Guest guest Posted August 17, 2005 Report Share Posted August 17, 2005 Hey All, As I posted earlier, I am new. I have a few questions. I'm not familer with all the abbreveations, DBB I figured out is Dennis Brown Bar. Are they all short for different types of bars/braces/shoes? For those of you seeing Dr. Dobbs, after casting how often do you go back for checks? I understand there is the 3 months of 23hrs a day. Then 14-15 hrs a day mostly sleeping for 2-4 years, is that right? Thanks everyone for your support as I try to figure all this out. I'm sure this is just the beginning of what I will come up with to ask!!! Marci Mom to Mollie 5-25-05 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 2005 Report Share Posted August 17, 2005 Hey All, As I posted earlier, I am new. I have a few questions. I'm not familer with all the abbreveations, DBB I figured out is Dennis Brown Bar. Are they all short for different types of bars/braces/shoes? For those of you seeing Dr. Dobbs, after casting how often do you go back for checks? I understand there is the 3 months of 23hrs a day. Then 14-15 hrs a day mostly sleeping for 2-4 years, is that right? Thanks everyone for your support as I try to figure all this out. I'm sure this is just the beginning of what I will come up with to ask!!! Marci Mom to Mollie 5-25-05 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 2005 Report Share Posted August 17, 2005 At 08:50 PM 8/17/2005, you wrote: >Hey All, > >As I posted earlier, I am new. I have a few questions. I'm not >familer with all the abbreveations, DBB I figured out is Dennis Brown >Bar. Are they all short for different types of bars/braces/shoes? The DBB brace is not exactly what is used today but most Dr's and Orthotists still call it a Dennis Browne Bar. The standard brace is the Markell open toe shoes attached to either a gold or red bar. The red bar is adjustable in length. The gold bar is fixed and comes in various sizes from 6 " to 14 " . The gold bar may also be adjustable, either with three holes on both ends in which the shoes can be moved (i.e. a small bar would be 6, 8, and 10 " width depending on which holes you put the shoes into, and medium and large bars in the sizes above), or the shoes may be moved out on a sort of track and you tighten them down at the width you desire. Both these adjustable gold bars may stick out on the sides which I think would be annoying. But they'd work. The correct term for the brace is a Foot Abduction Bar/Brace or FAB. There are now a few other versions with different shoes and bars available. The newest braces are the Ponseti/ FAB and Dr. Dobbs Articulating FAB. The PM FAB looks kind of like a pair of Birkenstocks on a flat bar and is much gentler on a newborns foot than the Markell shoes. It was/is however not intended to be used for the entire bracing treatment and most babes will switch to the Markell shoes when their feet are more mature. Some parents will not switch, and some feet such as atypical will need this brace for the entire treatment. Dr. Dobbs has designed an articulating brace that allows more mobility for the baby's legs although he's using AFO's for the shoes instead of the Markells (the first versions of this brace used the Markells, and the sole plates he uses for the AFO's are the same as the plates for the Markells so they're interchangeable at this time). Personally I'm not sold on the AFO's and I think Dr. Dobbs needs to put the Ponseti shoes on his brace instead. >For those of you seeing Dr. Dobbs, after casting how often do you go >back for checks? I understand there is the 3 months of 23hrs a day. >Then 14-15 hrs a day mostly sleeping for 2-4 years, is that right? 3 mo's at 23/7 then you drop 4 hours and do 18 for a month or so, maybe two or three. Then another 2hr drop to 16 and then drop to 14 till walking. For us, having treatment started when she was an infant, it ended up that the reductions came aproximately every 3mo's. For older babes it may be accelerated a bit. Once walking you should be able to comfortably drop to 12-14 for the duration of the rest of the treatment which is after age 3-1/2, and depending on severity and of course other factors such as a foot that has relapsed and needed additional casting it could be up to and perhaps past the age of 4. But most will be done with treatment and bracing by 3-1/2yo. Reducing hours too soon after the 23/7 can cause a whole host of problems including relapse and rejection of the brace. By bracing them long hours in the first year you also end up with a babe who doesn't object to wearing the shoes much because it's second nature. They don't know all babies don't wear shoes at night. So maintaining the long hours when they're little serves multiple purposes, not only to maintain correction. Some parents do nights and naps, but we do the whole stretch at one time. Easier for me that way because naps are not scheduled around here. We put the shoes on at night (around 8pm) and they stay on till at least 8am the next morning and more often than not, 10am or later. You wouldn't believe the things these kids can do while wearing their shoes... it does not delay