UP-TO-DATE STATUS OF SUPPLYING OF ORTHOSE S IN MENINGOMYELOCELE-CHILDREN

The supplying of Spina bifida children with orthotic devices leads to a remarkable success only, if it is based on the preexisting possibili ties of the overall development and the present situation of the child . To realize the aim of maximum autonomy in standing and walking this overall analytic perspective is a must for all therapeutic planing and decisions. Therefore, static and dynamic orthoses like hip guidance-c ombined with above-knee orthoses, standing and walking-aids like recip rocating gait orthoses etc. are decisive assumptions. The most importa nt characteristics of all orthoses are, the child to feel the economiz ing effect concerning standing and walking. Then only optimum acceptan ce and integration of the orthotic devices into activities of daily li ving can be achieved.