Orthoses for Mobilization: Dynamic Orthoses

Orthoses for mobilization, both dynamic and static progressive orthoses, can be used to help clients regain tissue length or joint motion when injuries or clinical conditions have caused tissue shortening and stiff joints. Therapists require core knowledge in upper extremity anatomy and understanding of biomechanical principles of orthotic fabrication to select dynamic orthoses as an intervention for clients requiring mobilization of joints of the upper extremity. Therapists also need hands-on practice to make well-fitting and appropriate dynamic orthoses for a variety of diagnoses affecting the upper extremity. They require awareness of pattern-making guidelines, the fabrication process using thermoplastic materials, and advanced knowledge of appropriate dynamic outrigger systems to aid in their orthotic design.