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Retrospective case study of team approach to omphalocele orthosis fabrication and implementation
Maureen Suhr1, Russell Jennings, James Miller
1Department of Physical and Occupational Therapy, Children's Hospital Boston, Massachusetts, USA.
Purpose:
The purpose of this case report is to describe an interdisciplinary approach to orthotic intervention in a neonate with giant omphalocele.
Summary Of Key Points:
An infant with a giant omphalocele was presented to the Neonatal Intensive Care Unit (NICU) for management. An interdisciplinary team including a neonatal surgeon, physical therapists, orthotist, and family collaborated to determine appropriate orthotic intervention. A custom stabilizing orthosis and prone positioning device were fabricated and fit to the infant. The omphalocele was secure and the family felt confident that the omphalocele was protected during physical interaction.
Summary And Recommendations For Clinical Practice:
In this case, a custom orthosis was shown to be a valuable tool to provide external support for a giant omphalocele and facilitate safe interaction between infant and family. An interdisciplinary approach is recommended to best accommodate the patient's needs.
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