Orthotic question
JD Thelen
Description
Collection
Title:
Orthotic question
Creator:
JD Thelen
Date:
8/9/2004
Text:
I've been asked if I can come up with a solution for a nursing home
patient and I thought I would post it here to see what you all thought.
50 yo male, obese (350) diabetic patient who has had previous cva as
well as other medical and mental issues. He has been somewhat neglected
for several months but is now interested and motivated to begin working
on ambulation. His hips and knees are in good shape but his feet have
about 30 degree plantar flexion contractures and severe varus
contractures as well. He has ulcers on the lateral side of both feet at
the 5th met heads.
Therapy is willing to work with him to increase his range of motion but
he complains of pain during stretching. I would like to know if there
is a way to dynamically stretch him in both planes at the same time with
a single orthosis or other possible alternatives.
He is on medicaid and, in Texas, that means no funding if you're over
21. I could possibly get the facility to pay for orthoses.
Please let me know your thoughts and what you have been successful with
in similar cases. I will post replies without names if desired.
THX :-\
Jim Thelen
patient and I thought I would post it here to see what you all thought.
50 yo male, obese (350) diabetic patient who has had previous cva as
well as other medical and mental issues. He has been somewhat neglected
for several months but is now interested and motivated to begin working
on ambulation. His hips and knees are in good shape but his feet have
about 30 degree plantar flexion contractures and severe varus
contractures as well. He has ulcers on the lateral side of both feet at
the 5th met heads.
Therapy is willing to work with him to increase his range of motion but
he complains of pain during stretching. I would like to know if there
is a way to dynamically stretch him in both planes at the same time with
a single orthosis or other possible alternatives.
He is on medicaid and, in Texas, that means no funding if you're over
21. I could possibly get the facility to pay for orthoses.
Please let me know your thoughts and what you have been successful with
in similar cases. I will post replies without names if desired.
THX :-\
Jim Thelen
Citation
JD Thelen, “Orthotic question,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 6, 2024, https://library.drfop.org/items/show/223528.
