Orthosis New
Orthosis New
KEDOKTERAN FISIK
DAN REHABILITASI
PADA PEMAKAIAN
ORTOSIS
Pembimbing :
Kepribadian pasien
kemandirian ADL
Kriteria ideal ortosis
Menghasilkan pola gerakan senormal
mungkin dan pencegahan gerakan abnormal
yang tidak dikehendaki
Metal
Plastic
Leather
Synthetic fabrics
Any combination
Metal orthoses :
Adjustable
But heavy
Not cosmetically pleasing
Commonly used metal include : stainless steel and
aluminium alloys
Stainless Steel :
widely used in prefabricated joint, metal up right,
metal band and cuffs, springs and bearing.
Relatively inexpensive, easy to work with, and
fatigue-resistant ; however :
Heavy, needs expensive alloys to prevent corrosion
Aluminium alloys :
corrosion resistant
have high strength-to-weight ratio
commonly used in upper limb orthoses
because of its lightweight nature.
static loading strength is good
lower endurance limit compared to
steel
Leather
Lighter
Can provide a closer fit (it can be molded,
extruded, laminated, or hardened into any
desired form)
Unaffected by fluids
Radioluscent
Not adjustable in length
Not as durable as metal (hence not commonly
used as joints)
Classified into : thermosetting and thermoplastic
materials
Thermosetting
LOW-temperature thermoplastics
(Orthoplast, Aquaplast, Bioplastics, Glassona, Hexcelite, Kay-splint,
Lightcast, Polysar, Warm-N-Form)
Can be molded at temp just above body temp
(<80⁰C or <180 ⁰F), be shaped directly to the body
without cast,
Can be fabricated easily and rapidly
Mainly used in upper limb (low stress activity)
HIGH temperature thermoplastics
(acrylic, polyethylene, polypropylene, polycarbonate, acrylonitrile-
butadiene-styrene [ABS] and the group of vinyl polymers and copolumers
include PVC, PVA, polyvinyl acetate)
2. Dinamik
- Memberikan/mengakomodasi gerakan pada derajat
tertentu
- Meregangkan kontraktur
Ortosis fungsional :
- Memperbaiki fungsi
- Digunakan pada pasien dengan disfungsi
sisa yang permanen pasca cedera, kondisi
pemulihan lambat, penyakit kronis.
Terima Kasih
Modul semester II:
Orthosis
SPINAL ORTHOSIS/
ORTESA TULANG BELAKANG
Terpopuler
Komponen: 2 upright
bars di posterior
(paraspinal)
F-E kontrol
…chair back brace
Knight brace
4 upright bar,
tambahan 2 di lateral
F-E-L kontrol
TLSO
Taylor brace
Knight Taylor brace
Cow horn brace
Jewett’s brace
Molded jackets
Boston brace
Taylor brace
Knight Taylor brace
Jewett’s brace
– Thoracic band & pelvic
band di anterior
– upright bar di lateral
– sabuk pengikat di
posterior
– = ortesa hiperekstensi
– F kontrol
(kontrol fleksi Thoraco-
lumbal)
Boston brace
Modifikasi utk
skoliosis kurva tidak
terlalu tinggi
Modifikasi
Milwaukee, tanpa
neck ring
Bahan kulit,
thermoplastic
Mirip molded jacket
tapi mudah lepas-
pakai
Scoliosis Boston brace
Ortesa seluruh tulang
belakang
=CTLSO
Awal untuk scoliosis
Milwaukee brace
Milwaukee brace