them or stop them from getting up into things either! >Thanks everyone for your support as I try to figure all this out. That's what we're here for, ask away. Any time :-* Kori Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 2005 Report Share Posted August 17, 2005 At 08:50 PM 8/17/2005, you wrote: >Hey All, > >As I posted earlier, I am new. I have a few questions. I'm not >familer with all the abbreveations, DBB I figured out is Dennis Brown >Bar. Are they all short for different types of bars/braces/shoes? The DBB brace is not exactly what is used today but most Dr's and Orthotists still call it a Dennis Browne Bar. The standard brace is the Markell open toe shoes attached to either a gold or red bar. The red bar is adjustable in length. The gold bar is fixed and comes in various sizes from 6 " to 14 " . The gold bar may also be adjustable, either with three holes on both ends in which the shoes can be moved (i.e. a small bar would be 6, 8, and 10 " width depending on which holes you put the shoes into, and medium and large bars in the sizes above), or the shoes may be moved out on a sort of track and you tighten them down at the width you desire. Both these adjustable gold bars may stick out on the sides which I think would be annoying. But they'd work. The correct term for the brace is a Foot Abduction Bar/Brace or FAB. There are now a few other versions with different shoes and bars available. The newest braces are the Ponseti/ FAB and Dr. Dobbs Articulating FAB. The PM FAB looks kind of like a pair of Birkenstocks on a flat bar and is much gentler on a newborns foot than the Markell shoes. It was/is however not intended to be used for the entire bracing treatment and most babes will switch to the Markell shoes when their feet are more mature. Some parents will not switch, and some feet such as atypical will need this brace for the entire treatment. Dr. Dobbs has designed an articulating brace that allows more mobility for the baby's legs although he's using AFO's for the shoes instead of the Markells (the first versions of this brace used the Markells, and the sole plates he uses for the AFO's are the same as the plates for the Markells so they're interchangeable at this time). Personally I'm not sold on the AFO's and I think Dr. Dobbs needs to put the Ponseti shoes on his brace instead. >For those of you seeing Dr. Dobbs, after casting how often do you go >back for checks? I understand there is the 3 months of 23hrs a day. >Then 14-15 hrs a day mostly sleeping for 2-4 years, is that right? 3 mo's at 23/7 then you drop 4 hours and do 18 for a month or so, maybe two or three. Then another 2hr drop to 16 and then drop to 14 till walking. For us, having treatment started when she was an infant, it ended up that the reductions came aproximately every 3mo's. For older babes it may be accelerated a bit. Once walking you should be able to comfortably drop to 12-14 for the duration of the rest of the treatment which is after age 3-1/2, and depending on severity and of course other factors such as a foot that has relapsed and needed additional casting it could be up to and perhaps past the age of 4. But most will be done with treatment and bracing by 3-1/2yo. Reducing hours too soon after the 23/7 can cause a whole host of problems including relapse and rejection of the brace. By bracing them long hours in the first year you also end up with a babe who doesn't object to wearing the shoes much because it's second nature. They don't know all babies don't wear shoes at night. So maintaining the long hours when they're little serves multiple purposes, not only to maintain correction. Some parents do nights and naps, but we do the whole stretch at one time. Easier for me that way because naps are not scheduled around here. We put the shoes on at night (around 8pm) and they stay on till at least 8am the next morning and more often than not, 10am or later. You wouldn't believe the things these kids can do while wearing their shoes... it does not delay them or stop them from getting up into things either! >Thanks everyone for your support as I try to figure all this out. That's what we're here for, ask away. Any time :-* Kori Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 2005 Report Share Posted August 17, 2005 At 08:50 PM 8/17/2005, you wrote: >Hey All, > >As I posted earlier, I am new. I have a few questions. I'm not >familer with all the abbreveations, DBB I figured out is Dennis Brown >Bar. Are they all short for different types of bars/braces/shoes? The DBB brace is not exactly what is used today but most Dr's and Orthotists still call it a Dennis Browne Bar. The standard brace is the Markell open toe shoes attached to either a gold or red bar. The red bar is adjustable in length. The gold bar is fixed and comes in various sizes from 6 " to 14 " . The gold bar may also be adjustable, either with three holes on both ends in which the shoes can be moved (i.e. a small bar would be 6, 8, and 10 " width depending on which holes you put the shoes into, and medium and large bars in the sizes above), or the shoes may be moved out on a sort of track and you tighten them down at