S2 L10: Orthotic Options for Patients w/ Paraplegia

Question 1

Goals of Orthotic Options for pts with Paraplegia:

Answer 1

Standing to maintain skeletal, renal, respiratory, circulatory and GIT function & form of ambulation

Question 2

Mass produced orthotic options (2)

Answer 2

1. Standing Frame w/ Swivel Walker
2. Parapodium

Question 3

Consists of broad base, posterior non articulated uprights extending from a flat base to a mid-torso, chest band, a posterior thoracolumbar band. Indicated for physiological standing.

Answer 3

Standing Frame

Question 4

Similar to standing frame but the base has two distal plates that rock slightly to enable swivel gait. Allows for alternate or reciprocal swiveling.

Answer 4

Swivel Walker

Question 5

Differs from the standing frame by virtue of joints where it has knee component to allow sitting. Indicated for children with myelodysplasia.

Answer 5

Parapodium

Question 6

Includes either a shoe reinforced with transverse and longitudinal plates and BiCAAL ankle joints set in slight DF or a plastic solid ankle section, as well as pretibial band, a pawl lock with bail release, and a single thigh band.

Answer 6

Scott-Craig KAFOs

Question 7

To whom are Scott-Craig KAFOs indicated?

Answer 7

Adults with paraplegia (For Swing-to or swing-through gait pattern with the aid of crutches or walker)

Question 8

In a Reciprocating Gait Orthosis, the wearer should walk: (4 Stages)

Answer 8

1. Shift the weight to the right leg
2. Tuck the pelvis by extending the upper thorax
3. Press on the crutches
4. Allow the left leg to swing through