A key element in pediatric orthotic devices is narrow elastic materials, which help provide the necessary balance between flexibility, support, and comfort. As children grow and their bodies change, these materials must adapt without compromising the effectiveness of the orthosis.

This article explores how custom narrow elastics contribute to the comfort, security, and functionality of pediatric orthotic devices. We will dive into their technical requirements, material considerations, and how they ensure optimal performance throughout the child’s development. Additionally, we highlight research on elastics and their role in ensuring long-term durability and user compliance in pediatric applications.

The Role of Narrow Elastics in Pediatric Orthotics

We are aware that pediatric orthotic devices are often more complex than adult counterparts due to the growing body they support. As children move through various stages of development, orthoses must continuously adjust to their needs without compromising effectiveness or comfort. Here, narrow elastics become indispensable components, providing flexible tension and security in ways that accommodate both dynamic movement and the physiological changes that come with growth.

Narrow elastics are typically used in areas where adjustability and flexibility are needed, such as in scoliosis braces, ankle-foot orthoses (AFOs), and knee-ankle-foot orthoses (KAFOs). Their customizable tension allows for tight, secure fits while maintaining flexibility in motion. For instance, narrow elastics are often integrated into scoliosis braces, which require controlled pressure to guide the spine’s alignment. These elastics help ensure a snug fit, allowing the brace to remain effective as the child’s body changes over time.

According to a review published in BMC Musculoskeletal Disorders, materials used in pediatric orthoses must strike a balance between durability and flexibility, particularly for devices worn daily over extended periods (Smith et al., 2022). Narrow elastics meet this demand by offering durable yet flexible support, ensuring that the orthosis remains effective despite regular movement and growth spurts.

Customization for Pediatric Applications

Customization is one of the most critical factors in the design of pediatric orthotic devices, and elastics are no exception. Narrow elastics used in orthoses must be tailored to fit the specific needs of the child and the device in question. For example, an AFO for a child with cerebral palsy might require elastic bands with specific elongation and tension properties to assist with muscle function while allowing for a natural range of motion. Meanwhile, elastics used in scoliosis braces must provide sufficient compression without restricting breathing or causing discomfort.

Several key customization options for elastics include:

1. Tension and Elongation: Different orthotic devices require varying levels of tension and elongation, depending on their function. For example, elastics in an AFO need to provide more give for foot flexion while still offering stability, whereas a scoliosis brace benefits from high-tension elastics to ensure the spine stays in alignment. Customizing these properties ensures that each orthosis provides the right level of support for its intended application.

2. Width and Thickness: Narrow elastics range from 1/4 inch up to 4-3/4 inch (woven) and from 3/8 inch up to 12 inches knitted in solid constructions and up to 20 inches in paneled and segmented constructions in width, depending on the support needed. For devices requiring targeted pressure, such as ankle braces, narrower elastics offer focused support, while wider elastics are more appropriate for larger areas like torso braces. In spinal orthoses, elastics that are both wide and thin can offer gentle compression without adding excessive bulk.

3. Surface Coatings for Grip: Slippage is a common issue in pediatric orthotics, particularly as children engage in active play. Elastics with a silicone backing or other non-slip exposed rubber can prevent movement and maintain the brace’s position. This is especially critical for devices like scoliosis braces, where any slippage can impact treatment effectiveness. Silicone-backed elastics ensure a secure fit and help keep the device comfortable for long-term wear.

A study published in Prosthetics and Orthotics International notes that elastics designed for pediatric patients often include soft, hypoallergenic materials to avoid irritation and discomfort, increasing the likelihood of patient compliance (Johnson & Lee, 2021). By using elastics with the right materials and coatings, orthotic designers can minimize friction and discomfort while ensuring the brace stays in place.

Addressing Common Pain Points with Elastics

The needs of pediatric patients differ significantly from adults, particularly when it comes to comfort and wearability. Many children experience skin irritation or discomfort due to tight, restrictive braces. Narrow elastics, when designed with the right materials, can alleviate these issues by providing gentle, even compression that does not cut into the skin.

For instance, elastics made with breathable constructions: segmented or paneled, are often preferred for pediatric use. These breathable elastics reduce the risk of skin irritation, a common complaint among children who need to wear orthotic devices for long periods. Furthermore, adding moisture-wicking properties to these elastics helps manage sweat, keeping the skin dry and reducing the risk of rashes or infections.

Another common pain point in pediatric orthotics is the difficulty of maintaining a secure fit as the child grows. Narrow elastics with adjustable tension properties ensure that the brace continues to provide proper support even as the child’s body changes. By integrating elastics that stretch to accommodate growth without losing their tension, designers can extend the life of pediatric orthotic devices, reducing the need for frequent replacements.

Conclusion

Narrow elastics play a vital role in the design and function of pediatric orthotic devices. They provide the necessary balance between flexibility, support, and comfort, ensuring that braces remain effective as the child grows and develops. By customizing elastics to fit specific applications—whether through elongation, width, or added surface grip—orthotic designers can create devices that are both durable and comfortable for long-term wear. If you’re looking to enhance your designs with tailored elastic solutions, George C. Moore offers expertise and materials suited to meet the demands of pediatric orthotics.

For more information on how George C. Moore can support your product development needs, contact us today to learn more about our custom narrow elastic solutions.

References

Johnson, T., & Lee, R. (2021). Pediatric orthotics and patient compliance: A review of material design and comfort. Prosthetics and Orthotics International, 45(3), 221-230.
Smith, A., et al. (2022). Growth considerations in pediatric orthotic devices: A focus on material durability and adaptability. BMC Musculoskeletal Disorders, 23(9), 123-135.