Definition

Paresis or paralysis affecting one limb only.

Causes:

• Cerebral palsy

• Injury to the brain

Sign & symptoms:

• Unable to walk properly-(if lower limb affected)

• Unable to perform any activity-(if upper limb affected)

Complications

• Pes equines

• Shortening

• Severe contracture

• Scoliosis

• Loss of function

Orthotic Treatment

For Lower limb

KAFO- If knee extensors/flexor affected

AFO-If quadricep weakness with genu recurvatum

Rigid AFO- If tibialis anterior and tricep surae weakness

In case of AFO- If muscle grading is 3- , Solid AFO

- If muscle grading is 3+, AFO with Ankle joint

In case of KAFO- If knee flexor is 3-, Knee extensor is 3+, KAFO with drop lock knee joint. If knee flexor is 3+, Knee extensor is 3-, KAFO with free lock

For upper Limb

Wrist hand orthosis

Elbow wrist hand orthosis