When to Use TheraTogs

1402294_10151990996626803_944911336_ob“Elizabeth was diagnosed with Gastroschisis, (Gastroschisis is a type of hernia. Babies with this condition have a hole in the abdominal wall. The child’s intestines usually protrude through the hole.) while in utero at 19 weeks. We were only told she would need surgery to close her abdomen. I had to be followed twice a week with a specialist to measure her growth as she was expected to be smaller and deliver early due to the Gastroschisis.

When I was 35 weeks pregnant I went in for the monitoring and ultrasound and she was in distress with a heart rate of 190. She was delivered via C-Section within 15 minutes. Her Gastroschisis was repaired the same day and she was in the NICU. When she was weaned off of intubation, they noticed seizure activity, so they did an MRI. It showed a massive brain injury, leaving only her cerebellum and brain stem in tact. We were told that her intestine must have been twisting the last few weeks of pregnancy causing loss of blood and oxygen causing the brain injury. Due to that, she has all her other issues, CP, epilepsy, hypertension, and dystonia.” ~Jennifer

Diagnosis

A diagnosis means to ‘know more’ or to determine. A diagnosis requires a medical history, a physical examination, tests or diagnostic measures (blood analyses, MRI, CT scans, etc.). Examples of a diagnosis: Cerebral Palsy (CP), Down Syndrome, epilepsy, dystonia etc.

Not every child with CP will present with the exact same indications. Think of the diagnosis this way: Consider you take your vehicle into a mechanic. He asks you what is wrong with your vehicle and your answer is ‘It is a Ford.’ The mechanic may have some ideas of where to start looking but your answer does not provide him clues or indications to fix the problem. This example is equivalent to asking- “Will TheraTogs work for a child with CP?”

Indications

Indication is a symptom or particular circumstance. Indications provide the therapist a clue, a cue or prompts the therapist to intervene in a specific way. Examples of indications: hypotonia, anterior center of mass, muscle weakness, etc.

A child with Cerebral Palsy (CP) may present with anterior center of mass, hypotonia, weak gluteal muscles, etc. Going back to the car analogy and considering the importance of indications: Now when you take the car to the mechanic, he sees it is a Ford but you tell him that it is sputtering when you first start it in the morning, hesitating when you go up hills and stalling mid turn. Now the mechanic can assess and fix the problem. This also applies when using TheraTogs. We always ask about indications and therapy goals first!

For this indication… Select one of these systems… 
Flexible spinal kyphosis

PTA

Full Body

Wunzi

Lumbar lordosis

PTA

Full Body

Wunzi

Hypotonia

PTA

Full Body

Wunzi

Flexible torso, pelvic, or hip joint malalignments

PTA

Full Body

Deformity-promoting scapular and UE joint postures

PTA

Full Body

Shoulder pain due to mal-alignment

PTA

Full Body

Positioning for osseous LE deformity prevention (torsion abnormalities) in infants and young children

Full Body

Lower Extremity

Post-operative Intrathecal Baclofen pump stabilization

PTA

Full Body

Sleep disturbances, wakefulness

PTA

Full Body

Wunzi

For this indication…  Select one of these systems… 
Scissoring gait – mild to moderate

Full Body

In-toeing, out-toeing, or windblown gait

Full Body

Lower Extremity

Mal-alignment of hip joint

Full Body

Lower Extremity

Flexible foot pronation or supination

Full Body

Lower Extremity

Genu varum or genu valgum

Full Body

Lower Extremity

Knee hyperextension

Full Body

Lower Extremity

Functional ankle equinus

Ankle DFA

Drop foot

Ankle DFA

Flexible foot pronation or supination

Ankle DFA

For this indication…  Select one of these systems… 
Mal-alignment of scapulae, shoulder girdle, or humerous

PTA

Full Body

ROM deficits in scapulae, shoulder girdle, or humerous

PTA

Full Body

Shoulder pain or post-fracture discomfort

Full Body

Post-surgical weakness or discomfort

Full Body

Positioning for osseous UE deformity prevention (torsion deficits) in infants and young children

Full Body

Elbow flexion or extension deviations

Full Body

Forearm pronation or supination deviations

Full Body

Functional thumb or wrist deviations

Wrist & Thumb

For these specific Clinical Objectives… Select these systems…
Flexion and Hip Lateral Rotation Assist

Wunzi

Hip Abduction control with lateral rotation

Wunzi

+ Limb Kit

Hip Extension with Hip Abduction and Lateral Rotation (6 to 24 months)

Wunzi

+ Limb Kit

Hip Extension with Hip Abduction and Lateral Rotation (birth to 6 months)

Wunzi

Iliopsoas Muscle Assist

Wunzi

+ Limb Kit

Lumbar Extension with Hip Flexion, Abduction & Lateral Rotation

Wunzi

+ Limb Kit

Shorten and Assist Abdominal Muscles: Position and sensory awareness      Wunzi

Spinal Extension Assist (birth to 6 months)

Wunzi

Spinal Extension Assist w/ abdominal strapping (6 to 24 months)

Wunzi

+ Limb Kit

Spinal Flexion

Wunzi

Spinal Flexion with abdominal assist

Wunzi

+ Limb Kit

Stabilize Scapula w/ Upper trunk extension (6 to 24 months)

Wunzi

+ Limb Kit

Stabilize Scapula w/ Upper trunk extension (birth to 6 months)     Wunzi

For this indication…  Select one of these systems… 
Autism spectrum deficits in body control, attention, or coordination

PTA

 Wunzi
SPD spectrum deficits in body control, attention, or coordination

PTA

 Wunzi
Staggering or ataxic gait

 PTA
Standing balance deficits due to cerebellar dysfunction

 PTA

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