialist. Although we provide a full range of Orthoses, we are not limited by a set catalog. With access to different materials and components, we take pride in customizing our Orthoses to the appropriate specifications to best achieve a positive outcome for you or your child.
Our Orthotic management aims to optimize function by providing stability to joints, and providing the desired range of motion to normalize gait. However it is not all science, as our patients show unlimited creativity in designing their custom Orthosis with colour and pattern choices to make it truly their own. Our wish is that your pride of ownership and appreciation of what your Orthosis will make it a well-loved part of your life.
Many of our patients require Orthotic treatment due to an underlying condition which affects the nervous system, muscular system or the alignment of the skeletal system. For more information about some of the most common medical conditions we encounter, please see our pages on Common Pathologies. Your Orthotist will be happy to discuss appropriate options with you.
We are specialized in providing custom Upper Extremity Orthotic Treatments for you or your child. A range of Static or Dynamic Orthoses are designed to support, correct alignment, increase or restrict range of motion utilizing various optimal mechanical joints and material selection in varying thicknesses. Non-Custom Upper Extremity Orthoses will be optimally customized for your requirements.
Upper Extremity Orthotic Treatments include but are not limited to:
- Wrist Hand Orthoses (WHOs)
- Wrist Hand Finger Orthoses with Thumb Post (WHFOs)
- Elbow Orthoses (EOs)
Lower Extremity Orthotic Treatments provide appropriate and effective support, a desired range of motion, and improved alignment through a variety of orthoses named for the level of the lower extremity that they encompass. Clinical and Gait Assessments will help to select the most suitable orthosis to optimize your function, based on your specific requirements.
Custom Foot Orthoses (CFOs)
Our Custom Foot Orthoses are corrective with high trim lines where indicated, and provide a neutral alignment where the rigidity of support is customized to the client, and the flexibility at the metatarsals is fine tuned to provide guidance to a desired line of progression. The Custom Foot Orthosis and the Shoe form an integral unit. Educational components include discussion regarding suitable shoes, and a comparison of the Gait Videos before and after treatment. Biomechanical reports will be provided for your insurance requirements.
Ankle Foot Orthoses (AFOs) and Supramalleolar AFOs
We provide a variety of Ankle Foot Orthoses with various differing designs in order to match our client's requirements. We are able to customize every aspect of our orthoses in order to provide mediolateral support, control of sagittal range of motion at the ankle, with varying levels of control to the knee, ankle and foot motion based on clinical and gait assessment, and client requirements.
Other Lower Extremity Orthotic Treatments
Hip Knee Ankle Foot Orthoses (HKAFOs), Reciprocal Gait Orthosis (RGO), Scottish Rite Orthoses for Legg Perthes Treatment, Hip Abduction Orthoses, Derotational Orthoses sometimes referred to as Twisters, Dennis Browne Boots/Bar for treatment of Club Feet and Metatarsus Adductus, Hallux Valgus Orthoses, Toe separators.
Knee Ankle Foot Orthoses (KAFOs) and Knee Orthoses (KOs)
We provide a variety of custom KAFOs and KOs to stabilize, align, support and increase or limit range of motion at the knee as required. Non custom Knee Orthoses for rehabilitation are selected and customized based on our client's needs.
Shoe Lifts and Shoe Modifications
We are pleased to be able to provide in-house shoe lifts for conditions which result in leg length discrepancies. Shoe Modifications may be required to provide additional stability and support for you or your child. Modifications may include adding velcro straps to allow independence, and ease of donning.
As an integral part of our comprehensive orthotic treatment, we provide an in-office synchronized video gait assessment through our Contemplas Gait System, where we analyze and record your gait in the frontal to the sagittal planes. This system allows us to make comparisons with previous gait trials and to compare your gait with and without the orthoses to ensure that we have achieved positive clinical outcomes.
This tool also provides an educational component to help patients and their families to understand what the treatment achieves for them, as well as being able to share outcome results with other health professionals. We can also evaluate the changes in gait over time to demonstrate and document achieved orthotic management goals.
