Kids aren’t just little adults they have specific requirements when considering their treatment options. That’s why +oapl’s clinical team include a group of specific paediatric specialists.
Our paediatric clinical team are proficient in managing a wide range of conditions including the following.
Acute injuries such as fracture, sprains as well as a wide range of sports and playground injuries. Our paediatric team can help with both injury management as well as prevention, with a range of off the shelf and custom bracing options. We also have solutions for common problems that children encounter such as painful flat feet, Sever's and patello femoral pain. Ensuring your kids can maximise their enjoyment without limitations.
Neuromuscular disorders such as Cerebral Palsy, Spina Bifida, Muscular Dystrophy and many more. Our paediatric team recognise the importance of a holistic approach to managing these children’s needs. They have strong links both with tertiary hospitals and community based medical professionals and therapists ensuring a comprehensive understanding of the child’s requirements, in all facets of their life, prior to considering their bracing options.
Club Foot (CTEV). Our paediatric team has strong connections with this group and have been involved in their biennial conference since its inception. We specialise in the fitting and review of Mitchell Boots and Ponsetti Bars for use as part of the protocol. These soft adjustable boots provide comfort without any loss of control.
Hip Dysplasia diagnosed either at birth or later. Our paediatric clinical team have extensive experience managing this condition, a number of them going through it themselves with their children. They can offer guidance in managing the brace as well as coping with day to day life. Simple things like changing nappies, fitting in car seat and prams become a lot simpler with a little advice.
Plagiocephaly monitoring and Helmet therapy is now available at OAPL. Our team are certified SmartSoc and Measuring and Comparison Unit (MCU) operators. This quick process is less invasive and much faster than old fashioned plaster casts. The accuracy is also greatly improved with precision within 0.1% resulting in greater comfort and performance of the fabricated helmet. The MCU allows us to measure and compare the child’s head shape over time allowing us to make an immediate decision to treat conservatively or with a helmet.
For further information:
TechMed 3D Scanner
The TechMed 3D Scanner in conjunction with the 3DSizeMe App allows our clinicians to quickly and accurately scan limbs. With paediatrics its often necessary to still take a cast which is then scanned, however with older children we can bypass this process. The system utilises an IPad making it completely portable and allows our clinicians to upload any relevant information including photos directly to our fabrication facility. Using computer aided design and milling machines a highly accurate model of the limb is carved over which their brace will be manufactured. This system allows us far greater accuracy with our models with the added advantage of keeping an electronic copy, which can be used to create an identical replica of the brace or allow us to make very accurate adjustments if required.
TC Flex AFO System
Orthomerica's TC Flex AFO system is a group of AFO designs based on a Total Contact principles.These AFO's are fully custom and utilise materials and transfers that are not readily available in Australia. It may seem a simple thing but allowing kids and families to choose from a wide range of matching transfers and straps can dramatically improve the acceptance of the device (see the transfer guide below). Our clinical team has been utilising this system for more than 5 years with great results, the total contact design affording greater control whilst reducing the bulk of the device. Orthomerica's MIB (Moulded Inner Boot) also provides a soft interface for those with pressure concerns whilst being robust enough to deal with any school yard activities.
The TC flex designs can be broken down into:
Hindfoot Control Orthoses
Control the hind-foot and mid-foot position to provide a stable base of support.
Sagittal Control Orthoses
Have varying levels of dorsiflexion and plantarflexion control without the use of articulating joints. Two of the designs in this group are two-part (combo) orthoses.
Provide free dorsiflexion with limited or blocked plantarflexion through the use of hinges and plantarflexion stops.
Floor Reaction Orthoses
Reactors consist of orthoses with the potential to block dorsiflexion or provide precise range of motion for both dorsiflexion and plantarflexion. Orthoses include solid, articulated, and adjustable styles.
To find out more about the TC Flex range visit the Orthomerica website.
The Paediatric WalkAide System is a treatment option for children with Foot Drop caused by upper motor neuron injuries such as:
- Cerebral Palsy (CP)
- Incomplete Spinal Cord Injury
- Stroke (CVA)
- Hereditary Spastic Paraplegia (HSP)
- Traumatic Brain Injury (TBI)
- Multiple Sclerosis (MS)
Encouraging Kids to be Kids
The Paediatric WalkAide is an advanced Functional Electrical Stimulation (FES) system specifically configured for children. The Paediatric WalkAide is uniquely programmed for each child and utilises a patented accelerometer technology to stimulate the peroneal nerve to lift the foot, promoting a more natural, balanced and efficient gait.
WalkAide is a lightweight, single-unit device worn below the knee, fully operable with one hand. Children have the freedom to choose to walk with or without footwear, up and down the stair and even sidestep.
Lifelong Clinical Outcomes
The WalkAide is adaptable to growth and rehabilitation needs of children. Early intervention can balance forces across joints and normalise stress on immature bones, reducing the abnormal physiological demands during growth.
+oapl is proud to have supported the research of Dayna Poole, physiotherapist from Department of Physiotherapy and Paediatric Rehabilitation, Princess Margaret Hospital for Children, Perth. Dayna and her team investigated "The orthotic and therapeutic effects following daily community applied functional electrical stimulation in children with unilateral spastic cerebral palsy". Check out the results of her research here.
For more information contact your local clinic to discuss the suitability of WalkAide and arrange a trial.
Our paediatric team can see you in one of our clinics, your hospital, at home or at school, which ever is easiest and most appropriate for your child. We can also help you navigate through your funding options such as state based schemes, TAC and soon NDIS. Make sure to discuss your options with our clinical team.