Pediatrics

Creating a Long-term Relationship with your Child

Aspire’s professional care team provides excellent upper and lower extremity prosthetic and orthotic care to children. Our facility is kids-friendly and decorated to keep your child entertained during treatment. Our goal is to create a comfortable atmosphere for you and your child and walk away feeling confident with the care plan. Our competent practitioners ensure parents or caregivers are involved in the treatment plan. We aim to create a long term relationship with you and your child by addressing all your concerns putting your mind at ease. Your child will walk away with more than a device. We will ensure you are connected with other support groups. Check out support groups under Patients tab. Below are sample treatment options:

STARband Cranial Remolding Helmet

Cranial remodeling helmets are used in children aged 3 to 18 months old to correct conditions such as Plagiocephaly (abnormal shape of baby’s head), Brachycephaly (entire back of the head is flat), and Scaphocephaly (head is abnormally tall and long). Cranial remodeling helmets are very successful in treating these conditions when your baby is 3-12 months old when their head is growing and changing. After 1 year of age, the rate of cranial growth decreases, potentially causing treatment time to increase.

Indications:
Plagiocephaly (abnormal shape of baby’s head), Brachycephaly (entire back of the head is flat), and Scaphocephaly (head is abnormally tall and long).

DAFO

DAFO (Dynamic Ankle Foot Orthosis) style braces are designed to provide total contact support to the foot to control spasticity. There are a wide array of styles to meet most needs of pediatric patients requiring ankle/foot support.

Indications:
Crouch gait, hyperextension at the knee, positioning, toe walking, ankle control, varus/valgus deformities, spina bifida, cerebral palsy, multiple sclerosis, and tone control.

Denis-Browne Splint

The Denis-Browne splint consists of a spreader bar with foot plates that attach to the bottom of the patient’s shoes. It is used to keep the patient’s feet in the desired amount of internal/external rotation and control curvature of the foot (club foot).

Indications:
Talipes equinovarus (clubfoot) and calcaneovalgus, congenital convex pes planovalgus, metatarsus adductus, and external femoral/tibial pathologic conditions.

Pavlik Harness

The Pavlik harness is a fabric harness going around the torso with attached straps that extend down and wrap around the feet. It is designed to hold an infant’s hips in flexion and external rotation in cases of developmental hip dysplasia.

Indications:
Hip dysplasia in infants from birth to six months of age.

Pectus Orthosis

The pectus orthosis is lightweight and cosmetically appealing by virtue of its low-profile design. The brace is easily and quickly adjustable to optimize pressure applied and comfort. It can accommodate both symmetrical and asymmetrical growth patterns.

Indications:
Mild to moderate cases of flexible, adolescent pectus carinatum.

Pediatric Hip Abduction Orthosis

The pediatric hip abduction orthosis is partially flexible and foam-lined. The brace maintains desired hip abduction, but is designed to allow walking. It is commonly used following the “Pavlik Harness” as a full-time or night-time only intervention.

Indications:
Unilateral or bilateral developmental hip dysplasia in children aged six months to three years.

Reciprocating Gait Orthosis

The reciprocating gait orthosis allows step over step walking by using trunk musculature. It is custom fabricated and includes leg and foot sections connected by special hip joints to a pelvic section.

Indications:
Muscular dystrophy, traumatic paraplegia, sacral agenesis, multiple sclerosis, cerebral palsy, osteogenesis imperfecta, and spina bifida with T12-L3 lesions.

Scottish Rite Orthosis

The Scottish Rite orthosis consists of a metal pelvic band attached with hip joints to two thigh cuffs. This is a custom orthosis used to keep the hips in abduction (spread apart).

Indications:
Post surgical positioning and management of Legg-Calve-Perthes disease, developmental dysplasia, and other hip pathologies that require some movement while maintaining hip abduction.

TLSO for Scoliosis

The TLSO for Scoliosis is a custom made plastic orthosis that is worn to control curvatures of the spine. This orthosis is primarily used to correct curves from T8 and lower. A mold of the back and pelvis are done on a special frame while corrective forces are applied. The plastic orthosis is fabricated to exact dimensions using x-rays, measurements and the mold of the spine.

Indications:
Idiopathic/congenital scoliosis, kyphosis, lordosis, and neuromuscular deformities at or below the level of T8.