Which condition presents a contraindication for Neuroorthosis?

Neuroorthoses are designed to assist individuals with conditions that affect neuromuscular control not only to improve mobility but also to provide stability and support. Flaccid paralysis, characterized by a lack of muscle tone and strength, presents a unique challenge when considering the application of a neuroorthosis. The primary purpose of these devices is to leverage existing muscle tone and motor function to enhance movement and support gait.

In the case of flaccid paralysis, the absence of active muscle control means that there may not be adequate residual muscle function to control or stabilize the orthosis effectively. Therefore, using a neuroorthosis in such a scenario would not only be ineffective but could also potentially lead to further complications, such as skin breakdown or joint instability due to the inability to actively engage with the device.

In contrast, conditions like significant equinovarus, mild spastic diplegia, or dorsiflexion weakness involve varying degrees of muscle function and control, which can typically be addressed with neuroorthotic intervention. These conditions allow for the application of assistive devices that will engage remaining muscle control to facilitate improved function and mobility.