Orthotic Fitting

The Palpitation Method of Orthotic Fitting should be utilized when using Progressive Extension, Low Load Prolonged Stretch, or Neuro-Inhibiting orthotic therapy to ensure a good fit. Palpate the crease in the affected joint immediately after fitting the brace. The tissue should feel taut due to the therapeutic stretch being applied by the device. If the tissue is not taut, the device should be reset to initiate a gentle stretch. There should never be significant discomfort or pain associated with orthotic device stretching. Immediately remove the brace and re-set the orthotic to reduce the stretch applied by the device if pain or significant discomfort occurs.

Always re-palpate the treated joint several minutes after device application (10 - 15 minutes). An optimal fit will display significant softening in the joint crease when re-checked. If softening has occurred and the patient reports comfort, the fit is good. If there is no softening, the device should be re-set to provide a more gentle stretch.