Lower Extremity System

The TheraTogs Lower Extremity System is designed to provide carryover for rehabilitation activities that 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.

Key Benefits

  • Hours of carryover of gentle, persistent corrective forces to address lower extremity alignment and functional issues – without the need for cables or other hardware, worn underneath clothing.
  • All garment surfaces are hook-receptive, allowing the clinician to customize the placement of strapping wherever it’s needed – and than adapt those strapping placements over time in response to progress and/or client growth.
  • Simplified, streamlined system contains only the components needed to address lower extremity issues.

How to Purchase TheraTogs

Clinicians:

Login/Signup to the professionals-only side of the website for ordering options.

Caregivers:

Paying out-of-pocket? Consult with your therapist or rehab clinician to place an order with an authorized TheraTogs distributor.

Seeking reimbursement? Most payors require the order be processed via an O&P provider or DME (Durable Medical Equipment) facility. Find a Provider near you who is familiar with TheraTogs, or have your preferred Provider contact us for assistance in ordering.

Need help with size, selection, or ordering? Contact Customer Support: customersupport@theratogs.com • (970) 239-0344.  For sizing guidance, see the Sizing tab below.

Precautions

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
  • Hypotonia
  • 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

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Product Information Sheet (PDF)

Description

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.

Sizing

 

Download Sizing Chart (PDF)

Research

Ehab Mohamed Abd El-Kafy (2014) The clinical impact of orthotic correction of lower limb rotational deformities in children with cerebral palsy: a randomized controlled trial. Clinical Rehabilitation 2014, Vol. 28(10) 1004-1014.

Ahl LE, Johansson E, Granat T, Carlberg EB. 2005. Functional therapy for children with cerebral palsy: an ecological approach. Dev Med Child Neurol. 47(9): 613-9.

Baquie P. 2002. Taping. General principles. Aust Fam Physician.. 31(2): 155-157.

Baquie P. 2002. Lower limb taping. Aust Fam Physician. 31(5): 451-452.

Bower E, McLellan DL. 1992. Effect of increased exposure to physiotherapy on skill acquisition of children with cerebral palsy. Dev Med Child Neurol. 1992 Jan;34(1): 25-39.

Brighton CT, Fisher RS, Levine SE, et al. 1996. The biochemical pathway mediating the proliferative response of bone cells to a mechanical stimulus. J Bone Joint Surg. 78-A(9): 1337-1347.

Brunner R, Krauspe R, Romkes J. 2000. [Torsion deformities in the lower extremities in patients with infantile cerebral palsy: pathogenesis and therapy] Orthopade. 29(9): 808-813. [Article in German]

Carter DR, Wong M, Orr TE. 1991. Musculoskeletal onotgeny, phylogeny, and functional adaption. J Biomech. 24(1):3-16.

Cusick B. 2005. Legs & Feet: A Review of Musculoskeletal Assessments, revised edition. Progressive GaitWays, LLC; Telluride, Colorado. www.gaitways.com. An instructional DVD.

Cusick B. 2000. Lower Extremity Musculoskeletal Development – Orthopedic Interventions for Pediatric Patients – Home Study Course Monograph #10.2.1. Wadsworth C, Editor. Published by the Orthopedic Section, American Physical Therapy Association. LaCrosse, Wisconsin. PH: (800) 444-3982.

Frost HM. 2004. A 2003 update of bone physiology and Wolff’s Law for clinicians. Angle Orthod. 74(1): 3-15.

Frost HM, Schoenau E. 2000. The “muscle-bone unit” in children and adolescents: a 2000 overview. J Pediatr Endocrinol Metab; 13(6): 571-590.

Gajdosik CG, Gajdosik RL. 2000. Musculoskeletal development and adaptation. In SK Campbell (Ed.): Physical Therapy for Children, 117-140. Philadelphia, PA: W.B. Saunders Company.

Ketelaar M, Vermeer A, Hart H, van Petegem-van Beek E, Helders PJ. 2001. Effects of a functional therapy program on motor abilities of children with cerebral palsy. Phys Ther. 81(9): 1534-45.

LeVeau BF, Bernhardt DB. 1984. Effect of forces on the growth, development, and maintenance of the human body. Phys Ther. 64(12): 1874‑1882.

McCullough NC. 1986. Orthotic management. In WW Lovell, RB Winter (eds): Pediatric Orthopaedics, Second edition, vol 2, 1031‑1060. Philadelphia, PA: JB Lippincott Company.

Poole JL. 1991. Application of motor learning principles in occupational therapy. Am J Occup Ther. 45(6): 531-537. Review

Rennie DJ, Attfield SF, Morton RE, Polak FJ, Nicholson J. 2000. An evaluation of lycra garments in the lower limb using 3-D gait analysis and functional assessment (PEDI). Gait Posture. 12(1): 1-6.

Stanger M. 1997. Use of orthoses in pediatrics. In Nawoczenski DA, Epler ME (eds.): Orthotics in Functional Rehabilitation Of The Lower Limb, 245-272. Philadelphia, PA: W.B. Saunders Co

Valmassy RL. 1996. Lower extremity treatment modalities for the pediatric patient. In RL Valmassy: Clinical Biomechanics of the Lower Extremities, 425-451. St. Louis, MO: Mosby.

Weseley MS, Barenfeld PA. 1971. Thoughts on in-toeing and out-toeing: pathogenesis and treatment. Bull Hosp Joint Dis. 32(2): 182-192.

Product Properties

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.

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