Included in SWASH Assessment Kits

Size Small / Medium
SWASH Steady Pelvic Band with Padding with Abdominal Pad - Sizes 2 & 3
SWASH Steady and Go Upright Set - 115 Degree Bend in Sizes 2 & 3
SWASH Steady and Go Thigh Cuffs - Sizes 2 & 3

Size Medium / Large
SWASH Steady Pelvic Band with Padding with Abdominal Pad - Sizes 3 & 4
SWASH Steady and Go Upright Set - 115 Degree Bend in Sizes 4 & 5
SWASH Steady and Go Thigh Cuffs - Sizes 3 & 4


SWASH
Sitting, Walking And Standing Hip Orthosis

While standing or walking, SWASH provides just enough abduction to prevent scissoring and medial femoral rotation. As the hips are flexed to assume the sitting position, it automatically further abducts the hips to create a tripod base for enhanced sitting stability and more upright posture. The most visible benefits of the SWASH are readily apparent by improvements in sitting and standing posture and stability, and for the ambulatory user, improvement in gait. However, perhaps the most important benefit the SWASH offers is guidance for hip alignment. 

Recommended Range Of Application
When maximum trunk control is required, i.e., candidates who lack muscle strength or upper body control to sit upright, when patient is primarily non-ambulatory (GMFCS IV - V), or when the greater pelvic coverage triggers more desirable neuro-sensory motor response.

Measurement
At level of the natural waist for maximum trunk stability. Check the specifications tab for sizing guide.

Features

• Plastic pelvic section extends from L2/L3 to the coccyx, providing maximum torso support for candidates with flaccidity or very limited trunk control
• Single strap fixed front closure to secure torso support
• Increased posterior and side support
• ”Childproof” thigh cuff closure
• 6 mm diameter uprights for size 1, 8 mm uprights for size 2, 3, 4

This product must be fitted by or under the supervision of a Certified Orthotist-Prosthetist, Certified Orthotist or equivalent medical professional

SWASH Pelvic Band Sizing	Circumference
1	15.75 in - 18.25 in (400 mm - 465 mm)
2	18 in - 21.75 in (460 mm - 550 mm)
3	21.25 in - 24.75 in (540 mm - 630 mm)
4	24.5 in - 28.25 in (620 mm - 720 mm)

How long before a child will ”outgrow” the Allard SWASH?

An Allard SWASH will usually fit a child for 2-3 years. Components are sold separately, so it is possible for the orthotist to adjust up to a larger cuff or longer uprights should that be necessary.

The patient still seems to sit in too much spinal flexion when using the Allard SWASH. Can anything be done about that?

115° uprights tend to minimize this problem. Adding a sitting wedge (thicker part under seat, narrow part under legs) can also help to minimise the negative postural effects of tight hamstrings. If the problem persists, return to the orthotist for further adjustments.

Are there any side effects to using the Allard SWASH?

Pressure marks may be evident on inside thigh where the SWASH overcomes the forces of abnormal adductor tone. These marks should disappear within 30 minutes
of removing the SWASH.

How long should the patient wear the Allard SWASH each day?

The SWASH is generally worn at least six hours each day. It can also be very appropriate for use as a night splint.

Will AFOs still be necessary when using the Allard SWASH?

The Allard SWASH does not alter the need for AFOs. It may, however, change the design criteria for some patients. Because the SWASH has a significant influence over transverse plane rotation of the lower extremities, AFOs will generally need to be set up in a relatively neutral position relative to rotation.

When will patients progress to not needing the to use the Allard SWASH?

The SWASH helps manage the consequences of high adductor tone. While there may be some carryover in lessened adductor tone after use of the SWASH, it is
not known if it will return if SWASH use is totally discontinued.

Will using the Allard SWASH strengthen adductors?

The opposite is true because the SWASH serves to stretch the adductors and cause them to clinically present with lower tone.

Do you need to remove the Allard SWASH for toileting?

Generally the Allard SWASH must be removed for toileting because the orthosis interferes with easy donning and doffing of underwear and diapers.

Is the Allard SWASH usually worn over or under clothing?

The SWASH® is generally fitted under clothing to optimise the control the device has in enhancing hip alignment.

SWASH Go And SWASH Steady Brochure SWASH Go And SWASH Sizing Chart And Parts Guide SWASH Go And SWASH Steady Clinical Manual Allard Product Catalog 2024