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MeSH Review

Orthotic Devices

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Disease relevance of Orthotic Devices

  • OBJECTIVES: To evaluate the clinical outcome of patients with ankylosing spondylitis and cervical spinal fractures treated with posterior instrumentation and a collar orthosis [1].
  • Treatment of intermetatarsal neuromas includes the very simple method of changing shoe styles, more complex conservative treatments with functional orthotic devices, oral anti-inflammatory medications and cortisone injections, and surgical intervention [2].
  • The aim of this study was to compare the effect of extracorporeal shockwave therapy (ESWT) in patients with chronically painful proximal plantar fasciitis with a conventional conservative treatment consisting of nonsteroidal anti-inflammatory drugs, heel cup, orthoses and/or shoe modifications, local steroid injections and electrotherapy [3].
  • Presentation of GTB orthoses for hyperlordotic treatment of idiopathic scoliosis [4].
  • Twenty-eight patients with complete T3-12 traumatic paraplegia were fitted with hip guidance orthosis (HGO, four cases), reciprocating gait orthosis (RGO, 13 cases) or advanced reciprocating gait orthosis (ARGO, 11 cases) [5].

Psychiatry related information on Orthotic Devices


High impact information on Orthotic Devices

  • CONCLUSION: RCT evidence shows that orthoses and special shoes are likely to be beneficial in patients with RA [8].
  • Those using EVA (ethyl-vinyl acetate; n = 28) orthoses presented results similar to those for the total group [9].
  • These evaluated some of the most frequently described treatments (steroid injections and orthoses) and some experimental therapies (extracorporeal shock wave therapy and directed electrons) [10].
  • A spring was added to the ankle-foot orthosis so that it increased orthosis stiffness by providing plantar flexor torque during ankle dorsiflexion [11].
  • We found that total ankle stiffness and leg stiffness did not change across the two orthosis conditions (ANOVA, P > 0.05) [11].

Biological context of Orthotic Devices


Anatomical context of Orthotic Devices


Associations of Orthotic Devices with chemical compounds

  • Furthermore, the paraplegics in whom the hip flexor and knee extensor muscles were intact bilaterally and who were able to walk with a reciprocal crutch-assisted gait, but did not require knee-ankle-foot orthoses, did no better [19].
  • All runners were treated conservatively with rest, stretching, reduced distance, anti-inflammatory medications, local cortisone injections and/or orthoses [20].
  • In preliminary trials, this orthosis had been very effective in decreasing the number of episodes in which stinger injuries occurred [21].
  • To make these orthoses CT compatible, low electron density materials are presently being evaluated to replace the titanium skull pins [22].
  • Replacement of ferrous materials with nonferrous metals and alloys and elimination of electrical loops proved to be necessary to make cervical braces and orthoses MR-compatible [22].

Gene context of Orthotic Devices

  • METHODS: A ten-year multicenter retrospective review of patients in whom adolescent idiopathic scoliosis had been treated with a Boston or a custom-molded thoracolumbosacral orthosis was performed [23].
  • Dexterity was measured with and without the orthosis using the Jebsen Hand Function Test. Work performance was assessed using 2 tasks (one simulating the use of shears, the other the use of a screwdriver) on a work simulator [6].
  • Sixteen ambulant subjects with MS and ten age-matched healthy control subjects were studied on initial receipt of foot orthoses and after four weeks of daily wear [24].
  • Effects of joint motion constraints on the gait of normal subjects and their implications on the further development of hybrid FES orthosis for paraplegic persons [25].
  • Second, a growing number of prosthetic and orthotic devices are successfully being fabricated and fit with CAD/CAM technology after starting the process with simple measurements instead of casted, scanned, or digitized exact anatomic data [26].

