This article aims to provide some
background information on the use
of orthoses, which can play an
important part in stroke rehabilitation,
and includes watch-points for nurses
caring for stroke patients using orthoses.
An orthosis is defined as ‘an external
device used to modify the structural or
functional characteristics of the
neuromuscular system’ (International
Organisation for Standardisation (ISO),
1989:1–6). Orthoses include splints,
braces and supports, as well as insoles
and special footwear.
The principles discussed in this article
are equally applicable to temporary
splints such as plaster casts, which may
be used in the early stages of
rehabilitation after stroke.
Orthotists are state-registered allied
health professionals (AHPs) who
specialise in assessing and providing
orthoses, working either as stand-alone
practitioners or as part of a
multidisciplinary team (MDT).