the width you desire. Both these adjustable gold bars may stick out on the sides which I think would be annoying. But they'd work. The correct term for the brace is a Foot Abduction Bar/Brace or FAB. There are now a few other versions with different shoes and bars available. The newest braces are the Ponseti/ FAB and Dr. Dobbs Articulating FAB. The PM FAB looks kind of like a pair of Birkenstocks on a flat bar and is much gentler on a newborns foot than the Markell shoes. It was/is however not intended to be used for the entire bracing treatment and most babes will switch to the Markell shoes when their feet are more mature. Some parents will not switch, and some feet such as atypical will need this brace for the entire treatment. Dr. Dobbs has designed an articulating brace that allows more mobility for the baby's legs although he's using AFO's for the shoes instead of the Markells (the first versions of this brace used the Markells, and the sole plates he uses for the AFO's are the same as the plates for the Markells so they're interchangeable at this time). Personally I'm not sold on the AFO's and I think Dr. Dobbs needs to put the Ponseti shoes on his brace instead. >For those of you seeing Dr. Dobbs, after casting how often do you go >back for checks? I understand there is the 3 months of 23hrs a day. >Then 14-15 hrs a day mostly sleeping for 2-4 years, is that right? 3 mo's at 23/7 then you drop 4 hours and do 18 for a month or so, maybe two or three. Then another 2hr drop to 16 and then drop to 14 till walking. For us, having treatment started when she was an infant, it ended up that the reductions came aproximately every 3mo's. For older babes it may be accelerated a bit. Once walking you should be able to comfortably drop to 12-14 for the duration of the rest of the treatment which is after age 3-1/2, and depending on severity and of course other factors such as a foot that has relapsed and needed additional casting it could be up to and perhaps past the age of 4. But most will be done with treatment and bracing by 3-1/2yo. Reducing hours too soon after the 23/7 can cause a whole host of problems including relapse and rejection of the brace. By bracing them long hours in the first year you also end up with a babe who doesn't object to wearing the shoes much because it's second nature. They don't know all babies don't wear shoes at night. So maintaining the long hours when they're little serves multiple purposes, not only to maintain correction. Some parents do nights and naps, but we do the whole stretch at one time. Easier for me that way because naps are not scheduled around here. We put the shoes on at night (around 8pm) and they stay on till at least 8am the next morning and more often than not, 10am or later. You wouldn't believe the things these kids can do while wearing their shoes... it does not delay them or stop them from getting up into things either! >Thanks everyone for your support as I try to figure all this out. That's what we're here for, ask away. Any time :-* Kori Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 2005 Report Share Posted August 17, 2005 At 08:50 PM 8/17/2005, you wrote: >Hey All, > >As I posted earlier, I am new. I have a few questions. I'm not >familer with all the abbreveations, DBB I figured out is Dennis Brown >Bar. Are they all short for different types of bars/braces/shoes? The DBB brace is not exactly what is used today but most Dr's and Orthotists still call it a Dennis Browne Bar. The standard brace is the Markell open toe shoes attached to either a gold or red bar. The red bar is adjustable in length. The gold bar is fixed and comes in various sizes from 6 " to 14 " . The gold bar may also be adjustable, either with three holes on both ends in which the shoes can be moved (i.e. a small bar would be 6, 8, and 10 " width depending on which holes you put the shoes into, and medium and large bars in the sizes above), or the shoes may be moved out on a sort of track and you tighten them down at the width you desire. Both these adjustable gold bars may stick out on the sides which I think would be annoying. But they'd work. The correct term for the brace is a Foot Abduction Bar/Brace or FAB. There are now a few other versions with different shoes and bars available. The newest braces are the Ponseti/ FAB and Dr. Dobbs Articulating FAB. The PM FAB looks kind of like a pair of Birkenstocks on a flat bar and is much gentler on a newborns foot than the Markell shoes. It was/is however not intended to be used for the entire bracing treatment and most babes will switch to the Markell shoes when their feet are more mature. Some parents will not switch, and some feet such as atypical will need this brace for the entire treatment. Dr. Dobbs has designed an articulating brace that allows more mobility for the baby's legs although he's using AFO's for the shoes instead of the Markells (the first versions of this brace used the Markells, and the sole plates he uses for the AFO's are the same as the plates for the Markells so they're interchangeable at this time). Personally I'm not sold on the AFO's and I think Dr. Dobbs needs to put the Ponseti shoes on his brace instead. >For those of you seeing Dr. Dobbs, after casting how often do you go >back for checks? I understand there is the 3 months of 23hrs a day. >Then 14-15 hrs a day mostly sleeping for 2-4 years, is that right? 