The TheraTogs Lower Extremity System is designed to address several alignment and functional deviations of the knee joints, developing femurs, and hip joints in an independently ambulatory child, and in an ambulatory adult with no problems related to hip or trunk stability.
The placement of TheraTogs strapping applications can change the wearer’s bone and joint position. For clients of ages 7 years and above with bone and joint alignment problems, the attending clinician is expected to undertake a careful musculoskeletal assessment prior to designing or applying a strapping system.
Example: Hip rotation. Imposing a sustained and significant change in hip rotation to align the knee axis on the frontal plane in gait on a client > age 7 years might disrupt the integrity of the hip joint. Ascertain femoral torsion status first to determine whether the need for rotation change is osseous or muscular. Consult an orthopedist for assurance of safety in regards to hip rotation strapping, if possible.
Indications & Applications
The Lower Extremity System is an effective means of carryover for rehabilitation activities aimed at the management of neuromotor, balance and gait disorders caused by a wide range of diagnoses, including:
- Cerebral palsy
- Ligament laxity
- Hemiplegia due to stroke or TBI
- Intoed gait in a child <7 years caused by excessive femoral torsion or excessive leg or foot rotation
- Excess anterior pelvic tilt caused by excessive femoral torsion or excessive leg or foot rotation
- Out-toed gait in a child <7 years caused by:
- Diminished femoral torsion
- Excessive lateral tibiofibular torsion
- Hip outward rotation bias
- Knee joint ligament laxity
- Knee hyperextension in a child age <7 years, or newly acquired knee hyperextension, caused by cerebral palsy, hypotonia, or ligament laxity
- Inadequate swing-phase knee extension in gait resulting in shortened step, caused by cerebral palsy, hemiplegia due to stroke, or traumatic brain injury
- Genu varum or genu valgum, caused by knee joint ligament laxity
- Persistent flexible foot pronation in hips/knees, caused by hypotonia or ligament laxity
- Excessive flexible foot supination, caused by ligament laxity
The TheraTogs Lower Extremity System is designed to provide carryover for the rehabilitation activities which address several alignment and functional deviations of the knee joints, developing femurs, and hip joints in an independently ambulatory child, and in an ambulatory adult with no problems related to hip or trunk stability.
- Supporting, assisting, and strengthening the lower abdominals
- Appropriate knee joint modeling in developing infants and children
- Improved step length
- Improve load-bearing alignment
- Assist quadriceps during late swing phase
- Use joint links to influence foot alignment and function by realigning the leg segments
- Defer or avoid the need for surgical long bone correction by using physiologic adaptation and skeletal modeling capacities in daily function.
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TheraTogs systems are FDA Class I medical devices intended to be issued by, and applied under the supervision of, a licensed healthcare practitioner engaged in neuromotor training. TheraTogs systems are made of GoldTone – a proprietary composite fabric with foam backing made of an aqueous-based elastomeric urethane. TogRite strapping is elastomeric strapping with an inert, silicone-based grip surface. All materials and components of TheraTogs™ orthotic garment systems are latex-free in their manufacture and packaging.
TheraTogs™, Therapy You Wear™, TogRite™ and Wunzi™ are trademarks of TheraTogs, Inc. TheraTogs systems are protected by US Patents # 8,007,457 and 8,535,256 B2, and Canadian patent #2495769. Additional US and foreign patents pending.