Page 18 - Bauerfeind life magazine

magazine 2013/1
MalleoTrain, MalleoTrain Plus, MalleoLoc & CaligaLoc
Gradual mobilization is the key to the success of functional ankle therapy.
Depending on the severity of the injury, supports and orthoses can provide the
stabilization and restriction of movement needed to help improve the healing
of damaged structures.
Safety in functional therapy
MalleoTrain – for muscular stabilization
of the ankle
The MalleoTrain active support is used to
treat a sore ankle joint. Indications are post­
operative and posttraumatic irritation (e.g.
after sprains), joint effusions and swellings
resulting from osteoarthritis and arthritis,
tendomyopathies and ligamental weaknesses.
MalleoTrain Plus – increased stability
and effective protection against lateral
The MalleoTrain Plus support is ideal for
providing conservative treatment for simple
ligament injuries (grade I)*, for chronic
ankle instability or for supination prophylaxis
particularly during sporting activities). It is
based on the same mechanism as a functional
tape bandage. The semi-elastic strap system,
which is wrapped around the foot in a figure
of eight, enhances the stabil­izing effect
of the support and protects the ankle from
lateral twisting. The tensile force can be in­
dividually adjusted and determines the slight
degree to which the foot’s plantar flexion is
Classification of ligament injuries in grades I-III in
accordance with the simple classification system used by
the American Medical Association.
MalleoLoc – stability for the ankle bone
The MalleoLoc offers a higher degree of stabi­
lization. It is used for conservative and, par­
ticularly, early functional therapy for simple
to severe ligament injuries (grades I and II)
and for chronic ligament in­sufficiency. This
anatomically self-molding orthosis is fixed
into place with straps to reduce the forward
displacement of the talus. It stabil­izes the
upper ankle joint, even without wearing
sturdy shoes. The foot is held in a slightly
pronated position to ensure active protec­
tion against lateral twisting. This protection
is boosted by the neuromuscular stimulation
provided by the ProprioPoint plantar guide.
Dorsal extension and plantar flexion are
restricted, but without affecting the normal
heel-to-toe movement of the foot.
CaligaLoc – partial immobilization
The newly revised CaligaLoc provides post-
operative protection after ligament suturing/
reconstruction and conservative therapy fol­
lowing complex ligament injuries (grades II
and III). The anatomically contoured, softly
padded plastic splint is held securely on the
foot by velour straps. This secures the upper
and lower ankle joint. The CaligaLoc reduces
the forward displacement of the talus more
strongly than the MalleoLoc, and the active
range of movement is considerably more
restricted. The integrated pronation wedge
under the heel raises the hindfoot slightly
and takes the strain off the exterior liga­
ments. The CaligaLoc orthosis offers a high
degree of stabilization, but enables gradu­
ated freedom of movement, which is essential
for the successful regeneration of injured
ligament structures in the ankle joint. This is
where the main difference lies compared to
using a walker or a plaster cast. The Caliga­
Loc can also be worn in ordinary, ready-made
shoes and is easier to use on an everyday
basis. Partial immobilization is effective for
approximately four to six weeks. After this
a higher degree of mobilization is required,
which can be provided by the MalleoLoc or
MalleoTrain Plus.
The required degree of stabilization and restriction of movement are decisive when it comes to choosing a product.
Pictures: Bauerfeind
Increasing stabilization