Peacocks Conference Presentation

1. Review of ISPO Publication
10-12 November 1994
Ed Wheldon
Senior Orthotist
Peacocks Medical Group

2. Cover of original report -
Report of a Consensus Conference on
The Lower Limb Orthotic Management
of Cerebral Palsy –
10 – 12 November 1994

3. Cover of new report:
Recent Developments in Healthcare
for Cerebral Palsy: Implications
and Opportunities for Orthotics
8-11 September 2008

4. Prescription
a. Dialogue
b. Role of Orthotist
c. Use / Wear
d. Compliance

5. Upper Limb
Thumb Abduction Splints

6. Spinal Orthoses
a. Reduce rate of progression
b. Head control
c. Upper limb function
d. Social interaction
e. Family confidence

7. Hip Orthoses
a. Sitting posture
b. Control scissoring / rotation

8. Lycra Garments

9. Lower Limb

10. 1. Do lower limb orthoses influence
the temporal and spatial
parameters of gait
Hemiplegia Diplegia
Velocity
Cadence
Step length
Stride length
Single support
Double support

11. 2. What are the effects of orthoses
on the ankle and foot?
a. Ankle Kinetics
b. Ankle Kinematics
c. Effect of Orthoses on foot
alignment

12. 3. What are the indirect effects of
the orthoses on the knee, hip and
pelvis?

13. 4. What effects do orthoses have on
muscle activity and length?

14. 5. How do AFOs effect function and
ability?
a. Sit to stand
b. Stair climbing
c. Sitting balance / standing
balance / upper limb function

15. 6. What are the benefits of tuning
AFOs?

16. Observations of the Review

17. Incorrect Y
Strap Fitting

18. Correct Y
Strap Fitting

19. Thank You