This course will review the different types of orthotic technology and their effectiveness based upon contracture type and therapy treatment objectives. Static orthotics can be used to provide effective positioning therapy or progression extension therapy when patients experience pain with stretching and the therapy goal is to maintain range of motion, prevent further lost range of motion in the joint(s) and to support and protect the contracted joint. Range of Motion (ROM) orthotics are used when controlling joint extension or flexion is needed post injury/surgery. Other orthotic types initiate a therapeutic stretch into the shortened tissue to provide stress-relax therapy or Low Load Prolonged Stretch to reverse a contracture. Patients with moderate to severe spasticity should be fitted with anti-spasticity orthotic technologies to optimally treat a neuro-contracture. Decision trees will be reviewed to assist the clinician in selecting the most appropriate orthotic technology based upon contracture etiology and the therapy treatment objectives.