3 mo's at 23/7 then you drop 4 hours and do 18 for a month or so, maybe two or three. Then another 2hr drop to 16 and then drop to 14 till walking. For us, having treatment started when she was an infant, it ended up that the reductions came aproximately every 3mo's. For older babes it may be accelerated a bit. Once walking you should be able to comfortably drop to 12-14 for the duration of the rest of the treatment which is after age 3-1/2, and depending on severity and of course other factors such as a foot that has relapsed and needed additional casting it could be up to and perhaps past the age of 4. But most will be done with treatment and bracing by 3-1/2yo. Reducing hours too soon after the 23/7 can cause a whole host of problems including relapse and rejection of the brace. By bracing them long hours in the first year you also end up with a babe who doesn't object to wearing the shoes much because it's second nature. They don't know all babies don't wear shoes at night. So maintaining the long hours when they're little serves multiple purposes, not only to maintain correction. Some parents do nights and naps, but we do the whole stretch at one time. Easier for me that way because naps are not scheduled around here. We put the shoes on at night (around 8pm) and they stay on till at least 8am the next morning and more often than not, 10am or later. You wouldn't believe the things these kids can do while wearing their shoes... it does not delay them or stop them from getting up into things either! >Thanks everyone for your support as I try to figure all this out. That's what we're here for, ask away. Any time :-* Kori Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2005 Report Share Posted August 18, 2005 Hi Marci, I wrote to Dr. Ponseti last year when I was not agreeing with what Zoe's Dr was recommending. Straight from Dr. Ponseti: Quote We have observed that after three months of full time brace wear, night and naptime for a total of 16-18 hours are sufficient to prevent a relapse. Once the child is walking about 12-14 hours is adequate. I see no reason to have the child wear the brace 23 hours a day until she is crawling. Unquote They are recommending that the brace be worn at night until the children are about 4. My impression is that the latest term for the DBB is FAB(Foot abduction brace). Louisa Rachael 6-27-99 Zoe 2-22-04 RCF nights > Hey All, > > As I posted earlier, I am new. I have a few questions. I'm not > familer with all the abbreveations, DBB I figured out is Dennis Brown > Bar. Are they all short for different types of bars/braces/shoes? > > For those of you seeing Dr. Dobbs, after casting how often do you go > back for checks? I understand there is the 3 months of 23hrs a day. > Then 14-15 hrs a day mostly sleeping for 2-4 years, is that right? > > Thanks everyone for your support as I try to figure all this out. > > I'm sure this is just the beginning of what I will come up with to > ask!!! > > Marci > > Mom to Mollie 5-25-05 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2005 Report Share Posted August 18, 2005 Hi Marci, I wrote to Dr. Ponseti last year when I was not agreeing with what Zoe's Dr was recommending. Straight from Dr. Ponseti: Quote We have observed that after three months of full time brace wear, night and naptime for a total of 16-18 hours are sufficient to prevent a relapse. Once the child is walking about 12-14 hours is adequate. I see no reason to have the child wear the brace 23 hours a day until she is crawling. Unquote They are recommending that the brace be worn at night until the children are about 4. My impression is that the latest term for the DBB is FAB(Foot abduction brace). Louisa Rachael 6-27-99 Zoe 2-22-04 RCF nights > Hey All, > > As I posted earlier, I am new. I have a few questions. I'm not > familer with all the abbreveations, DBB I figured out is Dennis Brown > Bar. Are they all short for different types of bars/braces/shoes? > > For those of you seeing Dr. Dobbs, after casting how often do you go > back for checks? I understand there is the 3 months of 23hrs a day. > Then 14-15 hrs a day mostly sleeping for 2-4 years, is that right? > > Thanks everyone for your support as I try to figure all this out. > > I'm sure this is just the beginning of what I will come up with to > ask!!! > > Marci > > Mom to Mollie 5-25-05 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2005 Report Share Posted August 18, 2005 Hi Marci, I wrote to Dr. Ponseti last year when I was not agreeing with what Zoe's Dr was recommending. Straight from Dr. Ponseti: Quote We have observed that after three months of full time brace wear, night and naptime for a total of 16-18 hours are sufficient to prevent a relapse. Once the child is walking about 12-14 hours is adequate. I see no reason to have the child wear the brace 23 hours a day until she is crawling. Unquote They are recommending that