Neurological (Conditions)
Understanding Neurological Conditions and Orthotic Support
Neurological conditions affect the way the brain, spinal cord, and nerves communicate with the body. These conditions can influence muscle strength, tone, coordination, and sensation — often impacting movement, balance, and posture. For many people, orthotic intervention plays a vital role in improving function, comfort, and independence by providing support, alignment, and control where the body needs it most.
Your orthotist works closely with you and your healthcare team to assess your movement, identify challenges, and design custom-made orthoses (braces or supports) that help you achieve your personal goals. Whether the focus is on walking more efficiently, maintaining joint alignment, or reducing fatigue and pain, orthotic care is always tailored to your unique presentation and lifestyle.
Common Neurological Conditions That May Benefit from Orthotic Intervention
Stroke (Cerebrovascular Accident – CVA)
Following a stroke, weakness or spasticity (involuntary muscle tightness) can affect one side of the body. Orthoses such as ankle-foot orthoses (AFOs) support the lower limb for safer walking, while upper limb splints can assist with positioning, tone management, and function.
Spinal Cord Injury (SCI)
Depending on the level of injury, individuals may benefit from spinal orthoses to support trunk stability or lower limb braces to enable standing or walking.
Multiple Sclerosis (MS)
MS can cause fluctuating muscle weakness, fatigue, and balance issues. Custom orthoses may help stabilise joints, conserve energy, and improve walking confidence, particularly when symptoms vary day to day.
Parkinson’s Disease
Orthotic support can help manage posture, reduce the risk of falls, and promote smoother, more controlled movements as part of a comprehensive therapy plan.
Cerebral Palsy
(Above-Knee):
In children and adults with CP, orthotic devices are often used to improve posture, gait, and muscle control. AFOs, knee-ankle-foot orthoses (KAFOs), and upper limb supports can help optimise mobility and participation in everyday activities.
Motor Neuron Disease (MND)
As muscle weakness and fatigue progress, orthoses can help maintain mobility, comfort, and independence. Your orthotist may recommend lightweight supports, such as AFOs or wrist-hand orthoses, to assist with walking, hand function, and energy conservation, adapting solutions as needs change over time.
Peripheral Nerve Injuries
Damage to nerves such as the peroneal or radial nerve may cause muscle weakness or paralysis, leading to difficulties like foot drop or wrist drop. Orthoses restore controlled movement and functional alignment during recovery or long-term use.
