Orthoses used in the management of neurologic and muscular disorders

An anatomic classification for lower extremity bracing is presented, along with a review of brace components and their use in the treatment of neurologic or muscular disorders. An approach to bracing that employs the concepts of balance and flexibility has been suggested rather than rigid formulas calculated from poorly defined or established neutral positions for the various affected joints. A team-management approach, including a podiatric, osteopathic, and allopathic physician, therapist, orthotist, and pedorthist, is always recommended to prevent confusion and reduce unnecessary expenses often incurred when different disciplines are involved in the treatment of complex neuromusculoskeletal disorders.