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Spinal Orthotics
Sacroiliac Orthosis, TLSO-frame type, Hyperextension Orthosis and Scoliosis
Orthosis
Field of activity
Spinal Orthosis are used for support, stabilisation and correction. The indication
for an orthopaedic technical trunk management can be pathological changes
in the abdominal soft tissue and in the spinal column range.
The anatomical complexity of the spinal column and the surrounding structures
clearly show the versatility of possibilities regarding orthopaedic management
with Spinal Orthesis.
Besides prosthetics and orthotics of the extremities the orthopaedic management
of the trunk is a further specialist field in the Diploma course. It covers
the training in theory and practice, which depend on each other.
The theory part includes the anatomical/pathological basics of the trunk,
as well as bio- mechanics of different orthotic constructions for support,
stabilisation and correction. Technical orthopaedic management and concepts
are discussed starting with a sacroiliac orthosis over different TLSO`s up
to correction principles for kyphosis and scoliosis. In each case the function
of the orthosis with its contact surfaces and three point principles is the
centre of attention.
The practice part begins in the first semester with a mutual fabrication of
a textile sacroiliac orthosis of the participants, which are detailed in the
second semester with model patients.
In addition the theory of stabilisation/fixation is supported by the mutual
production of a fixation orthosis, in order to also experience the effect
of an orthosis on your own body.
The third part of practice work is the principle of correction:
The participants manufacture an orthosis for correction for model patients
with real Scoliosis and Kyphosis. This technical orthopaedic management includes
the clinical investigation, the cast taking, the modification technology and
the final checking of function and fit.
Orthotics for the Lower Extremity
From foot inserts to KAFO’s (Knee-Ankle-Foot-Orthoses)
According to ISO (International Standardisation Organisation) an orthosis
is an externally attached device, which consists of an individual construction
unit or components to cover trunk, head or neck and their intermediate joints
totally or partly, in order to effect the neuromuscular and skeletal systems.
This definition explains the enormous wide spectrum of indications and construction
possibilities of orthotics. Lower limb orthotics reaches from foot inserts
up to reciprocal devices for walking. In our theory lessons highlights are
given to an overall view with special consideration to systematisation for
the understanding of biomechanical effects in current provision concepts.
During the first term, the students manufacture orthopaedic devices (e.g.
orthoses for leg-length compensation) for themselves in order to experience
on the one hand the cast taking technology and design of foot beddings on
their own body - and on the other hand the biomechanical function during walking
with different rocker bottom soles.
In the second term each participant manufactures at least one KAFO according
to accurate patient assessment and exact planning of functional needs. The
transparent testing orthoses is provided with ankle- and knee joints to check
not only the fit of the orthoses, but also the function and the correct fulcrum
positioning.
The work performance, purely related to crafts of a Resin- / Prepreg –
Orthoses, is practiced already in the first term and is not the main subject
in the second term.
Apart from the activities in the field of Orthotics for the lower extremity
in the Diploma course, numerous seminars are offered with different topics,
also for external participants. Further details you will find in our seminar
programme.
Upper extremity
Armprosthetics / Armorthotics
The provision of the upper extremity takes a smaller part among the whole
spectrum of Orthopaedic- and Rehabilitation Technology. Therefore instructions
in Prosthetics and Orthotics are summarised, both in theory and in practice
as one group of topics.
The theory part in Prosthetics covers the introduction of the different amputation
techniques with their characteristics, the division of the level of amputation
and the appropriate provision possibilities up to the bandage technology.
A further emphasis concerns the introduction to electronics to assist a better
understanding of the function of a myo-electronic arm prosthesis.
The theory part in Orthotics covers mainly the biomechanics of the upper extremity.
In addition to biomechanics, the most important signs of diseases with their
pathological changes and the associated provision possibilities are represented.
The practical training covers the provision of lower arm amputees with a myo-electronic
prosthesis as well as upper arm amputees with self-force prostheses. Emphasis
is given to the correct cast and to the socket technology. Even in our age
of mini chips and electronics, the controlling of an upper limb prosthesis
with a bandage system is still daily practice. The manufacture of a three-traction
bandage for the controlling of an upper arm prosthesis is one part of the
three weeks practice instruction. Our lab, equipped with all technical innovations
allows a testing with different control systems of the current Myo-Technology.
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Special Field Orthotics
