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TLSO
SureStep TLSO The SureStep TLSO has redefined spinal management. The soft, flexible plastic serves well to create improved upright positioning, while still allowing for slight movement in all planes....
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Criss Crossers & De-Rotation Straps
SureStep Criss Crossers The first and only device developed to discourage w-sitting, Criss Crossers use a unique audio cue to remind children to change their position. Available in 4 standard sizes,...
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HEKO & HEKO PreFab
SureStep HEKO Custom SureStep HEKO is the first and only pediatric hyper extension knee orthosis to incorporate a 4-axis knee hinge, for smooth, anatomically correct flexion and extension. This...
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PullOver & Advanced
SureStep PullOver The SureStep PullOver is an amazing tool that not only facilitates improved stability of the foot and ankle complex using a SureStep SMO, but it is also the only SMO that...
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Indy 2 Stage
SureStep Indy 2 Stage A uniquely designed orthosis developed to help children reach their potential. This exceptional “orthosis within an orthosis” allows for the SureStep SMO to be utilized...
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BigShot/BigShot Lite
SureStep BigShot A growing child means eventually outgrowing the original SureStep SMO. The BigShot and BigShot Lite are the perfect solutions for older children who still need the stability of...
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SureStep SMO
SureStep SMO The SureStep SMO remains the most advanced method of controlling excessive pronation and providing stability to the hypotonic population. Through the use of extremely thin, flexible...
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Toe walking researchers revisit idiopathic label
Photo courtesy of Monica Foster Jacobs. Two recent literature reviews underscore the lack of high-level evidence to support the various treatments available for idiopathic toe walking. But new research...
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Below-knee amputation level has subtle functional effects
Photo courtesy of Fillauer Syme, transtibial gaits are similar By Hank Black The relative functional benefits of transtibial and Syme amputations in adults have been discussed in the medical...
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Gait compensations vary in kids with limb length discrepancies
Location of shortening is key factor By Larry Hand Contrary to popular perceptions, children with limb length discrepancy (LLD) may each use multiple compensatory strategies when they are walking,...
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Rates of chronic ankle instability in children are surprisingly high
Experts push for better sprain rehab By P.K. Daniel Primary ankle sprains often occur before adulthood, and a recent literature review from Australia suggests that some pediatric populations exhibit a...
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Parents: How to make them your clinical allies
While the patient is always the practitionerʼs first priority, establishing a convivial relationship with a childʼs parents can mean the difference between victory and failure when it comes to...
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Cerebral palsy and knee pain: management tips
By Shalmali Pal Knee pain is common in children with CP, but given the many health challenges facing this patient population, knee symptoms may not be given high priority. Proper diagnosis and...
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Treating and preventing ankle sprains in children
By P.K. Daniel High rates of chronic ankle instability in children suggest a need for better prevention and treatment of ankle sprains in young patients, but researchers are just starting to explore...
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Shoe flexibility influences gait characteristics in early walkers
Sole stiffness affects stance time By Erin Boutwell A recent study published in the winter issue of Pediatric Physical Therapy found that children just learning to walk may have altered gait...
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Study questions utility of adult balance test in concussed kids
Experts call for age-specific options By Chris Klingenberg With head trauma becoming increasingly worrisome in sports these days, a significant concern is whether the same protocols for clearing an...
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Soft tissues may help determine response to Ponseti treatment
MRI images show the lower legs of a child with bi- lateral clubfoot. The smaller leg is the affected side, showing smaller muscles. (Image courtesy of Matthew Dobbs, MD.) Analysis focuses on muscle...
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Orthotic management: A symptom-based, dynamic approach
Photo by Joshua Albanese (joshuaalbanese.com) Orthotic devices, tailored to each patient and adjusted for disease progression, can improve mvobility by addressing gait impairments and maintaining...
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Overview of CMT – Clinical challenges and opportunities
Photo by Joshua Albanese (joshuaalbanese.com) Early diagnosis and early intervention in people with Charcot-Marie-Tooth disease give clinicians and patients a valuable head start on keeping symptom...
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Sever disease: Intervene early to relieve symptoms
Once pain and inflammation have been addressed, clinicians can implement interventions—including orthotic devices, stretching, and strengthening—to address the biomechanical factors that are believed...
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