Orthoses in Older Patients

Abstract

The orthoses are devices used to correct impaired function of upper/lower limbs and spine deformities. In older patients, their use has several advantages, such as posture control, correction of limb or spinal malformations, pain relief, facilitation of ambulation and balance, and prevention of risk of falls. The orthoses can be static or dynamic and can be used temporarily or permanently. They should be safe, practical to use, functional during ambulation, stable, and comfortable. The choice of the appropriate orthotic device is crucial for an individualized rehabilitation treatment. In this chapter we will discuss some of the basic concepts of the spinal, upper, and lower limb orthoses, mostly prescribed in geriatric patients, focusing on their indication and use. It is important to design goals of treatment together with patients and their family, taking into account the clinical situation, the individual functional assessment, and the social context. In the last part of the chapter, we will discuss about the association of an appropriate physical therapy to the use of an orthosis.