Postural Problems

How can TheraTogs contribute to the management of children with flexible kyphosis and/or lordosis? TheraTogs undergarments and strapping systems are designed to sustain gains in functioning joint alignment that are made either actively or with unforced manual facilitation. The undergarments provide a gentle, mechanical assist and attachment sites for strapping that shortens the long muscles and allows them to work in shortened state. TheraTogs can be used to manage mild, flexible, correctable ...

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

October – November 2014

2014 Section On Pediatrics Annual Conference – SoPAC @ Union Station Hotel
Oct 23 – Oct 25 all-day

Visit Tom Ostoich, our National Sales Manager, at our booth for exciting TheraTogs updates & information!

The goal of SoPAC is to bring together pediatric physical therapists together from across the country and around the globe to provide a forum for pediatric therapists from all areas of practice (academia, research, clinical, school-based, and hospital settings) to advance the practice of pediatric physical therapy, exchange ideas related to practice and research, and provide professional development networking opportunities.

Developmental Orthopedics of the Trunk & Lower Extremity @ Columbus, OH
Nov 1 @ 8:00 am – 5:00 pm

A One-Day Review of Coexisting Processes with Implications for Management

This introductory program features an overview of the processes that contribute to pediatric orthopedic development, including the following:

  • Skeletal modeling mechanisms and influences.
  • The influences of the biomechanics of ideal neonatal alignment on modeling the spine and lower- extremity joints and on postural control acquisition.
  • The roles of postural control and massed practice on the orthopedic and functional development.
  • Developmental changes in muscle and connective-tissue extensibility.
  • The implementation of elements of S.A. Sahrmann’s muscle balance theory in managing developmental orthopedic and neuromuscular problems.
  • Strategies for optimizing somatosensory input, postural alignment, and postural control.
  • Using musculoskeletal assessment findings to gauge effectiveness of therapeutic management.

These principles are applied to pathomechanics commonly observed in children with hypotonia, cerebral palsy, excessive foot pronation, and intoed gait. The content presented in this program is considered fundamental to any (future) discussion of the specific features of orthopedic trunk and lower extremity development.

This is a brand new course and is taught by TheraTogs inventor, Beverly Cusick, PT, MS, COF, C/NDT. Beverly is an internationally known pediatric physical therapist whose speciality is the management of lower extremity deformity, particularly in children with cerebral palsy and other CNS deficits.

Posture & Torso Alignment for Pediatric Neuromotor Training (CTF Level 1) @ Toronto, Canada
Nov 23 all-day

*Hosted by The Learning Workshop

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.

Watch: TheraTogs Mom


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