the brace be worn at night until the children are about 4. My impression is that the latest term for the DBB is FAB(Foot abduction brace). Louisa Rachael 6-27-99 Zoe 2-22-04 RCF nights > Hey All, > > As I posted earlier, I am new. I have a few questions. I'm not > familer with all the abbreveations, DBB I figured out is Dennis Brown > Bar. Are they all short for different types of bars/braces/shoes? > > For those of you seeing Dr. Dobbs, after casting how often do you go > back for checks? I understand there is the 3 months of 23hrs a day. > Then 14-15 hrs a day mostly sleeping for 2-4 years, is that right? > > Thanks everyone for your support as I try to figure all this out. > > I'm sure this is just the beginning of what I will come up with to > ask!!! > > Marci > > Mom to Mollie 5-25-05 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2005 Report Share Posted August 18, 2005 Hi Marci, I wrote to Dr. Ponseti last year when I was not agreeing with what Zoe's Dr was recommending. Straight from Dr. Ponseti: Quote We have observed that after three months of full time brace wear, night and naptime for a total of 16-18 hours are sufficient to prevent a relapse. Once the child is walking about 12-14 hours is adequate. I see no reason to have the child wear the brace 23 hours a day until she is crawling. Unquote They are recommending that the brace be worn at night until the children are about 4. My impression is that the latest term for the DBB is FAB(Foot abduction brace). Louisa Rachael 6-27-99 Zoe 2-22-04 RCF nights > Hey All, > > As I posted earlier, I am new. I have a few questions. I'm not > familer with all the abbreveations, DBB I figured out is Dennis Brown > Bar. Are they all short for different types of bars/braces/shoes? > > For those of you seeing Dr. Dobbs, after casting how often do you go > back for checks? I understand there is the 3 months of 23hrs a day. > Then 14-15 hrs a day mostly sleeping for 2-4 years, is that right? > > Thanks everyone for your support as I try to figure all this out. > > I'm sure this is just the beginning of what I will come up with to > ask!!! > > Marci > > Mom to Mollie 5-25-05 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2005 Report Share Posted August 18, 2005 Marci, There are really 3 types of braces being used right now, the DBB is the traditional name for the solid bar that connects the two shoes. We kind of prefer the term FAB (foot abduction brace) because apparently Dennis Brown's treatment process was actually quite traumatic and painful for babies (torturous actually) but either term means the same thing. There are different kinds of bars, red and gold with different ways they attach to the shoes, some are adjustable width, some not. You'll also see the term P/M's which is short for Ponseti/ brace, this is a brace designed by who works with Dr. Ponseti -- same basic principal of shoes attached to a bar but the shoes are more like a birkenstock sandal than the traditional white open toe shoes you would get with the gold or red bar (these shoes are called Markells because they are made by Markell shoe company). Now, since you are seeing Dr. Dobbs you will get a version of the brace that he has designed, it is very cool! We just call it the Dobbs brace. It is a bar with articulating pivot points at either end so that the baby can move her feet independently of each other. He has a few different versions in use, they are kind of in the prototype state but he is making them with a plastic boot type shoe attached (looks like an AFO - ankle foot orthosis) or you can also use it with the Markell shoes. The AFO style is great for little babies when they first come out of casts for those tiny smushy baby feet that are hard to put in the Markell shoes. A lot of people have trouble at first with the Markells because if the foot is not in the shoe correctly (or if the foot is not corrected properly or shoes are not fitted right) they can cause blisters and pressure sores just the same as any new shoe. One thing to note on the AFO style is that you will hear people say that AFO's don't help maintain correction but in this case they do because they are still attached to the bar. Does that make sense? Now, as for after casting, we went back 3 weeks after beginning in the shoes just for a check then every 3 months. We see him again in late September, Sammy will be 1 then and I think we will then start seeing him less, like 6 months and then once a year. He usually recommends reducing hours gradually after the initial 23/day for 3 months. We are still doing 16-18 hours since Sammy is not yet walking. During this time period he normally tells parents AT LEAST 14 hrs. but try to stick with 16-18 so that's what we are doing. I think in September he will reduce us to 14 hrs. and then later possibly to 12. Hope this helps! > Hey All, > > As I posted earlier, I am new. I have a few questions. I'm not > familer with all the abbreveations, DBB I figured out is Dennis Brown > Bar. Are they all short for different types of bars/braces/shoes? > > For those of you seeing Dr. Dobbs, after casting how often do you go > back for checks? I understand