advice with a 3 yo spastic diplegic girl

advice with a 3 yo spastic diplegic girl

Stride Orthopedics Ltd

4/30/2003

Dear members of the O&P community,

Looking for some advice with a 3 years old spastic diplegic girl,

Description:
With help and walker she will walk a little, stands in a stander a few
(1-2) hours a day, locks knees when standing or walking, dorsiflexion
range a bit more then 0 ,of course when spasticity is increased she will
push to plantarflextion. We have made a per of AFOs, solid, 90 degrees
with a digit 8 Velcro strap that starts from inside - under the medial
malleolus and is fastened to the lateral part of the AFO, all that as
to hold the foot in well because of strong spasticity.

The problem:
With one foot only! after 20 minutes the foot swells, gets red and
edematous.

The solution we are looking for will keep the calcaneus well in its
place in spite of spastisity.

Hope you can help use with that,

Thank you all

Michael Alexander CO
Israel