The London Orthotic Consultancy (LOC) has unrivalled expertise in treating children. In 2015, we started working with Elaine Owen, a world-renowned physiotherapist who has developed concepts adopted across the world as the gold standard in lower limb orthotic management of children with neurological conditions. Together we have built what we call the OSKAR clinic. We believe this is a unique example of orthotics being used to their absolute potential and helping children and their parents achieve the goals they set.
We work with a number of London hospitals including The Portland which is the UK’s largest private hospital for women and children. We provided orthotics for their first Selective Dorsal Rhizotomy (SDR) patient in 2016 and now provide in patient assessments as requested by the clinical team there.
At LOC, we often work with children who present with rare, complex conditions and are able to produce effective treatments that aid rehabilitation and reduce pain due to the breadth and depth of our clinician’s expertise. Our bespoke orthoses are designed to enhance function and mobility, provide structural support and reduce the effects of contractures and deformities as children grow.
We understand that your children develop their motor patterns and gait characteristics from an early age. Correctly prescribed and well-designed orthoses can play a vital role in aiding this development into later life. We aim to design orthoses and provide adjustments where possible to maximise their durability as your child grows and develops.
Cerebral Palsy (CP) is the term used to describe a group of conditions that affect the movement of muscles and the posture of the body. The term comes from the area of the brain affected. A large range of bespoke orthotics can enhance function, mobility and reduce pain in cerebral palsy patients.
LOC has developed a reputation in the selective dorsal rhizotomy community for its treatment and management of cerebral palsy patients who have undergone this ground-breaking SDR surgery. Tuned Ankle Foot Orthotics are especially good and we also use DAFOs or Dorsiflexion Assist SMOs to improve alignment and gait.
Pes planus is the loss of the medial longitudinal arch of the foot. Infants typically have a minimal arch, however by the age of 10, children should have developed an anatomical arch structure. If appropriate, bespoke foot orthotics may be prescribed to ease pain and to ensure that other symptoms do not develop.
Hypermobility is the term used to describe the ability to move joints beyond the normal range of motion, a person with this condition is often referred to as being double jointed. It is common in children and adolescents. Bespoke foot orthotics are the recommended treatment option for the majority of patients with hypermobility.
Sever's Disease is a musculoskeletal condition that affects children & adolescents as they grow. Also called calcaneal apophysitis, it is a painful inflammation of the growth plate or epiphyseal plate, in the heel bone. Foot orthotics can help all foot types with a predisposition to Sever’s.
Spina bifida is a birth defect of the neural tube - this later develops to form the spine & nervous system. If it doesn’t form correctly, damage to the spinal cord occurs, causing neurological dysfunctions. Typically in spina bifida, orthotic intervention would be either ankle foot orthoses (AFOs) or knee ankle foot orthoses (KAFOs).
Brain injury occurs often after a traumatic event that disrupts the flow of blood and oxygen to the brain. At LOC, we offer a range of orthotic treatments for children with this condition such as bespoke AFOs, carried out in conjunction with a gait lab assessment in our gait laboratory.
Pars fracture, or spondylolysis, is a spinal condition characterised by a stress fracture in the pars interarticularis, a small bridge of bone in the vertebral arch. Common in adolescents and athletes, it can cause lower back pain and can be managed through rest, bracing, and physical therapy.
LOC is committed to providing its patients with the most up-to-date orthoses available; we are always assessing new and innovative products like carbon fibre & neuro swing technology for our bespoke orthotics, braces and foot orthotics.
The Neuro Swing AFO has a unilateral ankle joint that is designed to be held within a carbon fibre construction. The joint has two springs, posterior and anterior. The springs can be altered in three ways. Resistance in the springs can be reduced or increased and range of movement can be altered as can the alignment of the ankle. The Neuro Swing system from Fior & Gentz enables us to return the patient’s gait pattern to one that is as near normal as possible.
The advent of carbon fibre has allowed the creation of a new range of specialised orthoses.
These are not only lighter and less bulky, but also more comfortable and much stronger than traditional, plastic types.
Weight reduction has an immediate positive clinical impact, particularly for patients with polio or post-polio syndrome.
