Abstract: An orthopedic device in the form of a circumferential walker includes a first member (posterior shell) and a second member (dorsal shell) corresponding to the first member. An outsole or plantar shell portion is attached to, or formed on or with the posterior shell. A hinge mechanism is provided between the posterior and dorsal shells to allow the dorsal shell to be swung away from the posterior shell in order to accommodate an anatomical limb therein. Inflatable bladders having perspiration wicking channels and/or openings are provided within a liner for insertion between the posterior and dorsal shells. Quick-connecting buckle and retaining assemblies can be provided to allow a user to quickly don and doff the orthopedic device.

Abstract: A lower limb prosthesis system and a method of controlling the prosthesis system to replace a missing lower extremity of an individual and perform a gait cycle are disclosed. The prosthesis system has a controller, one or more sensors, a prosthetic foot, and a movable ankle joint member coupled to the prosthetic foot. The movable ankle joint member comprises a hydraulic damping system that provides the ankle joint member damping resistance. The controller varies the damping resistance by providing volumetric flow control to the hydraulic damping system based on sensor data. In one embodiment, the hydraulic damping system comprises a hydraulic piston cylinder assembly, hydraulic fluid, and a valve to regulate the fluid. In one embodiment, the controller alters the damping resistance by modulating the valve to vary the hydraulic fluid flow within the hydraulic piston cylinder assembly of the movable ankle joint member based on sensor data.

Abstract: A sleeve has interior and exterior surfaces, a proximal opening in a proximal area, and a distal area, and is adapted to be worn on a residual limb and at least partially over a definitive socket. The sleeve includes a fabric layer continuously forming the exterior surface of the sleeve. A polymeric layer is bonded to the fabric layer and forms the interior surface of the sleeve. A reinforcement layer is arranged in a localized area of the sleeve between the proximal and distal areas of the sleeve.

Abstract: A strap tightener assembly has a base, a tightening device mounted on the base and movable relative thereto, and a strap assembly coupled to the tightening device. The tightening device provides incremental movement of the strap assembly relative to the base at a plurality of predefined settings. A cover extends over the strap assembly and connects to the base so that the base and the cover form a channel permitting movement of the strap assembly therethrough. The cover defines an elongate slot extending along a portion of a length of the cover, and the strap assembly has an indicator identifying the relative location of the strap assembly to the cover. A strap is securable to the strap assembly.

Abstract: A spinal orthosis has an elongate spinal frame defining upper, middle and lower portions, and a lumbar assembly including a lumbar belt connected to the lower portion of the spinal frame. A middle bracket assembly is pivotally connected to the middle portion of the spinal frame, and a strap has a first end secured to the upper portion of the spinal frame. The strap extends from the upper portion of the frame to the middle bracket assembly with the strap redirecting from the middle bracket assembly and the second end of the strap securing to the lumbar belt.

Abstract: Prosthetic feet having a split feature are described. The prosthetic feet can include a plate-like upper element and a plate-like lower element connected to the upper element. The plate-like upper element can include a split that separates the upper element into a medial blade and a lateral blade. A portion of the split can curve in a medial or lateral direction. Portions of the split can also be straight, but askew, from a longitudinal axis of the upper element. The plate-like lower element can also include a similar curved split that separates the lower element into a medial blade and a lateral blade. These features, among others, are designed to provide multi-axial movement capabilities of a natural human foot and enhance roll-over properties while in use.

Abstract: A prosthetic foot can include a resilient heel member that can be removably coupled to the bottom of a plate-like foot member of the prosthetic foot. The heel member can be made of a resilient material, such as foam. The heel member can have a shape that corresponds to a foot cover and allows the prosthetic foot to fit within a foot cover. A lip may be provided to engage with a corresponding portion of the foot cover to secure the heel member within the foot cover. A rib can be located on the bottom of the heel member to create horizontal or vertical displacement of the foot at heel strike. A recess can be created in the heel member to removably receive an insert, which can alter the stiffness of the heel member.

Abstract: A cervical collar including an anterior portion having a rigid or semi-rigid shell anterior main support piece. The anterior portion defines resilient or flexible edges formed along the periphery of the main support piece. The flexible edges form a three-dimensional anatomically configured proximal support portion defined along a proximal area of the anterior portion. The anterior main support piece defines a supporting spring portion centrally located along the proximal area of the anterior portion. The proximal support portion is formed around and encompasses the supporting spring portion.

