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
What materials are used?
Polypropylene
Carbon fiber
aluminum
What are the different types of pelvic sections?
Hooped Cable design
Horizontal Cable Pelvice section
Rocker bar pelvic section
Center for Orthotics Design (COD) Rocker bar pelvic section
What are the different hip joints?
Latch Knob for small hooped cable RGO
Push button for Hooped Cable RGO
RGO II system for hooped cable
Latch knob for small horizontal cable and rocker bar RGOs
Push Button for horizontal cable and rocker bar RGO
RGO 2 system for horizontal cable and Rocker bar RGOs
What knee joints are used in RGO?
Drop lock
Cam lock knee joint
King pin lock knee joint kit with lever release and ball
What should you train patients to do?
learn to fall
What is lower in RGO than other devices?
Energy cost
What are the base codes for RGO
L0482
L2037
What is the use?
Maintaining ROM
Blood flow
Bone density
Prepare for cyborg technology