there is the 3 months of 23hrs a day. > Then 14-15 hrs a day mostly sleeping for 2-4 years, is that right? > > Thanks everyone for your support as I try to figure all this out. > > I'm sure this is just the beginning of what I will come up with to > ask!!! > > Marci > > Mom to Mollie 5-25-05 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2005 Report Share Posted August 18, 2005 Marci, There are really 3 types of braces being used right now, the DBB is the traditional name for the solid bar that connects the two shoes. We kind of prefer the term FAB (foot abduction brace) because apparently Dennis Brown's treatment process was actually quite traumatic and painful for babies (torturous actually) but either term means the same thing. There are different kinds of bars, red and gold with different ways they attach to the shoes, some are adjustable width, some not. You'll also see the term P/M's which is short for Ponseti/ brace, this is a brace designed by who works with Dr. Ponseti -- same basic principal of shoes attached to a bar but the shoes are more like a birkenstock sandal than the traditional white open toe shoes you would get with the gold or red bar (these shoes are called Markells because they are made by Markell shoe company). Now, since you are seeing Dr. Dobbs you will get a version of the brace that he has designed, it is very cool! We just call it the Dobbs brace. It is a bar with articulating pivot points at either end so that the baby can move her feet independently of each other. He has a few different versions in use, they are kind of in the prototype state but he is making them with a plastic boot type shoe attached (looks like an AFO - ankle foot orthosis) or you can also use it with the Markell shoes. The AFO style is great for little babies when they first come out of casts for those tiny smushy baby feet that are hard to put in the Markell shoes. A lot of people have trouble at first with the Markells because if the foot is not in the shoe correctly (or if the foot is not corrected properly or shoes are not fitted right) they can cause blisters and pressure sores just the same as any new shoe. One thing to note on the AFO style is that you will hear people say that AFO's don't help maintain correction but in this case they do because they are still attached to the bar. Does that make sense? Now, as for after casting, we went back 3 weeks after beginning in the shoes just for a check then every 3 months. We see him again in late September, Sammy will be 1 then and I think we will then start seeing him less, like 6 months and then once a year. He usually recommends reducing hours gradually after the initial 23/day for 3 months. We are still doing 16-18 hours since Sammy is not yet walking. During this time period he normally tells parents AT LEAST 14 hrs. but try to stick with 16-18 so that's what we are doing. I think in September he will reduce us to 14 hrs. and then later possibly to 12. Hope this helps! > Hey All, > > As I posted earlier, I am new. I have a few questions. I'm not > familer with all the abbreveations, DBB I figured out is Dennis Brown > Bar. Are they all short for different types of bars/braces/shoes? > > For those of you seeing Dr. Dobbs, after casting how often do you go > back for checks? I understand there is the 3 months of 23hrs a day. > Then 14-15 hrs a day mostly sleeping for 2-4 years, is that right? > > Thanks everyone for your support as I try to figure all this out. > > I'm sure this is just the beginning of what I will come up with to > ask!!! > > Marci > > Mom to Mollie 5-25-05 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2005 Report Share Posted August 18, 2005 Marci, There are really 3 types of braces being used right now, the DBB is the traditional name for the solid bar that connects the two shoes. We kind of prefer the term FAB (foot abduction brace) because apparently Dennis Brown's treatment process was actually quite traumatic and painful for babies (torturous actually) but either term means the same thing. There are different kinds of bars, red and gold with different ways they attach to the shoes, some are adjustable width, some not. You'll also see the term P/M's which is short for Ponseti/ brace, this is a brace designed by who works with Dr. Ponseti -- same basic principal of shoes attached to a bar but the shoes are more like a birkenstock sandal than the traditional white open toe shoes you would get with the gold or red bar (these shoes are called Markells because they are made by Markell shoe company). Now, since you are seeing Dr. Dobbs you will get a version of the brace that he has designed, it is very cool! We just call it the Dobbs brace. It is a bar with articulating pivot points at either end so that the baby can move her feet independently of each other. He has a few different versions in use, they are kind of in the prototype state but he is making them with a plastic boot type shoe attached (looks like an AFO - ankle foot orthosis) or you can also use it with the Markell shoes. The AFO style is great for little babies when they first come out of casts for those tiny smushy baby