Ingenious Foot Therapy.
Transcription
Ingenious Foot Therapy.
Foot Therapy Ingenious Foot Therapy. Bauerfeind UK Phyllis House 229 Bristol Road GB-Birmingham B5 7UB Phone +44 (0) 121 446 53 53 Fax +44 (0) 121 446 54 54 Bauerfeind USA, Inc. 55 Chastain Road · Suite 112 Kennesaw, GA 30144 USA Phone +1 800 423 34 05 Fax +1 770 429 84 77 Rev. 0 - 02/05 90 9310 1031 · 19002060152002 Bauerfeind Nordic AB Hospitalsgatan 26 SE-611 32 Nyköping Phone +46 (0) 155 22 23 50 Fax +46 (0) 155 2173 80 MEDICAL ORTHOPEDICS Bauerfeind AG Triebeser Strasse 16 07937 Zeulenroda Germany www.bauerfeind.com Business Unit Orthopedics Arnoldstrasse 15 47906 Kempen Germany Phone +49 (0) 2152-208-0 Fax +49 (0) 2152-5 23 63 LINE Bauerfeind. Motion is Life. Fußtherapie Bauerfeind offers you and your patients a comprehensive system of orthopedic appliances for individualized treatment. The high quality standards of the proven Bauerfeind product range guarantee optimal efficacy. Specific solutions are also available for the targeted treatment of the ankle and Achilles tendon that will allow Fußtherapie mit System. MEDICAL patients to resume an active life as soon as possible despite health problems. LINE ORTHOPÄDIE On the following pages we present the five principal Bauerfeind products and their Patient folder indications for the treatment of the foot. 3 AchilloTrain® Pro NE W AchilloTrain® MalleoTrain® AirLoc® MalleoLoc® CaligaLoc® Train Indications 4 ® Achillodynia (tendonitis, paratendinitis, bursitis, e.g. in Haglund‘s deformity) AchilloTrain® Pro Postoperative, e.g. of Achilles tendon ruptures Active support for functional treatment of the Achilles tendon. Features NEW The active knitted support is anatomically contoured for an excellent fit and maximum comfort. The anatomically contoured viscoelastic insert runs alongside the Achilles tendon and is covered with nodules on the side facing the tendon. An especially soft and stretchable knitted section around the shin facilitates donnig of the support by the patient. No heel lift. The short knitted section in the metatarsal area makes the support more comfortable to wear with shoes. Mode of action The profile insert runs alongside the Achilles tendon to produce local, intermittent massaging of the peritendineum/tendon during movement. This action improves local metabolism and lymph drainage to reduce edema and accelerate recovery. Stimulation of the Achilles tendon and the muscle-tendon transition influences proprioception for improved muscle control. Active support for the functional treatment of the Achilles tendon. Colors Train Indications AchilloTrain® Active Support for Achilles Tendon Relief. ® Achillodynia (paratendinitis, tendinitis, Achilles bursitis e.g. in Haglund‘s deformity) Follow-up treatment of Achilles tendon ruptures Features The active knitted support is anatomically contoured for maximum comfort. The integrated tendon pad is viscoelastic and anatomically contoured. A removable heel wedge is integrated into the support. A separate heel cushion is also provided for the unaffected leg to offset the length difference. Mode of action 6 The profile insert runs alongside the Achilles tendon to produce uniform application of pressure and a local massage effect during movement. This mode of action improves metabolism locally and reduces edema. The integrated viscoelastic heel wedge raises the heel (approx. 6 mm) to relieve the Achilles tendon. Coordinated muscle control is assisted via the effect on proprioception. Colors Train Indications Postoperative and posttraumatic irritation (e.g. after sprains) MalleoTrain® Joint effusions and swellings from osteoarthritis and arthritis Active Ankle Support. Tendomyopathies Ligamental weaknesses ® Features The anatomically-contoured knitted support can be adjusted to the individual and is very comfortable to wear. The two viscoelastic inserts are anatomically shaped and aligned. Mode of action Graduated compression promotes the reabsorption of edema, effusions and hematomas. Intermittent compression is exerted during movement to promote circulation via the joint capsule and tendon insertions. Effects on sensomotory function support active stabilization of the ankle. 8 Colors Every day some 8.000 people in Germany suffer an ankle injury. Just one careless step is all it takes. If the stabilizing muscles Since lateral ligament injuries can also affect the bones, cartilage or other, smaller ligaments, a fairly detailed examination should be performed if the foot is in an unnatural position, if the patient cannot stand on the foot or if distinct bruising develops during the first 30 minutes after injury. Special instability tests indicate if a ligament is torn and if yes, which one. do not react quickly enough as the ankle twists, the joint capsule Untreated injuries of the ankle can result in permanent pain, instabilities or arthrosis. and ligaments have to absorb the whole impact. If the force The Bauerfeind foot therapy range for ankle injuries. acting on these parts of the ankle is too great, then microinjuries of the capsular ligaments occur in the form of sprains or A major problem associated with a twisted ankle is the increased risk of further injuries as a result of inadequate muscle control and guidance of the ankle. Even minor sprains can cause the affected individual to twist the same ankle repeatedly and thus suffer more serious injuries. Specific instability tests can show whether a lateral ligament is torn and, if so, identify the specific ligament. strains. If the ankle continues to twist, the joint capsule is torn and the anterior lateral ligament is severed. Finally, the middle Positive anterior drawer test for rupture of the anterior talofibular ligament. segment of the lateral ligament also tears. While approx. 80 % of torn ligaments affect the anterior segment and approx. 