Analytical, diagnostic and therapeutic context of Orthotic Devices

  • INTERVENTION: A 10-week therapy programme of functional electrical stimulation by means of the 'Ness Handmaster Orthosis'. RESULTS: The results of 15 patients were available for analysis [27].
  • In a comparison of the metabolic costs and efficiency of the Orlau swivel walker, bilateral knee-ankle-foot orthoses, and a wheelchair, the swivel walker was least efficient (1.9ml O2/kg/m) in comparison to the knee-ankle-foot orthoses (0.9ml O2/kg/m) and the wheelchair (0.18ml O2/kg/m) [28].
  • The findings in this case show that physical therapy including foot orthoses, shoe modifications, gait training, and strengthening exercises can be instrumental in the postsurgical rehabilitation of a patient with severe rheumatoid arthritis [29].
  • Movement of the cervical spine in the sagittal plane was studied in ten normal subjects from 20 to 30 years of age without and with four different cervical orthoses: (1) polyethylene Camp plastic collar with chin and occiput piece, (2) plastizote Philadelphia collar, (3) four-poster and (4) SOMI (sternal occipital mandibular immobilization) [30].
  • Twenty-two women with seropositive rheumatoid arthritis (mean age, 53 years) registered their pain on a visual analogue scale both with and without orthosis on the wrist of the dominant hand in three standardized activities of daily living (ADL) situations [31].


