Walking and Sitting Hip Orthosis SWASH® STEADY Camp Scandinavia
- Replaces previous SWASH Classic. Swash is a unique dynamic hip brace that allows controlled variable abduction and dynamic movement in all three planes of motion
(Replaces previous SWASH Classic)
NOTE: This product should only be fitted by a certified professional.
Before you begin If at all possible, meet with the physician, physical therapist and caregiver to determine the primary and secondary goals for using a SWASH. If this is not possible, try calling them to make sure their expectations are understood. This will affect whether you select SWASH® STEADY or SWASH® GO, 115 or 123 degree upright, plus the abduction adjustment you make to the orthosis. The Pre-Fitting Evaluation (see SWASH® Clinical Manual) is key to success and, combined with the Post-Fitting Evaluation (see SWASH® Clinical Manual) serves as a means for you to document outcomes.
Swash is a unique dynamic hip brace that allows controlled variable abduction and dynamic movement in all three planes of motion. The goal of SWASH® is to prevent excessive hip adduction when sitting, standing, and walking as usual in cerebral palsy. However, perhaps the most important benefit the SWASH® offers is guidance for hip alignment.
SWASH Steady offers maximum trunk control, the choice when patient is primarily non-ambulatory (GMFCS IV-V), has low trunk tone and/or very limited trunk control strength or when greater pelvic coverage triggers more desirable neuro-sensory motor response. In sitting, the base is widened for support, which helps the child to get an upright balanced posture and at the same time stretch the adductor muscles.
Indications: Cerebral Palsy, Spastic Dipleegia, Spastic Quadriplagia Risk of Hip Dysfunction, Spina Bifida, Night splint, post-botox, postoperative stabilization.
Contraindications: Dislocated hips. Hip flexion contractures greater than 20º (dynamic or fixed). Abductors too strong for the SWASH™ to handle. Adductor length too short to allow SWASH™ use in the sitting position. Dyskinetic cerebral palsy except as a hip prophylactic orthotic management device. Waist or thigh sizes above those accommodated by the largest SWASH™.
SWASH Steady Pelvic Section has a polyethylene pelvic section that extends from L2/L3 to distal margin of the sacrum, providing maximum thoracic and pelvic support.
Uprights are available in 2 different versions:
115° = narrow sitting base / 123° = wide sitting base
SWASH® is available with either 115° or 123° uprights. This refers only to the fixed angle of the most proximal visible curve in the uprights – it does NOT refer to the exact degree of abduction obtained while wearing the orthosis. Standing and walking functions of both uprights are very similar. Generally the difference between the two are related to abduction in sitting, with the 123o uprights creating greater amount of abduction.
Recommended Range Of Application:
When maximum trunk control is required, i.e., candidates who lack muscle strength or upper body control to sit upright. When patient is primarily non-ambulatory (GMFCS IV - V). When the greater pelvic coverage triggers more desirable neuro-sensory motor response.
Measurement:
At level of the nature waist for maximum trunk stability.
Other:
A complete SWASH orthosis requires a Pelvic Section, Thigh Cuffs, and Uprights.