S.W.A.S.H. Orthosis

Orthotics Knee Bracing

Patients with Cerebral Palsy often present with one or more of the following problems:

  • Difficulty in standing
  • Difficulty in walking
  • Unstable sitting
  • Poor hip development

Impact of High Adductor Tone

  • Drives the feet into pronation
  • Internally rotates the lower limbs
  • Flexion influence on both the knees and the hips
  • Influences the trunk into a slouched posture

History of Brace

  • Since 1992 this orthosis has been used for thousands of CP children in many countries
  • S.W.A.S.H. “seems” a simple device, which works by a combination of 21 joints and angles
  • S.W.A.S.H. means a great help in the treatment of CP children


  • When maximum trunk control is required (patient that lacks muscle strength to sit upright)
  • When smaller diameter uprights are desired for less restriction of movement
  • When the greater pelvic and torso coverage triggers more desirable neuro-sensory response

Low Profile II

  • When the primary goal is to control scissor gait
  • When wearer has limited space between iliac crest and the rib cage.
  • When maximum upright strength is required
  • When patient/caregiver acceptance of “bracing” is an issue


  • 9 months to 5 years old
  • Risk of hip dysfunction
  • Spastic diplegia
    Easiest to fit
  • Spastic quadriplegia
    Best with 115 uprights
  • Night splint
    6 to 24 hours use OK
  • Post-operative
    When fixed abduction not necessary