LEEDer Group Inc.
156 Reasor St. #108
Oklahoma, OK 74464 USA

Phone: 305.436.5030
Fax: 305.436.0086
Email Address: email info at LeederGroup.com jcr_safe_email_at_this_domain

Contracture Management Related






  • An orthotic is an orthopedic device, orthosis, that is applied externally to a jointed limb (i.e. wrist/hand/finger-WHFO; ankle foot AFO Ankle Splints, knee, elbow,etc.). Their design purpose provides support, stability, prevention of deformity or replacement of lost function. Providing this function is a requirement of Medicare for all splints and braces. There are a variety of orthoses available depending on the diagnosis and physical needs of the individual.
    L’Nard invented the Multi Podus boot now owned by RC.AI. (photo below of KYDEX-PRO Ambulation Orthosis)
Contracture Management

Some examples are listed below for Lower Extremity, Upper Extremity and Spinal Orthoses:

Moldable Shoe Insert
  • Lower Limb Orthotics include: Insoles (this is the most common use of of the word orthotic). These inserts are necessary for diabetic shoes and usually are pre-fabricated and molded to the patient with a heat gun. The most common materials used are high or low-density plastazote, Pe-lite, leather, PPT and EVA. These materials are used depending on the patient’s degree of foot deformity.

Custom AFO's Pre-Fabbed AFO's sometimes require trimming

  • Functional Foot Orthosis (another common use of orthotics referring to thin, lightweight polypro shoe inserts). These AFO Orthotics as they are commonly referred are available pre-fabbed and sometimes require minor trimming. They are available with full and partial foot pads. hinged and semi-rigid. Drop Foot responds well with this orthotic application. Custom orthotics of this type are contoured to the entire foot and used to reduce abnormal motion or abnormal position of the foot. Also, they are used to control abnormal motion or position of the lower limb. The orthotist will take a medical evaluation, biomechanical examination, ranges of motion, muscle activity. The AFO can be made from an impression or cast of the foot. A thermoplastic material will be molded to the shape of a positive cast of the foot. AFO’s are prescribed for several conditions, which include stroke, cerebral palsy, spina bifida, multiple sclerosis, paraplegia, polio or ankle and foot deformity. AFO Types include: Rigid ankle foot orthosis (molded AFO); Hinged ankle foot orthosis; Posterior leaf spring ankle foot orthosis; PTB- ankle foot orthosis ( PTB- patellar tibia bearing); Floor reaction ankle foot orthosis; Conventional ankle foot orthosis.
  • Compare with KYDEX-PRO Ambulation and Bed Boot
  • Formula: Fast-LOK Ambulation Pad + Cure-BAN Anti-Microbial SoftGoods + KYDEX = Maximum Protection for you and your patients = DON’T TAKE CHANCES
See the Application of a Professional KYDEX-PRO Multi Podus Boot >> Click the Arrow
KYDEX-PRO Ambulation Boot: More Control…Better Outcomes…Transforming Lives
  • Ankle Foot Orthosis Foot Brace (Multi Podus Boots for contracture management, wound care, heel decubitus relief and Night Splints are both common pre-fabricated orthotics.) Insurance approved codes are L-4396 with a variety of ICD-9 codes available for ankle contracture. The SADMERC’s specify a minimum of 10 degrees of contraction must be documented. The same L-4396 code applies with a diagnosis of plantar fasciitis using ICD-9 code, 728.71. The MultiPodus orthotic was invented by L’Nard, now RCAI; RCAI owns the Trade Mark Multi Podus ; however, common usage throughout the industry has made it part of the Public Domain. All segments of the industry refer to this type boot as multi podus . Just as Kleenex captured minds and became part of the public domain for all facial tissue brands, so Multi Podus has made the same transition.
Various Knee Orthotics
  • Knee Orthosis
There are many different types of knee orthoses available. Therefore, to decide which knee orthosis is effective the orthotist has to understand the normal biomechanics, pathology and kinematics of the knee. Also, he must take into consideration range of motion, muscle strength, laxity of ligament, skin condition and sensation. Various knee orthoses are available: those that support an injured knee or ligament weakness; Post-operative (after surgery); Functional knee orthosis (stabalizes, corrects, prevents & supports the deformity of the knee joint); Contracture Mangement Type type Knee Orthosis: "(external)see LEEDer Group Insurance approved Professional PRO-Knees: L1832.":/products/knee-splints
  • Knee Ankle Foot Orthosis
The KAFO is commonly used to treat symptoms due to spina bifida, cerebral palsy, paraplegia, polio, trauma or neuromuscular dystrophy. Different types of knee joint systems will be used for KAFO's depending on the patient’s deformity. It could be a free knee joint for stability or a drop lock for knee control. However, in some cases a dial lock system is used for patients with knee flexion contracture.

  • Hip-Knee-Ankle-Foot-Orthosis
HKAFO consists of a trunk section connected to KAFO's by two lateral hip joints. The joints system is usually associated with locks but in some cases it is a free hip joint. While wearing, the patient will be able to walk with the help of a walker or forearm crutches.

Mini LSO Opposing Force Min BOC Works...don't Miss Out on Relief L 1-5 Lumbar Vertebrae... The BOC Mini really works well here.  Don't miss out on relief. (Mini LSO with non-elastic straps meets code)! * Spinal Orthotics: Includes LSO and TLSO: LEEDer offers several Professional LSO and TLSO with Low compression, Non-elastic strapping systems. We feel this system allows users to better benefit from these back braces as the Low pressure strapping provides more comfort allowing great usage time. The Low pressure non-stretch straps on these back braces provide the Medicare required intra-cavitary pressure, which lifts and separates the spinal column discs relieving pinched nerves; the Lumbar Dome presses and aligns the Lumbar Arch with similar result. The PRO-Mini mini LSO may be the most comfortable and effective back brace available.
Watch the PRO-Mini LSO Applicaton >>Click the Arrow
  • PRO-SEWHO = Shoulder-Wrist-Hand-Orthosis: a device attachable to a standard wheelchair to provide support and functional range of motion. Control of the Shoulder-Wrist-Hand assembly motion both vertical and horizontal is achieved as the patient or therapist desires.
Watch the PRO-SEWHO application by Clicking the Arrow
  • Gain More Control…Better Outcomes…Transforming Lives
  • As should now be clear: Orthosis, orthoses, orthotics…the terms are used to describe multiple devices(foot splints, back braces, brace, etc.) used in the treatment of conditions associated with traumatic injuries, chronic disease, and immobility, including joint contractures, Contracture Management, pressure sores and more.