Dynamic Movement Orthoses
Dynamic Movement Orthoses (DMO®) are a relatively new approach to managing abnormal tone and neurological dysfunction. The orthosis is one of a group of orthoses known as dynamic elastomeric fabric orthoses (DEFO). The orthoses can improve functional abilities and posture, combining compression of the body or limbs with directive forces, designed to meet individual needs and objectives.
Each orthosis is custom made, using a Lycra based fabric to achieve a close fit. The DMO® stimulates the somatosensory system through the proprioceptors of the skin and musculoskeletal systems, and leads to postural adjustments, greater body awareness and muscle action.
The resistance created by additional layers of reinforcing material adds a biomechanical influence, to improve posture and further encourage movement control.
As well as improved function from better posture, improved proximal / distal stability and reduced involuntary movements; other benefits may include pain relief, decreased associated reactions, easier transfers and improved therapy sessions. Over time, in most cases, the desired effect would be to experience a "carry over effect", where the improvement in function and control of movement is continued in the long term when the orthosis is removed.
The onset of this carry-over effect and the factors affecting its duration is dependent on the individual patients' presentation and reaction to the treatment. Therefore the length of time required can range from months to years dependent on clinical presentation.
The orthoses include:
- Gloves for improved hand / upper limb function
- Shoulder stability orthoses to enable repositioning of subluxed shoulders
- Full body suit for whole body involvement
- Shorts to stabilise the hips
- Leggings to stabilise the hips and legs
- Socks to improve foot position and swing through
The style and design of the orthosis is based on the wearers' ability and their functional objectives at the time of assessment. An Orthotist and/or Therapist assess, measures, fits and reviews each orthosis.
Patients with neurological dysfunction (including cerebral palsy, stroke (CVA), head injury, multiple sclerosis), scoliosis (including neurological onset and idiopathic) and other movement disorders may benefit from wearing a Dynamic Movement Orthosis.
Compliance is an essential part of this treatment both for those wearing the Dynamic Movement Orthoses and those caring for the wearer - i.e. parents, carers, teachers, and therapists. Without acceptance of the daily regime of donning and doffing the orthosis, treatment will not work