Priyanshi Domadia, PT, DPT, PCS, joins Pushing Pediatrics for Part 1 of a two-part series on pediatric orthotics. Drawing on her experience across early intervention, outpatient, home-based, school-based, and pediatric neurorehabilitation settings, as well as her previous work as a Lead Physical Therapist and Brace Clinic Coordinator, coordinating orthotic and adaptive-equipment services for children with complex neurological conditions, Priyanshi brings valuable insight into determining what a child actually needs. In this episode, we focus on lower extremity orthotics, including supportive footwear, inserts, SMOs, and AFOs, exploring the clinical reasoning behind choosing the right support for each child. Rather than memorizing which orthosis goes with a particular diagnosis, we discuss how to identify a child's specific movement challenges, understand the biomechanics contributing to functional limitations, and determine the least restrictive level of support needed to improve function. Be sure to join us for Part 2 next week, where we continue exploring orthotic management beyond the lower extremities.
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