Abstract: A device and method for using the device arranged to maintain anatomical alignment between a joint by creating a dynamic load around the joint to restore and maintain the anatomical alignment. The orthotic device uses a hinge to create a directed force on a tibia by maintaining misalignment of an instant center of rotation (ICoR) of the hinge at a position relative to an anatomical knee joint.

Abstract: The present invention pertains to a method for aligning both the cervical spine and the airway of a child by elevating the spine of the child to allow some clearance for the head of the child to rest on a lower plane. In a preferred embodiment, the extent of maturity of the child is first estimated by measuring the length of the child or some portion of the child. Finally, a pad is provided which is height adjustable which can be used in the method of the present invention to elevate the spine of the child.

Abstract: An orthopedic device has upper and lower frames hingedly connected to each other by first and second primary hinges on opposed sides of the device and providing movement between flexion and extension. Each of the upper and lower frames includes opposed first and second medial-lateral portions connected by a central portion. A force strap is connected to the upper and lower frames and spiraling therebetween, and the force strap generally extends at a first location proximate to the first primary hinge and is generally urged in a first direction at the first location to the second primary hinge. The upper frame is rigid or semi-rigid, and includes means for permitting movement in proximal-distal directions and means for permitting movement in lateral-medial directions.

Abstract: Prosthetic feet having improved vertical suspension are provided. A prosthetic foot can include a foot member having a change in curvature near a toe section so that the toe section is downwardly vertically offset from the remainder of the foot member. A prosthetic foot can have upper and lower foot members that extend parallel to each other and are separated by a gap. The lower foot member can extend beyond a distal end of the upper foot member to form a toe section. An adapter for coupling a prosthetic foot to another prosthetic component is also provided. The adapter includes a cavity for receiving the proximal end of a prosthetic foot. The prosthetic foot is secured to the adapter with a curable material such as epoxy to provide a more lightweight system.

Abstract: Certain embodiments of the invention relate to increasing the functionality of a transfemoral prosthetic device. In one embodiment, the transfemoral prosthetic device is configured such that the prosthetic knee maintains a load consistent with a healthy knee walking on level ground, while the prosthetic ankle adjusts for the incline or decline. In certain embodiments, adjustments, such as a toe lift function, are automatically performed after about three strides of the transfemoral prosthetic device user and/or when each of the strides has a stride speed of at least about 0.55 meters/second.

Abstract: An orthopedic device includes a strut assembly having a resilient shell defining opposed first and second sides, and a patient compliance system. The patient compliance includes a tightening strap connecting the first and second sides of the shell. The tightening strap has first and second end portions arranged for incremental uni-directional adjustment relative to at least one of the first and second sides of the strut assembly. The tightening strap is arranged to bend the shell and draw the first and second sides thereof toward one another.

Abstract: An orthopedic component for use in orthopedic device includes a rigid frame and a flexible subshell connected to and extending flexibly outwardly from the rigid frame. The subshell may have a shell body and a perimeter edge portion defining a lip extending outwardly from a surface of a shell body and defining a clearance between the shell body and the lip. The subshell may include a plurality of slots and ventilated padding is used in combination with the slots. A tightenable fastener may be adjustably secured to the rigid frame and extend through an opening on the subshell, wherein the first side portion of the subshell is adjustable in location relative to the rigid frame.

Abstract: An orthopedic device is arranged for dynamically treating the knee. The device includes a hinge assembly, a frame having an upper cuff and a lower cuff spaced apart from and connected by the hinge assembly, and a dynamic shell connected to the frame and extending along the first side of the brace. An adjustment system is connected to the dynamic shell and includes a tensioning element operatively engaging the shell and the hinge assembly. The adjustment system is arranged to increase and decrease tension in the tensioning element. The dynamic shell is arranged to be drawn toward the frontal plane as the orthopedic device goes from an extension orientation to a flexion orientation.

Abstract: A low profile prosthetic foot comprises a foot member extending at an incline from an anterior portion to a posterior portion thereof and configured to flex during motion, and an adapter mounted solely at a posterior section thereof to the posterior portion of the foot member so that the adapter's anterior section can move relative to the foot member and “roll-up” onto the foot member during motion.

Abstract: A spacer element for use in an orthopedic or prosthetic device includes a first region including first and second fabric layers spaced by a first compressible padding layer, a second region including first and second fabric layers spaced by a second compressible padding layer, and a third region including the first and second fabric layers adjacent one another. The first region is separated and spaced from the second region by the third region. The first padding layer has a greater density than the second padding layer, such that the first padding layer is less firm than the second padding layer.