DYNAMIC COMPRESSION ORTHOSIS
Influences:
Shoulder girdle and trunk.
Functional effect on the body:
Stabilizes shoulder and upper trunk with some reduction of tone in biceps. A long sleeved vest will reduce tone in the forearm extensors.
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Improved trunk posture, body symmetry, shoulder stability and upper limb awareness. Fine motor control improves.
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Influences:
Ankle and foot
Functional effect on the body:
Reduces tone in gastrocnemius and Soleus. Proprioceptive awareness increased. Also affects the Tibialis Anterior where there is lease minima within the gait cycle.
May improve weight bearing and balance, and active dorsiflexion in gait cycle.
Influences:
Elbow, forearm, wrist and fingers.
Functional effect on the body:
Reduction of flexor tone in arm, supination (or pronation if required). Improved arm and hand position leading to better fine motor control
Dynamic Elastomeric Fabric Orthoses (DEFO’s)
Introduced in the treatment of children with a diagnosis of cerebral palsy. Early studies found that by putting children in suits, body alignment and trunk control improved, sensory and motor feedback were influenced and learning strategies enhanced (Edmonson, Fisher & Hanson 1999).
Product Description
The Sensory Dynamic Orthosis (SDO) is a made to measure Lycra garment (Class 1) medical device, designed and produced to the finest detail. It provides dynamic compression to increase sensory and proprioceptive feedback as well as provide musculoskeletal support. Any abnormality in tone may lead to impaired movement, which will impact, on the sensory system. In order for people with abnormal muscle tone to achieve control over movement, suitable stimuli are required. These can be provided through any of the senses using many different therapy techniques. The sensorimotor feedback loop, therefore, is a key component to effective learning in any person. Postural control is essential to stabilize the body in order for a movement to occur. To achieve this effective sensory feedback is required to maximize motor output. It is known that by improving proprioceptive feedback we can enhance the accuracy of movement and tone through the facilitation/inhibition of motor responses from the motor cortex.This lycra garment can assist and lead to motor learning and neural integration.
Through the use of an SDO/DMO providing constant, consistent information the patient is given the effect of therapeutic handling for the time that the garment is worn.Clinical observations and the evidence available shows that wearing the SDO/DMO leads to an improvement in positioning, posture and function because it provides musculo-skeletal
alignment, postural stability and sensory feedback. This is thought to be due to the stimulation of the somatosensory and musculo-skeletal systems which give changes in tone and postural alignment. This will then lead to improved proximal stability and improved biomechanical advantage for muscle activation and enhancement of lenaring strategies.
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Features and Indications
The stretch quality of the Polycotton Lycra material in conjunction with the resistance provided by the Lycra powernet used in the fabrication of the SDO/DMO can provide and improve:
- Sensory and proprioceptive feedback
- Postural control and proximal stability
- Quality of meovement
- Cerebral Vascular Accident /Stroke
- Multiple Sclerosis
- Dystonia
Function:
Through clinical experience positive responses have been demonstrated from the wearing of a Lycra garment in patients with the following diagnoses on a regular basis:
- Cerebral palsy
- Acquired Spinal Injury
- Cerebellar Ataxia
- Spina Bifida
The SDO can also be used for the management of conditions with joint instability and
sensory deficit:
- Persistent low tone including developmental delay
- Inherited conditions e.g. Ehlers Danlos Syndrome
- Hyper-mobility and joint laxity
- Any condition with sensory modulation challenges
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