ADMs (Abduction Dorsiflexion Mechanisms) address clubfoot without the conventional bar linking both feet, enhancing pediatric comfort. Unlike traditional bar-based braces, such as Dobbs or Mitchell designs, which may limit mobility and feel restrictive, the ADM’s unilateral structure supports each foot independently, allowing greater freedom of movement. This design reduces discomfort during extended wear, particularly overnight, facilitating more natural sleep positioning. Available in nighttime boots for consistent correction during sleep and as daytime footwear, it offers flexibility for various daily needs. By eliminating the bar, the ADM minimizes bulk and irritation while maintaining effective clubfoot alignment, adapting seamlessly to a child’s routine.
Dobbs Bar is a dynamic brace designed to treat clubfoot as part of the Ponseti method, offering significant improvements over the rigid Mitchell-Ponseti Bar. Unlike the Mitchell Bar, which uses a fixed, shoulder-width metal rod to connect both feet, restricting leg movement, the Dobbs Bar employs spring-loaded mechanisms that allow each leg to move independently, greatly enhancing comfort. This flexibility reduces the restrictive feel of the Mitchell-Ponseti Bar, enabling children to kick and shift positions naturally, especially during sleep, without compromising the necessary abduction and dorsiflexion. By replacing the Mitchell’s static bar with a dynamic system, it minimizes irritation, improves compliance, and maintains correction more comfortably.
NISE-Stim Gerti Motavalli and Dr. Gad Alon’s NISE-Stim method uses spinal electrical stimulation to improve deformities like scoliosis, clubfoot, and tibial torsion in spina bifida patients. Electrodes on the spine and peripheral muscles activate weaker areas, addressing imbalances caused by spinal nerve damage. Their 2019 Child Neurology Open study indicates this boosts sensory awareness and neural connections, helping kids control movements and enhance muscle coordination. Applied 20-30 minutes daily at home, it’s non-invasive and safe, offering potential to refine alignment and mobility—a forward-thinking alternative to conventional approaches that reframes possibilities for affected children.
The Paley Orthopedic & Spine Institute offers groundbreaking care for spina bifida’s orthopedic challenges, inspiring hope through innovation. Dr. Matthew Dobbs revolutionizes clubfoot treatment with the dynamic Dobbs Bar, prioritizing comfort. Beyond him, Dr. Claire Shannon excels in clubfoot with Ponseti techniques, while Dr. Dror Paley, a limb deformity pioneer, tackles hip dysplasia with his SUPERhip procedure and tibial torsion via osteotomies. Dr. David Feldman addresses hip dysplasia and knee/hip contractures with joint preservation, explicitly targeting spina bifida’s spinal and limb issues. Their creative, tailored solutions—unlike outdated, restrictive approaches—empower every child’s potential. From Paley’s SUPERknee for contractures to Shannon’s and Dr. Craig Robbins’ rotational corrections, this team reimagines possibilities, fostering mobility and confidence where others see limits, making Paley a rare leader in progressive care.