feet that are hard to put in the Markell shoes. A lot of people have trouble at first with the Markells because if the foot is not in the shoe correctly (or if the foot is not corrected properly or shoes are not fitted right) they can cause blisters and pressure sores just the same as any new shoe. One thing to note on the AFO style is that you will hear people say that AFO's don't help maintain correction but in this case they do because they are still attached to the bar. Does that make sense? Now, as for after casting, we went back 3 weeks after beginning in the shoes just for a check then every 3 months. We see him again in late September, Sammy will be 1 then and I think we will then start seeing him less, like 6 months and then once a year. He usually recommends reducing hours gradually after the initial 23/day for 3 months. We are still doing 16-18 hours since Sammy is not yet walking. During this time period he normally tells parents AT LEAST 14 hrs. but try to stick with 16-18 so that's what we are doing. I think in September he will reduce us to 14 hrs. and then later possibly to 12. Hope this helps! > Hey All, > > As I posted earlier, I am new. I have a few questions. I'm not > familer with all the abbreveations, DBB I figured out is Dennis Brown > Bar. Are they all short for different types of bars/braces/shoes? > > For those of you seeing Dr. Dobbs, after casting how often do you go > back for checks? I understand there is the 3 months of 23hrs a day. > Then 14-15 hrs a day mostly sleeping for 2-4 years, is that right? > > Thanks everyone for your support as I try to figure all this out. > > I'm sure this is just the beginning of what I will come up with to > ask!!! > > Marci > > Mom to Mollie 5-25-05 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2005 Report Share Posted August 18, 2005 Marci, There are really 3 types of braces being used right now, the DBB is the traditional name for the solid bar that connects the two shoes. We kind of prefer the term FAB (foot abduction brace) because apparently Dennis Brown's treatment process was actually quite traumatic and painful for babies (torturous actually) but either term means the same thing. There are different kinds of bars, red and gold with different ways they attach to the shoes, some are adjustable width, some not. You'll also see the term P/M's which is short for Ponseti/ brace, this is a brace designed by who works with Dr. Ponseti -- same basic principal of shoes attached to a bar but the shoes are more like a birkenstock sandal than the traditional white open toe shoes you would get with the gold or red bar (these shoes are called Markells because they are made by Markell shoe company). Now, since you are seeing Dr. Dobbs you will get a version of the brace that he has designed, it is very cool! We just call it the Dobbs brace. It is a bar with articulating pivot points at either end so that the baby can move her feet independently of each other. He has a few different versions in use, they are kind of in the prototype state but he is making them with a plastic boot type shoe attached (looks like an AFO - ankle foot orthosis) or you can also use it with the Markell shoes. The AFO style is great for little babies when they first come out of casts for those tiny smushy baby feet that are hard to put in the Markell shoes. A lot of people have trouble at first with the Markells because if the foot is not in the shoe correctly (or if the foot is not corrected properly or shoes are not fitted right) they can cause blisters and pressure sores just the same as any new shoe. One thing to note on the AFO style is that you will hear people say that AFO's don't help maintain correction but in this case they do because they are still attached to the bar. Does that make sense? Now, as for after casting, we went back 3 weeks after beginning in the shoes just for a check then every 3 months. We see him again in late September, Sammy will be 1 then and I think we will then start seeing him less, like 6 months and then once a year. He usually recommends reducing hours gradually after the initial 23/day for 3 months. We are still doing 16-18 hours since Sammy is not yet walking. During this time period he normally tells parents AT LEAST 14 hrs. but try to stick with 16-18 so that's what we are doing. I think in September he will reduce us to 14 hrs. and then later possibly to 12. Hope this helps! > Hey All, > > As I posted earlier, I am new. I have a few questions. I'm not > familer with all the abbreveations, DBB I figured out is Dennis Brown > Bar. Are they all short for different types of bars/braces/shoes? > > For those of you seeing Dr. Dobbs, after casting how often do you go > back for checks? I understand there is the 3 months of 23hrs a day. > Then 14-15 hrs a day mostly sleeping for 2-4 years, is that right? > > Thanks everyone for your support as I try to figure all this out. > > I'm sure this is just the beginning of what I will come up with to > ask!!! > > Marci > > Mom to Mollie 5-25-05 Quote Link to comment Share on other sites More sharing options...
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