Adult Orthotic Clinic

MOBILIS adult orthotic clinic offers bespoke solutions for many types of adult neurological and orthopedic conditions.

Our orthotic specialists are experienced in identifying the right solutions according to the treatment goal. Now we are able to manufacture the device locally or source the best available products from different parts of the world to meet the needs of each patient. MOBILIS SMART FACTORY and its cutting-edge technologies enable the MOBILIS ORTHOTIC CLINIC to offer custom made solutions for almost all neuromuscular disabilities.

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Indication

MOBILIS adult orthotic clinic provides orthoses, braces and supports designed for leg, hip, knee, foot & ankle and upper limbs which are utilized for needs ranging from mobility, stability or immobilization.

The orthotic requirement in adults are according to the diagnosis and impairments, many medical conditions can be treated with off the shelf devices. Though, individual adjustments are mandatory to optimize the functionality and outcome. Our experienced clinicians will assess and suggest the best solution suitable for your medical condition or therapy goals. Below are a few medical conditions we are specialized to treat.

FOOT DROP – Inability of the ankle joint to move partially or fully upwards[dorsiflexion] because of muscle weakness or nerve damage.

STROKE –  CVA [Cardio Vascular Accidents] -Brain cells are damaged or dead because of interrupted blood supply to the brain which results in partial[Hemiplegia] or full paralysis of the body [Quadriplegia].

POST – POLIO SYNDROME – Polio or infantile paralysis, is an infectious disease caused by the poliovirus. Common symptoms of the post-polio syndrome include progressive muscle weakness, joint weakness and pain, general fatigue and exhaustion with minimal activity, muscle atrophy and other associated symptoms.

BRAIN INJURY – Traumatic or non-traumatic brain injury leads to neuromuscular impairments.

SPINAL CORD INJURY – This leads to temporary or permanent changes in the muscles, sensations and other body functions below the site of the injury.

MULTIPLE SCLEROSIS [MS] – This is an abnormal response of the body’s immune system against the central nervous system (CNS). The CNS consists of the brain, spinal cord and optic nerves. Varied signs and symptoms of MS include numbness or weakness in one or more limbs and trunk.

OSTEOARTHRITIS [OA] – It is a degenerative disease which affects the joints leading to pain, limited range of motion and associated weakness in the muscle because of less mobility. ORTHOPAEDIC INDICATION- There are many orthopaedic indications like Repeated strain injuries, inflammations, post-surgery may require braces and supports.

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Mobilis

Ankle Foot Orthosis [Afo]

An AFO is support intended to control the position and motion of the ankle, compensate for weakness, or correct deformities. AFO’s can be used to support weak lower limb or to position a leg with contracted muscles into a more normal position. Besides, AFO’s are used to control foot drop caused by a variety of neurologic and musculoskeletal disorders. Due to the frequent use for addressing foot drop, AFO has become synonymous with the term “foot-drop brace”.

TYPES OF AFO

A typical AFO creates an L-shaped frame around the foot and ankle, extending from just below the knee to the metatarsal heads of the foot. AFO’s are available off the shelf or can be custom moulded for an individual wearer to achieve specific target goals. There are 2 types of AFO’s.

A static orthosis is a flexible or rigid L shaped AFO with the upright portion behind the calf and the lower portion running under the foot. Static AFO’s are mainly used for positioning or contracture preventions. Though some are especially for walking, most of the static AFO’s are not suitable for walking.

A dynamic orthosis (articulated) is used to facilitate body motion to allow optimal function. A dynamic AFO provides subtalar stabilization while allowing free ankle dorsiflexion and unrestricted or restricted plantar flexion. Different types of AFO’s meet specific needs according to the indication and functional goal.

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Knee Ankle Foot Orthosis [KAFO]

A KAFO is a long-leg orthosis that spans the knee, the ankle and the foot to stabilize the joints and assist the muscles of the leg. While there are several common indications for such an orthosis, muscle weakness and paralysis of the leg are the ones most frequently identified.

The traditional KAFO had a locked knee joint which provided stability to the knee to prevent involuntary flexion, but caused other associated problems like muscle atrophy and increased energy expenditure during gait. Within the past few years, several new innovative designs of knee joints have become available that can automatically lock and unlock at the appropriate phases of the gait cycle to allow a more physiological walking style.

Features:

Each KAFO is custom-made to the specific requirements of the user’s specific goal. Numerous design options are available for this orthosis, making it both functional and comfortable. A KAFO can be fabricated from a variety of materials, including heat-mouldable plastics, metal, leather, carbon composite, Boa closure and different types of joints etc., A detailed examination and assessment of the patient allow us to suggest the best available component combination.

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C-Brace

The C-Brace from Ottobock-Germany is a smart knee ankle-foot brace with an intelligent system to control the functions automatically. It opens up entirely new possibilities for users with its microprocessor sensor technology. Flexing under load while sitting down, navigating slopes, walking on uneven terrain, or going downstairs step-over-step–all this defines a new level of mobility. The C-Brace is smaller and lighter, so the user does not need to exert as much energy while walking. This also allows the user to wear the orthosis underneath their clothing. The microprocessor sensor makes the entire gait pattern more dynamic and responsive. The user can also change settings on their joint like switching to cycling mode, using the smartphone app.

