To combat a symptom of MS called foot drop, Hile wears a carbon fiber ankle-foot orthosis (AFO), custom-designed and fit by her Encinitas, California-based Hanger Clinic orthotist
Helena Marshall, Orthotist
at the Oswestry-based hospital, began work on the project in December 2018 in collaboration with colleagues from the School of Health and Rehabilitation at Keele and Opcare, a supplier of prosthetic, orthotic and wheelchair services to the NHS.
provides care to patients with congenital or traumatic disabling conditions of the musculoskeletal structure of the body by evaluating, designing, fabricating, fitting and aligning braces known an orthoses.
A certified orthotist
then makes custom helmet with foam lining inside after taking a laser light scan.
The rehabilitation team is led by a physiatrist (physical medicine and rehabilitation specialist) and include physical therapist, occupational therapists, speech-language pathologists, audiologist, neuropsychologists, clinical psychologists, recreational therapists, art therapist, social workers, rehabilitation nurses, orthotist
, assistive technologist, rehabilitation nursing, spiritual therapist, social worker and vocational experts.
Bushra Gillani and Speech Therapist Sheraz Khan.
Amputation was also discussed: a decision by the patient and a review by the orthotist
and the multidisciplinary team thought this not to be appropriate at this stage.
So the patient has the choice of going to you, the chemist, the GP the hospital orthotist
, the physiotherapist, the osteopath or the chiropractor for his/her orthotics.
The explanatory variables for this study were grouped into the domains of participant demographics (age and sex), social determinants (socioeconomic status, geographical remoteness, education levels, country of birth, and indigenous status), medical condition history (diabetes, hypertension, dyslipidaemia, myocardial infarct, cerebrovascular accident, chronic kidney disease, smoking, cancer, arthritis, depression, and acute foot trauma), self-care ability (mobility impairment, vision impairment, and main footwear worn inside and outside the home), and past foot treatment in the year prior to hospitalisation (by podiatrist, general practitioner, specialist physician, surgeon, nurse, orthotist
, and other) [1, 2].
Walsh, who lives in Jamesville, New York, got a custom-fitted brace called an ankle-foot orthosis to help her walk, based on a recommendation from a friend who's an orthotist
(a specialist in using mechanical devices to support weakened or abnormal joints or muscles).
Esterman (2005) provided orthotics to approximately half of subjects at random, and these were fitted by a qualified orthotist
He is a certified prosthetist and orthotist
, making and fitting artificial limbs and braces.