spina bifida braces orthoses

Spina bifida is an uncommon birth defect that means the spinal cord and the spine didn’t form the right way during pregnancy. This defect affects roughly 1,500 babies in the U.S. each year and can range from mild to severe, with many forms resulting in mobility and orthopedic issues.

One common problem that comes from spina bifida is difficulty walking. Sometimes, the nerves in one or both legs don’t work as they should, resulting in weak muscles and even paralysis. Some can still learn to walk; some can’t. It really depends on the severity of the condition in that child.

There are other issues that can result, too. For example, patients with spina bifida can develop scoliosis (a curved spine), deformities in the bones and joints, and other orthopedic symptoms.

Many spina bifida patients find that in order to walk and move like they want, they need orthoses or braces. Braces can help shore up the weak parts of the body and provide much-needed structure and stability to the leg(s), giving the patient a chance to live a normal life.

Here, we’ll talk about braces for spina bifida patients, including how they work and how you can build a better one.

Types of Spina Bifida Braces

Supra-Malleolar Orthosis (SMO)

This type of orthosis supports the leg from the foot to right above the ankle bones. Ankle bones are called malleoli, hence the name of the device. This is a shorter version of an AFO (below).

Ankle-Foot Orthosis (AFO)

This brace supports the foot and extends past the ankle to midway up the calf. An AFO’s purpose is to control the range of motion of the ankle and offer support to the lower leg. AFOs are also known as “foot-drop braces” because they’re often used to support a dropped foot.

Knee-Ankle-Foot Orthosis (KAFO)

Similar to an AFO, the KAFO extends up past the knee, which makes the device the more complex of the two. In spina bifida patients with more moderate to severe mobility issues, a KAFO is often needed because the entire leg has reduced feeling, strength, and movement.

Reciprocating Gait Orthosis (RGO)

The most complicated of the four types of orthotic braces, the reciprocating gait orthosis involves full-leg braces combined with a rigid pelvic band around the hips, connected by a cable. When the wearer flexes a hip joint, it allows them to move forward with the opposite hip and leg. So when they flex to the right, the left hip and leg move, and vice-versa. This is a fairly recent innovation and is most often used in spina bifida patients who have suffered partial or total paralysis of the lower body.

The Process of Building a Better Brace: Getting a Better Fit

There are a lot of factors that go into creating an optimal  brace for spina bifida patients. The materials you use can make a big difference, which is why we use advanced carbon-fiber technology.

But the best way to build a better brace is to get a better fit. A perfect fit makes a world of difference to patients who have to wear their brace for long hours each and every day, depending on it to walk and be active. The average person will take 5,000 to 7,000 steps a day, and each of those steps can be uncomfortable at best and painful at worst with an improperly-fitting brace.

To ensure a better fit, we use technology to help us. First, we take exact measurements, then create a fiberglass cast of the limb. Laser scanning can help us do the same as a fiberglass cast, except we can upload the design into our special software and manipulate the future brace as needed right there on the computer, before we create it. Laser scanning is really powerful and can help create an exact fit.

Then, through careful manufacturing, we can craft a brace that perfectly fits the limb and provides superior comfort.

Since most patients with spina bifida we see are children, making sure the brace is adjusted properly to a growing child is important. On average, children can expect to be fitted for a new brace or modifications on their existing brace about once per year until they reach adolescence. Then, new braces can be created less frequently.

Through it all, we’re focusing intently on creating the best fit possible, because that is the single biggest factor of how successful a brace will be.

Finding the Best Brace for Your Patient

If you have a child who has spina bifida and you need help taking care of their orthopedic needs, contact us. We have decades of experience creating orthotic braces for spina bifida patients and any other child who needs help walking properly. Walking isn’t something we ever take for granted. With your child, we’ll do everything we can to give them the gift of normalcy and activity - something every kid needs.