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Science of TheraTogs: Kinesiology

Kinesiology is the study of the anatomy of movement with a focus on muscle recruitment strategies used in executing – and optimizing – functional tasks. Effective muscle action depends upon the status of brain function, somatosensory input, and postural control or stability maintaining functioning postures. Optimum muscle function occurs in the presence of optimum joint alignment and related muscle length and strength. [1] Muscles serve upright maintenance and purposeful actions regardless...

What do TheraTogs do, exactly?

A properly fitted TheraTogs system provides orthotic support to improve postural stability, to enhance functional alignment, and/or to enhance (or inhibit) specific movements. The GoldTone™ garments give the wearer a comfortable, breathable, latex-free “second skin” over his/her trunk and selected limb segments. The fabric is designed to provide vertical stiffness to reinforce trunk stability, and lateral flexibility to grip the soft tissues and provide a comfortable fit. The garments then serve as a Velcro®-sensitive field for attaching elastic TogRite™ strapping, in virtually any configuration, to address the clinician’s rehab objectives.

How do TheraTogs work?

TheraTogs are specialized undergarments and straps customized for the wearer to create a live-in system that provides either neuromotor or postural training, or prolonged proprioceptive input.

  • For wearers with biomechanical or neuromotor issues, TheraTogs work by allowing the clinician to set the patient’s body in proper functional alignment, and letting them re-train their body through the ‘practice’ of daily activities. By applying prolonged, gentle forces during activity, TheraTogs can actually change the muscle and connective tissue – and for infants and young children, bone and joint development as well – in favor of better function and better alignment.
  • For wearers with sensory and sensorimotor issues, TheraTogs work by applying consistent, gentle compression and proprioceptive input across the entire trunk, and by offering stability and support in a dynamic system that moves with the wearer.

Using TheraTogs as ‘wearable therapy’, your client can gain the experience and the benefits of an all-day clinical therapy session. This is what we mean when we tell clinicians they can “send their hands home” with TheraTogs.

What kinds of conditions can TheraTogs address? How do I know if TheraTogs can help my client (or my child?)

TheraTogs are so adaptable, it would be challenging to list all their potential applications and uses here. Instead, here are a few guidelines:

If the therapist/practitioner can effect a change in the client’s stability, alignment, mobility, or motor control through unforced handling during a therapy session, it’s likely that this change can be replicated and supported outside the session by a properly configured TheraTogs strapping system.

If you or your therapist feel you’re “running out of hands” and could use a few more to effectively manage problems related to positioning (in a wheelchair or on other devices), or to client handling during therapeutic exercise sessions, you’ll also find in TheraTogs very helpful adjunct to your current management strategies.

If your client (child) presents any of these problems, TheraTogs has been shown to be effective in addressing related stability, alignment, and movement issues:

  • Ataxia
  • Hypotonia
  • Athetosis
  • Core or Trunk Weakness • Intoed gait
  • Out-toed gait
  • Joint deviations
  • Joint laxity
  • Muscle recruitment problems
  • Sensory integration issues
  • Postural mal-alignment
  • Muscle imbalance

See our TheraTogs by Indications web page for more specifics.

How do I know what product and size to order?

The attending clinician identifies the best product model based on the client’s indications and his/her rehab objectives. For our recommended product matchups, see the TheraTogs by Indications web page, or download the Product Selection chart.

TheraTogs are sized according to a combination of weight and specific dimensions. The correct sizing is determined by measurements taken by the clinician, which are then compared to the Sizing Chart appropriate for the desired product.

How do I buy TheraTogs?

In the US: As an FDA Class I medical device, TheraTogs are not an off-the-shelf product, and can only be used under the guidance of a rehab clinician. If reimbursement is a factor, request or obtain TheraTogs through your local DME or O&P Provider; a physician’s prescription may be required by the reimbursing agency. If you or your clinic is buying, you can order from any of the catalog distributors that carry TheraTogs. If the caregiver or client is buying out-of-pocket, he/she can participate, with the attending clinician, in the Research Partner Program. (See the Research Partner Program information for details.)

Outside the US: TheraTogs are available from leading distributors in over 40 countries. See our Global Distributors webpage for details.

Upcoming Events

Oct
3
Fri
Posture & Torso Alignment for Pediatric Neuromotor Training (CTF Level 1) @ ABR Denmark
Oct 3 all-day

*Hosted by ABR Danmark

Posture & Torso Alignment for Pediatric Neuromotor Training

Review the basic principles and management of torso and posture alignment, then spend over two hours of supervised hands-on practice using the TheraTogs Posture & Torso Alignment (PTA) system to address torso alignment, posture, and stability issues.

Evaluation & Management of Pediatric Toe Walking from PT & OT Perspectives @ Denver, CO
Oct 3 @ 8:00 am – Oct 4 @ 5:30 pm

Evaluation & Management of Pediatric Toe Walking from PT & OT Perspectives (Two-Day Workshop)

This new workshop covers therapeutic evaluation & treatment of pediatric equinus gait (“toe walking”). It is common for the practitioner to feel lost when a child presents with a toe walking gait pattern. Both evaluation and treatment of these children are often frustrating for all involved and frequently results in inaccurate evaluation with ineffective intervention and poor achievement of results. Long term results are rarely achieved with either resultant surgical intervention and/or a reoccurrence of the problem. However, establishing a specific approach to treating this type of patient can be made less frustrating and more rewarding by asking the right questions and forming a deliberate approach.

This course is excellent for alleviating a chaotic approach to the treatment of pediatric toe walking. Through an organized evaluation procedure, specific data will be used to direct the clinician to potential etiologies. Causes and appropriate intervention strategies are identified in order to utilize a systematic approach to developing an effective treatment plan.

 

Oct
4
Sat
New Paradigms in Pediatric Equinus Deformity Management @ Lebanon Valley College - Department of Physical Therapy
Oct 4 @ 8:00 am – 5:00 pm

A One-Day Review of Sciences & Strategies for Optimizing AFO’s

The landscape of considerations of ankle function in balance and gait, and of strategies for managing ankle plantarflexion contracture – i.e., equinus deformity – is changing to embrace the roles of the somatosensory system and postural control both as causative factors and intervention strategies.

Instructor Beverly Cusick, PT, MS, COF, C/NDT, TheraTogs inventor, reviews the relevance of ankle function in postural control, and discusses the physiology of muscle transformation and the role of spasticity in contracture formation. The content features challenges to the rationale and effectiveness of common equinus deformity intervention paradigms including stretching, blocking ankle plantarflexion at 0° with orthoses, injecting the gastrocnemius muscle with toxin, and surgically lengthening any aspect of the triceps surae muscle-tendon unit.

Watch: TheraTogs Mom

Testimonial

I have been using Thera Togs on a number of my patients for close to ten years. In addition to their individual gains and improved outcomes, I’m also seeing a clear trend towards earlier discharge from going therapy. Outcomes are now achieved in one third the amount of time  if Thera Togs are used properly.

The families are thrilled, and what a cost savings that represents!

“Change their alignment, change their lives.”

— Nancy J Dilger, MA, PT, PCS, C/NDT, CKTP