Dynamic elastomeric fabric orthoses

Summary

Dynamic elastomeric fabric orthoses (DEFOs) are garments that consist of sections of compressive elastic material, for example Lycra, of varying thickness stitched together using specific tensions and directions of pull. The orthoses are designed to provide support and sensory information that will enable the user to ‘feel’ their body more and then use this sensory information to improve their functional ability. Dynamic elastomeric fabric orthoses can be used in conditions that are characterised by limitations in sensory and proprioceptive function and movement, such as cerebral palsy. Currently available management options for children with cerebral palsy include physiotherapy, occupational therapy, rigid orthoses, botulinum toxin injections, and surgical interventions.

Health Technology Wales researchers searched for evidence on the clinical and cost effectiveness of DEFOs for children and young people with neurological conditions.

A decision on whether to progress this topic to full appraisal is pending