  1. Management of cervical spinal fractures in ankylosing spondylitis with posterior fixation. Taggard, D.A., Traynelis, V.C. Spine. (2000) [Pubmed]
  2. The treatment of intermetatarsal neuromas with 4% alcohol sclerosing injections. Dockery, G.L. The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons. (1999) [Pubmed]
  3. Extracorporeal shockwave therapy (ESWT) in patients with chronic proximal plantar fasciitis. Hammer, D.S., Rupp, S., Kreutz, A., Pape, D., Kohn, D., Seil, R. Foot & ankle international / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society. (2002) [Pubmed]
  4. Presentation of GTB orthoses for hyperlordotic treatment of idiopathic scoliosis. Griffet, J., Thévenot, J., Barral, F. European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift für Kinderchirurgie. (1998) [Pubmed]
  5. Restoration of gait with orthoses in thoracic paraplegia: a multicentric investigation. Lotta, S., Fiocchi, A., Giovannini, R., Silvestrin, R., Tesio, L., Raschi, A., Macchia, L., Chiapatti, V., Zambelli, M., Tosi, C. Paraplegia. (1994) [Pubmed]
  6. The effect of a static wrist orthosis on hand function in individuals with rheumatoid arthritis. Pagnotta, A., Baron, M., Korner-Bitensky, N. J. Rheumatol. (1998) [Pubmed]
  7. Hindfoot containment orthosis for management of bone and soft-tissue defects of the heel. Johnson, J.E., Rudzki, J.R., Janisse, E., Janisse, D.J., Valdez, R.R., Hanel, D.P., Gould, J.S. Foot & ankle international / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society. (2005) [Pubmed]
  8. Interventions for foot disease in rheumatoid arthritis: a systematic review. Farrow, S.J., Kingsley, G.H., Scott, D.L. Arthritis Rheum. (2005) [Pubmed]
  9. The effect of foot orthoses in rheumatoid arthritis. de P Magalhães, E., Davitt, M., Filho, D.J., Battistella, L.R., Bértolo, M.B. Rheumatology (Oxford, England) (2006) [Pubmed]
  10. A systematic review of treatments for the painful heel. Atkins, D., Crawford, F., Edwards, J., Lambert, M. Rheumatology (Oxford, England) (1999) [Pubmed]
  11. Neuromechanical adaptation to hopping with an elastic ankle-foot orthosis. Ferris, D.P., Bohra, Z.A., Lukos, J.R., Kinnaird, C.R. J. Appl. Physiol. (2006) [Pubmed]
  12. A dynamic pronation orthosis for the C6 tetraplegic arm. Hokken, W., Kalkman, S., Blanken, W.C., van Asbeck, F.W. Archives of physical medicine and rehabilitation. (1993) [Pubmed]
  13. Static stance response to different types of foot orthoses. Payne, C., Oates, M., Noakes, H. Journal of the American Podiatric Medical Association. (2003) [Pubmed]
  14. Clinical and functional outcome after alcohol neurolysis of the tibial nerve for ankle-foot spasticity. Chua, K.S., Kong, K.H. Brain injury : [BI]. (2001) [Pubmed]
  15. Reciprocating gait orthoses: a multicenter study of their use by spinal cord injured patients. Franceschini, M., Baratta, S., Zampolini, M., Loria, D., Lotta, S. Archives of physical medicine and rehabilitation. (1997) [Pubmed]
  16. A hybrid thermoplastic and neoprene thumb metacarpophalangeal joint orthosis. Ford, M., McKee, P., Szilagyi, M. Journal of hand therapy : official journal of the American Society of Hand Therapists. (2004) [Pubmed]
  17. The immediate and short-term effects of a wrist extension orthosis on upper-extremity kinematics and range of shoulder motion. King, S., Thomas, J.J., Rice, M.S. The American journal of occupational therapy. : official publication of the American Occupational Therapy Association. (2003) [Pubmed]
  18. A CAD CAM digitizing adapter for spinal casts. Lemaire, E.D., Goudreau, L., Jeffreys, Y. Prosthetics and orthotics international. (1996) [Pubmed]
  19. Energy cost of paraplegic locomotion. Waters, R.L., Lunsford, B.R. The Journal of bone and joint surgery. American volume. (1985) [Pubmed]
  20. Iliotibial band syndrome in distance runners. Sutker, A.N., Barber, F.A., Jackson, D.W., Pagliano, J.W. Sports medicine (Auckland, N.Z.) (1985) [Pubmed]
  21. Upper trunk brachial plexopathy. The stinger syndrome. Markey, K.L., Di Benedetto, M., Curl, W.W. The American journal of sports medicine. (1993) [Pubmed]
  22. Compatibility of cervical spine braces with MR imaging: a study of nine nonferrous devices. Clayman, D.A., Murakami, M.E., Vines, F.S. AJNR. American journal of neuroradiology. (1990) [Pubmed]
  23. Decreased orthotic effectiveness in overweight patients with adolescent idiopathic scoliosis. O'Neill, P.J., Karol, L.A., Shindle, M.K., Elerson, E.E., BrintzenhofeSzoc, K.M., Katz, D.E., Farmer, K.W., Sponseller, P.D. The Journal of bone and joint surgery. American volume. (2005) [Pubmed]
  24. De-stabilizing and training effects of foot orthoses in multiple sclerosis. Ramdharry, G.M., Marsden, J.F., Day, B.L., Thompson, A.J. Mult. Scler. (2006) [Pubmed]
  25. Effects of joint motion constraints on the gait of normal subjects and their implications on the further development of hybrid FES orthosis for paraplegic persons. Yang, L., Condie, D.N., Granat, M.H., Paul, J.P., Rowley, D.I. Journal of biomechanics. (1996) [Pubmed]
  26. The use of CAD/CAM technology in prosthetics and orthotics--current clinical models and a view to the future. Smith, D.G., Burgess, E.M. Journal of rehabilitation research and development. (2001) [Pubmed]
  27. Functional electrical stimulation by means of the 'Ness Handmaster Orthosis' in chronic stroke patients: an exploratory study. Hendricks, H.T., IJzerman, M.J., de Kroon, J.R., in 't Groen, F.A., Zilvold, G. Clinical rehabilitation. (2001) [Pubmed]
  28. Paraplegic use of the Orlau swivel walker: case report. Seymour, R.J., Knapp, C.F., Anderson, T.R., Kearney, J.T. Archives of physical medicine and rehabilitation. (1982) [Pubmed]
  29. Postsurgical hindfoot deformity of a patient with rheumatoid arthritis treated with custom-made foot orthoses and shoe modifications. Shrader, J.A., Siegel, K.L. Physical therapy. (1997) [Pubmed]
  30. Cervical orthoses effect on cervical spine motion: roentgenographic and goniometric method of study. Fisher, S.V., Bowar, J.F., Awad, E.A., Gullickson, G. Archives of physical medicine and rehabilitation. (1977) [Pubmed]
  31. Elastic wrist orthoses. Reduction of pain and increase in grip force for women with rheumatoid arthritis. Nordenskiöld, U. Arthritis care and research : the official journal of the Arthritis Health Professions Association. (1990) [Pubmed]
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