Pediatric ACL brace
Bernie Veldman
Description
Collection
Title:
Pediatric ACL brace
Creator:
Bernie Veldman
Date:
2/25/2002
Text:
I am currently working with a 7 year-old girl diagnosed with Prader-Willi
syndrome. With the extremely low muscle tone and laxity of ligaments, I
would have expected more involvement in the foot and ankle complex, but this
child actually has a fairly neutral gait. My concern is at the knees,
though. Her quad and hamstring strength are both about a 3+ maybe 4- and
her medio-lateral stability is more than adequate. She is able to ambulate
with no sign of genu recurvatum. In standing, however, she will tend to
hyperextend approximately 20-25 degrees and hang on the ligaments. This
too can be actively controlled with verbal cueing.
My question...
I will fabricate a pediatric neoprene knee sleeve with spiral stays. My
hope is that this will provide a constant cueing. I fear though that she
will just get used tho this and quickly go back to old habits. Does anyone
know if any of the knee brace manufacturers make pediatric ACL type KOs. I
would like to take a look side-by-side and see which type of orthosis she
responds to better. (and yes I know that I cannot get reimbursement for them
both)
I thought of an AFO, however, I do not want to create any new fuctional
limitations that would become evident with a plantarflexion stop.
I would appreciate any input.
Thanks in advance.
Bernie T. Veldman
BOC Orthotist
<Email Address Redacted>
www.surestep.net
syndrome. With the extremely low muscle tone and laxity of ligaments, I
would have expected more involvement in the foot and ankle complex, but this
child actually has a fairly neutral gait. My concern is at the knees,
though. Her quad and hamstring strength are both about a 3+ maybe 4- and
her medio-lateral stability is more than adequate. She is able to ambulate
with no sign of genu recurvatum. In standing, however, she will tend to
hyperextend approximately 20-25 degrees and hang on the ligaments. This
too can be actively controlled with verbal cueing.
My question...
I will fabricate a pediatric neoprene knee sleeve with spiral stays. My
hope is that this will provide a constant cueing. I fear though that she
will just get used tho this and quickly go back to old habits. Does anyone
know if any of the knee brace manufacturers make pediatric ACL type KOs. I
would like to take a look side-by-side and see which type of orthosis she
responds to better. (and yes I know that I cannot get reimbursement for them
both)
I thought of an AFO, however, I do not want to create any new fuctional
limitations that would become evident with a plantarflexion stop.
I would appreciate any input.
Thanks in advance.
Bernie T. Veldman
BOC Orthotist
<Email Address Redacted>
www.surestep.net
Citation
Bernie Veldman, “Pediatric ACL brace,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 6, 2024, https://library.drfop.org/items/show/218132.
