Pediatrics

Impact Orthopedics provides custom pediatric orthotic and prosthetic devices!  Please contact Impact to schedule a free consultation for your child or if you would like to know more about our pediatric orthotic and prosthetic services.

We make every attempt to schedule appointments at a time that is convenient for you!

Sub-Mo Open

Recommended for:
• Correctable subtalar instability
• Excessive pronation secondary to muscle laxity
• Bony or sensitive feet requiring a soft interface to cushion bony prominences
Not recommended for:
• Severe mid-foot instability

Sub-Mo Wrap

Recommended for:
• Correctable, subtalar and mid-foot deviations
• Excessive pronation secondary to muscle laxity
• Pre-walkers and new walkers
needing precise foot alignment to improve balance and functional skills
Not recommended for:
• Patients needing more proximal control to correct alignment

Supra Malleolar Orthosis (SMO)

Recommended for:
• Significant forefoot, mid-foot, and subtalar instability
• Global foot deviations due to low or high tone
• Foot deviations that interfere with stance and balance
• Young children with significant foot instability that need free dorsiflexion and plantarflexion for crawling, pulling to stand, and squatting
Not recommended for:
• Knee flexion or extension instability • Persistent toe walking

Leaf Spring

Recommended for:
• Assisting dorsiflexion without completely limiting plantarflexion
• Clearance in swing and positioning of the foot for heel strike
• Stabilizing the foot and ankle without locking out all motion
• Severe pronation that cannot be managed with an SMO alone
• Weakness in both sagittal and coronal planes
Not recommended for:
• Knee flexion or extension instability

Leaf Spring-Combo

Recommended for:
• Resistance to plantarflexion with flexible dorsiflexion
• Mild hyperextension of the knee
• Toe walking
Not recommended for:
• Strong knee hyperextension
• Resisting dorsiflexion and/or reducing knee flexion

Plantar Blocker

Recommended for:
• Restriction of plantarflexion (or dorsiflexion and plantarflexion when tibial strap is used)
• Knee hyperextension secondary to excessive plantarflexion
• Toe walking
• Transfers for non-ambulatory patients when used with a proximal strap
Not recommended for:
• Patients who benefit from having more sagittal plane flexibility
• Patients with knee flexion instability (when proximal strap is removed)

Full Blocker Combo

Recommended for:
• Weakness in dorsiflexors and plantarflexors with need for definitive foot alignment
• Post-operative positioning to balance and stabilize foot/ankle complex
• Pain in foot and ankle with motion
• Patients in transition between SMO and AFO
• AFO use during the day with SMO used after school
• Daytime use of SMO portion
alone with Combo used for stretching at night
Not recommended for:
• Patients needing free dorsiflexion and resistance to plantarflexion

Full Blocker Resting

Recommended for:
• Non-ambulatory positioning of foot/ankle complex
• Post-operative positioning
Not recommended for:
• Ambulatory patients
• Patients needing a more active and functional orthosis

Dorsi-free Overlap

Recommended for:
• Dorsiflexion weakness and mid-foot deviations with no knee flexion instability
• Toe walking
• Knee hyperextension
• Severe mid-foot and forefoot deviations (no plantar stop used)
Not recommended for:
• Knee flexion instability/crouch gait pattern

Dorsi-free Stretch

Recommended for:
• Increasing or maintaining dorsiflexion range with precise foot/ankle control
Not recommended for:
• Patients with range of motion limitation due to bony blocks
• Non-compliant patients

Articulating Wrap

Recommended for:
• Dorsiflexion weakness with plantar block when a low profile orthosis is indicated
• Dorsiflexion weakness with good knee stability when plantar flexion is blocked
• Toe walking
• Knee hyperextension due to plantarflexion
Not recommended for:
• Knee flexion instability/crouch gait pattern
• Dorsiflexion tightness with mid-foot instability

Articulating Combo

Recommended for:
• Dorsiflexion weakness with mid-foot deviations and no knee flexion instability
• Toe walking
• Knee hyperextension due to plantarflexion
Not recommended for:
• Knee flexion instability/crouch gait pattern

Full Blocker Reactor

Recommended for:
• Crouch stance secondary to weakness at ankles, knees and hips
• Knee flexion instability
• Loss of plantarflexors and quadriceps weakness
• Need for a mechanical knee extension moment in stance and possessing full range of motion at the knee and hip
Not recommended for:
• Patients who can benefit from dorsiflexion
• Crouch stance secondary to high tone
• Crouching accompanied by toe walking
• Uncorrectable crouching in stance secondary to knee and hip flexion tightness

Dorsi-blocker Reactor

Recommended for:
• Crouch stance/gait secondary to weak plantarflexors
• Knee flexion instability and crouching secondary to quadriceps weakness
• Patients who need a few degrees of dorsiflexion range to enhance functional skills on inclines, transitional movements, and play activities
Not recommended for:
• Crouching without any plantarflexion strength
• Crouching secondary to high tone

Transformer

Recommended for:
• Precise control of dorsiflexion and plantarflexion range of motion
• Variable pathology that vacillates between remission and exacerbation
• Adjustable orthotic management sensitive to improving or deteriorating conditions
Not recommended for:
• Patients who do not require precise
control of dorsiflexion and/or plantarflexion

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