25 % the middle segment, the posterior segment of the lateral ligament is rarely involved. Inward twisting of the ankle is a rare occurrence, but the resulting injury to the medial ligament is frequently associated with fractures of the lateral malleolus and Most patients who sprain their ankle are able to continue walking right away. An orthosis prevents further deterioration of the injury from a second twisting. If the ankle becomes swollen, an anatomically contoured knitted support with integrated pads can help by significantly alleviating the symptoms and also compensating for the loss of muscle coordination. Orthoses and supports can also reduce the risk of injury in potentially hazardous situations, for example during sports. The Bauerfeind foot therapy range can provide you with the orthopedic appliance that is perfectly matched to the respective injury. tears of the ligament connections between the tibia and fibula. Positive talar tilt test for rupture of the anterior talofibular ligament and the calcaneofibular ligament. 10 11 Levels of injury Stabilizing muscles Grade 1 Sprain or partial rupture with no instability Grade 2 Rupture of the anterior talofibular ligament – positive drawer test Grade 3 Additional rupture of the calcaneofibular ligament – positive supination test with talar tilt The typical inversion trauma with a ligament lesion generally occurs at 20-30° plantar flexion. A distinction is made between the three levels of injury, depending on the extent of ligament injury and the associated instability. Loc Indications AirLoc® Stabilizing orthosis for ankle stabilization. Acute capsular ligament injuries of the ankle Chronic instability Postoperative rehabilitation Relapse prevention Features AirLoc is a stabilizing orthosis incorporating an innovative flexible shell. This facilitates optimal adaptation to the individual foot width and the degree of swelling. The plastic shells are anatomically contoured and therefore fit the ankle comfortably. Patient-friendly fitting with two individually adjustable Velcro straps. The Velcro straps are specially cut to match the patient’s individual calf shape. Individually inflatable air cushions facilitate very close fitting for the respective degree of swelling. The AirLoc system provides a high degree of stabilization for the ankle. The streamlined shell design offers advantages when the shell is worn inside a shoe. AirLoc is available in one universal size for the right and left foot. 12 Mode of action The orthosis supports sensorimotor function to counteract ankle twisting. The orthosis stabilizes the lateral capsular ligaments of the ankle, particularly when used in combination with a shoe. Loc Indications MalleoLoc® Stabilizing orthosis for the ankle. Early functional treatment for injuries of the lateral malleolar ligaments (and the bifurcate ligaments) Capsular ligament strains Postoperative rehabilitation Chronic ligament insufficiency Prophylactic use Features Anatomically contoured MalleoLoc conforms to the outside edge of the foot to counteract supination, even without a shoe. Since the orthosis lies flat against the foot, it can easily be worn inside a shoe. A special low-fatigue pad makes MalleoLoc extremely comfortable to wear. MalleoLoc can be individually shaped. 14 Mode of action The orthosis stabilizes the foot by preventing lateral twisting movements of the ankle without appreciably hindering the normal heel-toe stride. MalleoLoc lies against the anterolateral aspect of the joint to counteract forward movement of the talus. The proprioceptive effects promote active stabilization of the ankle muscles. Loc Indications Conservative treatment of torn ankle ligaments CaligaLoc® Postoperative protection after ligamental suturing/reconstruction Stabilizing orthosis for the ankle. Temporary stabilization for posttraumatic tarsal sinus syndrome and decompensated instability of the subtalar joint Permanent stabilization for chronic instability of the upper and/or lower ankle where surgery is contraindicated Features 16 CaligaLoc is the logical outcome of the development of the proven MHH ankle splint. The stability element is anatomically contoured and can be reshaped if necessary. CaligaLoc can be worn round the clock, as a support splint in normal shoes during the day and as a postural splint, without shoes, at night. Mode of action CaligaLoc stabilizes the ankle by counteracting supination. CaligaLoc prevents abnormal load situations in the upper, and to a certain extent lower, ankle. The integrated pronating raised heel section takes the strain off the lateral malleolar ligaments. Bauerfeind foot products at a glance. The following table lists all the foot products mentioned in this brochure to help you differentiate between the products and give you an overview of the main indications and differing degrees of stabilization. DEGREE OF S TABILIZATION Stabilization of upper and lower ankle Immediate posttraumatic management Without heel elevation Extended pad Relief of Achilles tendon AchilloTrain® Pro AchilloTrain® Stabilization without a shoe Reduction of soft tissue irritation Indications MalleoTrain® AirLoc® MalleoLoc® CaligaLoc® Irritation, e.g. posttraumatic/postoperative 18 Osteoarthritis/arthritis 19 Chronic ligament insufficiency Conservative treatment of capsular ligament injuries Postoperative protection after ligamental suturing/reconstruction Stabilization for the lower ankle Achillodynia/follow-up treatment of Achilles tendon ruptures NEW MalleoTrain® AirLoc® MalleoLoc® CaligaLoc® AchilloTrain® Pro AchilloTrain® Active support for muscular stabilization of the ankle. Stabilizing orthosis for the ankle. Stabilizing orthosis for the ankle. Stabilizing orthosis for the ankle. Active support for functional treatment of the Achilles tendon. Active support for relief of the Achilles tendon.