Week 8- RGO Flashcards
What does RGO stand for?
Reciprocating Gait Orthosis
What is the history of RGOs?
Invented at Ontario crippled children’s center
Refined at Louisiana State University
What makes up an RGO?
Pair of KAFOs
Pelvic Band
Hip Joints
What limits step length in an RGO?
Steel Cable
What does a RGO provide?
Rigid Stability for stance
Hip joint motion in swing
What are the Two types of RGOs
Advanced RGO
Isocentric RGO
What pathologies are associated with RGOs
Myelomeningocele-Spina Bifida
Spinal Cord Injury
Paraplegia
Cerebral Palsy
What are the indications for RGOs?
Motivated with a Desire to ambulate Inability to ambulate with other device Young/Healthy T4-L2 lesion Thin Good Motor control Supportive family
What are the contraindications for RGOs?
Reciprocating gait ability Non-ambulatory patients Poor hand dexterity Lack of upper extremity control Hip/knee flexion contractures (>30) Spasticity
What are the advantages of RGOs
Less likely to develop secondary complications- contractures, decubitus ulcers, scoliosis
Prevent pelvic tilt
prevents Lordosis
What are the disadvantages of RGO?
Requires use of a walker
Complicated fabrication
Requires assistance donning
Harder to ambulate than a wheelchair
What does flexion of one hip cause?
Extension of the other hip
What cables are used to transmit the forces?
Bowden cables
What system is used to provide hip joint motion?
Cable-coupling systems
What trimlines make up the RGO?
Normal KAFO trimlines
LSO trimlines