Features

Freedom of movement

Walking slowly or quickly, on inclines or rough terrain, avoiding tripping situations, walking downstairs step-over-step, or flexing the leg under load – the C-Brace lets users experience an entirely new freedom of movement.

Small and lightweight

The C-Brace is small enough to be worn inconspicuously under clothing, and because it’s lightweight, the user expends less energy while walking.

Enhanced safety while walking

The C-Brace enhances safety by responding in real-time, including in possible tripping situations. The user can step or sit down with the knee flexed, and walk on uneven terrain or slopes.

App control for user and orthotist

Users can conveniently control their C-Brace with the Cockpit app, for example, when switching to cycling mode. The O&P professional uses the Setup app to individually adjust the C-Brace in simple steps.

Dynamic movement patterns

The microprocessor sensor technology makes the C-Brace even more intuitive to use; movement patterns are more dynamic and responsive.

Functionality

The C-Brace consists of the individually fabricated thigh, calf, and foot components. An ankle joint, unilateral or bilateral fitting or an individual spring element connects the foot and calf components. The sensor system continuously measures the flexion of the knee joint and its angular acceleration. This lets the C-Brace detect the user’s current walking phase, so it can regulate the hydraulic resistances as well as control the flexion and extension of the knee joint.

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HKAFO/RGO

Hip Knee Ankle Foot Orthosis [HKAFO] and Reciprocating Gait Orthosis [RGO]

The term HKAFO stands for hip-knee-ankle-foot-orthosis and describes the parts of the body that this device encompasses. This device is basically a KAFO with the addition of a hip joint and pelvic section. (Please review KAFO information]

The addition of the hip joint and pelvic section provides control to selected hip motions. These selected motions of the hip are front to back, side to side, and rotation. One reason the hip section is added to a KAFO is to reduce or minimize the risk of the hip moving out of proper position or dislocating. Another common goal is to stabilize the pelvis and lower spine in cases where the patient is weak or paralyzed. This is designed for patients with high-level spinal cord dysfunction (congenital or traumatic) who would not otherwise be candidates for ambulation.

RGO is a lightweight bracing system that gives structural stance phase support to the lower trunk and lower limbs of the patient with lower extremity paralysis. It uses a cable-coupling system to provide hip joint motion for the swing phase. In the RGO, via its cable system, flexion of one hip (in swing) results in extension of the other hip (concurrently in stance phase). The hip joints of the orthosis are coupled together using two Bowden cables to transmit the necessary forces (although the original design used a single cable, functional problems and subsequent revisions evolved into the use of a second cable). This reciprocal coupling has the added benefit of eliminating simultaneous hip flexion and reducing the risk of “jack knifing” during ambulation.

Features:

Because of patients age variations and other individual requirements, each component of the orthosis is gauged in strength and size to the functional deficit of the patient and to their age, weight and height. Components of each joint articulation, ankle, knee and hip are carefully chosen to use the patients’ residual functions and to apply proper corrective or supportive forces where needed.

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Off The Shelf Brace

Functional Hand Splint:

To treat any wrist/hand/finger paralysis/injury from a recent stroke, brain or spinal cord injuries to moderate deformities[contractures] and pain. It encourages joints to relax, provides passive stretching to re-lengthen shortened muscles and tendons and also prevents deformities if treated in early stages.

Shoulder Orthosis:

A stroke or injuries to the central or peripheral nervous system may lead to paralysis in the shoulder. This will lead to extreme pain and moving the arm becomes difficult, which in turn restricts arm movement. Dislocation of the shoulder joint from the socket is one reason for shoulder pain. The shoulder support corrects the alignment of the humerus head with the joint socket and therefore alleviates the cause of the pain. It helps stabilize the shoulder and positions it correctly again. This provides noticeable relief and leads to better overall body posture. The orthosis can now be applied by patients themselves with one hand.

Pre/Post-surgical orthosis:

There are many orthopaedic conditions treated conservatively or surgically requires orthosis. MOBILIS is a clinical partner and distributor for many European brands of off the shelf braces and supports.

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Custom made hand splint

We customize hand splints for adult orthopedic and neurological conditions. 3D printing has opened new opportunities to manufacture the device which is fashionable, lightweight and comfortable. Below are the few medical conditions patients might require custom hand orthosis

1.De Quervain syndrome is an inflammation of two tendons passes through the base of the thumb and its sheath. This results in pain at the base of the thumb and typically increased with gripping or rotating the wrist. The thumb movement also may get affected.Treating physician usually suggest to immobilize the thumb base joint.

2. Wrist drop is a medical condition in which the wrist and the fingers cannot move upward because of extensor muscles paralysis in relation with peripheral nerve or central nervous system damage. It is important to position the hand in a functional position to maintain the muscles and tendon length and to prevent flexor muscle contracture.

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