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A method of constructing orthoses and other patient devices using nylon tubing and clip-together standard components is described. This permits the rapid assembly of custom orthoses that can be evaluated before prescription in a clinical setting. These orthoses have been successfully used for the control of thoracic spinal flexion, hip abduction, elbow extension, shoulder abduction, cervical spine stabilization and pressure sore relief. Advantages over existing orthoses include reduced weight, improved comfort and cosmesis, low cost and increased speed of provision. Examples of these orthoses are shown, together with details of their structure, function and clinical results.

Progress is reported on the development and application of structural matrices in rehabilitation. The development of a stronger and more adjustable matrix than was previously reported is detailed, together with the principles necessary to achieve this. Application of this new matrix to adult seating is described. The emergence of programmable beams and the need for containment matrices are also documented and the advantages of these approaches to a variety of problems in rehabilitation are given.