We provide a Biomechanical Report as required by your insurance for Custom Foot Orthoses.
Ortho Dynamics Spine Clinic
Orthotic Treatments for Scoliosis
Our Spine Clinic provides the expertise of our Certified Orthotists in collaboration with the expertise of the Orthopaedic Spine Surgeons at BC Childrens Hospital overseeing the treatment, and collaboration with and access to a Schroth certified Physiotherapist in providing specific exercise based movement treatments.
Adding to our accumulated years of experience in treating spine conditions, the exciting acquisition of the newest technology of CAD CAM with the Canfit Vorum System and Spectra Scanner in 2014 provided the opportunity to research and develop improved clinical methods, providing the utmost in care and treatment thereby ensuring the best outcomes for our scoliosis patients.
Our idiopathic scoliosis treatments are based on the Rigo Classification system for Chenau type braces known for their derotational control through translation and corrective three point pressure systems through their asymmetrical designs.
CAD CAM technology and the ability to acquire 3D scans of our patients support our knowledge and understanding of scoliosis and the imbalances of the spine, ensuring very specific and accurate corrective forces within our custom fabricated ThoracoLumboSacral Orthoses (TLSO’s).
While the ultimate goal of Scoliosis bracing is to prevent progression of the curve, a well designed brace with 3-Dimensional corrective forces optimize alignment and have been documented to reduce scoliotic curves while restoring the sagittal spine to a more normal alignment, promoting improved rib cage shape and symmetry during the course of treatment.
During your treatment, your clinical progress and improvements will be documented through comparisons of digital photographs and clinical measurements, and through radiological comparisons and reports as ordered by your orthopaedic surgeon at regular intervals throughout the course of treatment.
Our custom TLSOs are front opening with a specific design to address your child’s unique spinal alignment. Frequent follow-ups ensure that the TLSO will fit and work well throughout treatment. Adjustments are made as required to ensure comfort and correction.
The successful outcome of Scoliosis Treatment through a custom TLSO is facilitated by the commitment of the patient family in following wearing guidelines, an active lifestyle, therapeutic exercise to aid in self-correction techniques, and treatment progress assessed through regular followup appointments with your Orthotist.
The Initial Consult appointment allows us understand patient history and special considerations, and to discuss and explain the Orthotic Treatment with your family, answering any questions or concerns that you may have about the process or how the treatment works. This is important as the treatment process requires that commitment to the treatment is established and the mechanism of treatment understood.
The Assessment and 3D Scan appointment will be scheduled once the Radiologic image of the spine is obtained and assessed. A thorough physical clinical assessment will be performed and critical measurements will be taken. Digital photographs and a 3D scan provide critical and accurate information as well as providing a reference for the treatment itself. All of this information is then incorporated into providing a corrective blueprint specific to your child’s biomechnical needs.
If your family is located a great distance from Vancouver, the consult and assessment appointments can be incorporated into one, based on having access to the radiological spine image, and a telephone consultation at your convenience.
We will always endeavor to set up appointments as soon as it is possible, and to provide the full treatment within a reasonable amount of time. The TLSO will be custom fabricated in-house, to clinical specifications. Our certified Orthotists are accountable to your family and to your prescribing Orthopaedic Surgeon.
Other Available Orthotic Spine Treatments
We are certified to provide Charleston Night Bending Orthoses which may be prescribed by your doctor for treating Idiopathic Scoliosis. Your specific curve(s) would need to be assessed to determine if this is an appropriate treatment for you.
Custom Anti-Lordotic TLSO to treat Spondylosis and Spondylosthesis, and Post-Operative TLSOs. These Orthotic Treatments are based on your prescription, specific spinal diagnosis and appropriateness of treatment.
Non-Custom Spine Orthoses include but are not restricted to Jewitt HyperExtension Orthoses, and Harris Orthoses (LSO), Sternal-Occipital-Mandibular Immoblizer SOMI’s and Minerva Orthoses (CTLSO) for the treatment of injury to spinal vertebrae through trauma, or postoperatively as prescribed.
Custom Cervical Orthosis modified for tracheal intubation