A COTA is fabricating a weight-bearing orthosis for an 11-month-old infant who has moderate hypertonicity secondary to hemiplegic cerebral palsy. The purpose of the orthosis is to place the infant's hand in an optimal position for crawling. Which design option should be incorporated into the construction of this orthosis? Mold the material between the web spaces on the volar surface of the hand with the fingers and thumb in abduction. Place the heated material across the dorsum of the hand to maintain the fingers in an intrinsic-plus position. Use a cone-shaped orthosis that can be secured in the palm of the hand using soft ribbon tied on the dorsal surface.
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The primary goal in this case is to facilitate an optimal hand position for crawling. Show more…
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