For six-year-old Sophie, life has always carried unique challenges. LOC orthotist, Alan Hews, has been working with Sophie and her family since she received selective dorsal rhizotomy (SDR) surgery for cerebral palsy at the Portland Hospital aged three ... continue reading ...
LOC has been treating Lilac since 2018 following her SDR surgery for cerebral palsy. Her extraordinary progress has been possible thanks to her own courage, her family’s determination in fundraising through Just4Children and the targeted intervention of a number of professionals including our own team at LOC ... continue reading ...
For 10-year-old Aran, the ability to walk independently is becoming reality with the help of the Elaine Owen Clinic, which is run at our Gait Laboratory in Kingston upon Thames. Aran has diplegia cerebral palsy, which manifests itself in tense muscles and spasms ... continue reading ...
With a diagnosis of cerebral palsy, little Sofia has more to contend with than the average four-year-old! But her positive outlook, combined with her family’s support and determination plus orthotics and physiotherapy, is helping her on the way to a bright future ... continue reading ...
LOC has recently begun treating five-year-old Esme to help her regain strength and independence of movement following SDR surgery for cerebral palsy. Esme’s mum, Charlotte, is already seeing significant improvement in Esme’s mobility since her bespoke AFOs were fitted ... continue reading ...
Five-year-old Austin has a diagnosis of cerebral palsy and underwent SDR surgery in November 2018. In July 2020, Austin’s parents brought him to LOC’s OSKAR Clinic, hoping that we could help him to walk independently and with more confidence ... continue reading ...
Working with LOC and Elaine has been a great experience – they really take the time to look at your child and understand their individual challenges and needs. For parents who are in the same position that we were, I would say do your research – see what clinics are available near you and what the costs are, but my feeling is it’s worth every penny.
After 10 years of daily physiotherapy and swimming, not to mention SDR, hamstring and tendon lengthening, we have finally achieved independent walking – it was a mother’s day gift that would take some beating.
LOC’s video vector technology measures exactly where Austin’s weight is being distributed, how his hips are moving and how his legs are moving. It’s those insights that have made his new AFOs so effective. Even within a few days, LOC’s splints have had more impact on his independence of movement than anything else we have done.
Since his new orthoses, his change has been remarkable. He is more mobile and can walk independently. Jason is now walking indoors and outdoors and is unrestricted. He is now properly enjoying the summer sunshine for the first time in a few years with no complaints of pain.
It has been a breath of fresh air – LOC’s ability to accommodate Sophie’s circumstances and manufacture her orthotics so quickly has taken a huge amount of potential stress away. Alan talks to Sophie as well - she looks forward to seeing him. He has even been able to fulfil her request to have her SMOs decorated with unicorns! It makes her feel special and much happier about wearing them.
Amelia was always looking for something to hold on to, now she runs around. Sam really puts in that extra effort to make the clients happy. I’d recommend LOC because they have all the equipment and extremely professional staff who have been trained by world-renowned physiotherapist Elaine Owen.
Lilac just flits about now. Every day she's getting stronger and our expectation now. We are absolutely with The London Orthotics Consultancy for the long haul now. We’ve found a business that can provide what we need and who we trust, and it’s the trust that's the most important thing to us.
Multidisciplinary teams in business will sit down together and discuss a project with all parties concerned, each adding their particular expertise and insight. This is what it is like at London Orthotic Consultancy (LOC) but on a more personal level: Teamwork is evident. The camaraderie and mutual respect are undeniable. The attention to the smallest achievement is uplifting.
Sofia’s AFOs Help Her to Stand and Walk During Lockdown
Meet John Turner – our Manchester Orthotics Lead
Sam Walmsley to explain OSKAR Framework to Neuro Conference 2021 Delegates
LOC to launch OSKAR Framework to CMSUK 2020 Delegates
AFOs give Esme confidence and stability after cerebral palsy SDR surgery
OSKAR Clinic AFOs and gait laboratory are game-changers for cerebral palsy patient Austin
Cerebral palsy patient, Sophie, maintains independence during lockdown with LOC’s help