Responses to RGO question
nathan keepers
Description
Collection
Title:
Responses to RGO question
Creator:
nathan keepers
Date:
9/1/2004
Text:
Thank you for your responses. We, the patient, therapist and I, decided to attach a hip joint and pelvic band to maintain her stability and mobility. Below is my initial question and your responses.
On Fri, 6 Aug 2004 16:07:10 -0700 :
> Can you please send any comments that you have about the Up and About
> System or other adult RGO systems?
>
> Thanks in advance
>
>
> I am working with a 45 year old lady who has incomplete paraplegia
> due to injury at T12 and L2 in 1975. She is currently wearing a
> right KAFO with locked knee and a left rigid AFO. Her stability is
> decreasing and she continues to have hip internal rotation problems
> on the right. I don't know whether to use a hip joint and pelvic
> band or to try something more extensive. The therapist requested
> something to control the rotation but as we were talking the RGO
> idea came up. Is an RGO too much bracing?
>
> Sue Ewers
I have consulted on your behalf with Mark Daszynsky Who directs
Center For Orthotic Design (Phone (408) 379 5151)
He has many years experience with RGO/KAFO fitting & design.
His suggestion is. Start with bilateral HKAFO's. Then if
un-successful step up to the more complex RGO. There is a caveat. The
HKAFO's design must be compatible with conversion to the RGO. This will
Save considerable cost and conversion trauma for your patient. Please
contact him directly at the phone above for details. He also has an evaluation form for
potential RGO wearers that will help you define the clinical parameters.
All the best ...wd
Right now I am in the process of making RGO's for a 17yr old boy who
has had them for his entire life..
My recommendation for a grown up...as far as going with RGO's....it is
Not over bracing if ambulation is being prohibited and functional levels are not being met because of that.
Hope all is well,
Jason
I like the Up and About system because it provides the hip
add/abduction/rotation control without all the added hardware of the heavy duty lateral
hip joints, locks, and pelvic band and belt... much easier for the patient to donn and doff
and they can keep the kafos on when they are in a wheelchair. I have used the up and about
on 3 adults. Call Cascade and have them send the Instuctional/ Informational video and sit
down with the patient and therapist to view it and make a decision. Keever
Wallace CO
Why is her stability decreasing? Did you ask her if she wanted to wear
An orthosis of this magnitude. Quite likely the simple pelvic band will twist
and rotate without an opposing hip joint for contralateral anchoring.
How much does she weigh, and what is her endurance. Brue Russell CO
Although I am obviously biased toward RGOs since we make them, I that
they would be a sound application for your case. A single bar upright
with metal pelvic section would be well suited for your use. Thoracic
uprights with an abdominal pad would give you additional support. Let
us know if we can help you.
Sincerely,
Gerry Stark, BSME, CP, FAAOP
Vice President of Education & Tech Support
Fillauer Companies, Inc.
Contact LTI (liberating technologies) at 508 893 6363 and speak to Bill
Hanson. They distribute the ARGO, but they also have an evaluation brace you can borrow
for 2 weeks to see if this will work for your client. As you know, it is difficult to make a decision
until the client actually tries the brace.
Best Wishes
Arthur Graham CP,CPO(UK)
www.nextstepoandp.com
Jane Marlor here I have used RGOs extensively with adults...what you will create is an active
assistive device which will aid in ambulation , increase cardiac stability , not to mention
decrease osteoporosis tendencys due to weight bearing...the up and about is alot of strapping
esp for a woman to utilize as I always hesitate to get too much equipment so close to the
groin area...difficult in the bathroom...plus the added risk of yeast infections most improtantly
before you decide on a system check for HIP FLEXION CONTRACTURES...using the
thomas test....if there is anything present...the pt will be fighting to get the hip into
extension...and the RGO will fail...I would try the STEEPER RGO Liberty Mutual has a demo
unit that you can try...ALSO try to contact Wally Motlock the god father of RGOs he is semi
retired .at this time however he will also give you insight...I am available to consult anytime...would
be glad to help where are you located...please reply to <Email Address Redacted> good luck...
We recently fit a T6 (?) with an IRGO. Male patient 30 some years of
age. Total para secondary to GSW. This patient literally crawled when
not in a wc.
We stood him for the first time in 7 years. Tears both from joy and
fear! Following up the therapists says he is making progress but she
states that he is satisfied just standing. I would like very much for
him to progress to ambulation but we will see.
I have never used the Up and About system and really must confess to
knowing very little about it. I am not an RGO guru but have used both
the LSU cable system and Wally Motloch's IRGO system. Both have strong
points and weak points. For an adult I prefer the IRGO with the
external afos and the lateral uprights.
If you will phone Fillauer and request The IRGO video it is worth
watching. Please pay particular attention to the adult male as he
describes navigating on an airline using the system. Also checkout
the external afos and the ease of donning and doffing.
I will stop here. The video will show much more than I ever could.
Gordon Bass CPO
In my opinion, the RGO would be too much. Sounds like you would be
better off using the pelvic band.
Don
---------------------------------
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On Fri, 6 Aug 2004 16:07:10 -0700 :
> Can you please send any comments that you have about the Up and About
> System or other adult RGO systems?
>
> Thanks in advance
>
>
> I am working with a 45 year old lady who has incomplete paraplegia
> due to injury at T12 and L2 in 1975. She is currently wearing a
> right KAFO with locked knee and a left rigid AFO. Her stability is
> decreasing and she continues to have hip internal rotation problems
> on the right. I don't know whether to use a hip joint and pelvic
> band or to try something more extensive. The therapist requested
> something to control the rotation but as we were talking the RGO
> idea came up. Is an RGO too much bracing?
>
> Sue Ewers
I have consulted on your behalf with Mark Daszynsky Who directs
Center For Orthotic Design (Phone (408) 379 5151)
He has many years experience with RGO/KAFO fitting & design.
His suggestion is. Start with bilateral HKAFO's. Then if
un-successful step up to the more complex RGO. There is a caveat. The
HKAFO's design must be compatible with conversion to the RGO. This will
Save considerable cost and conversion trauma for your patient. Please
contact him directly at the phone above for details. He also has an evaluation form for
potential RGO wearers that will help you define the clinical parameters.
All the best ...wd
Right now I am in the process of making RGO's for a 17yr old boy who
has had them for his entire life..
My recommendation for a grown up...as far as going with RGO's....it is
Not over bracing if ambulation is being prohibited and functional levels are not being met because of that.
Hope all is well,
Jason
I like the Up and About system because it provides the hip
add/abduction/rotation control without all the added hardware of the heavy duty lateral
hip joints, locks, and pelvic band and belt... much easier for the patient to donn and doff
and they can keep the kafos on when they are in a wheelchair. I have used the up and about
on 3 adults. Call Cascade and have them send the Instuctional/ Informational video and sit
down with the patient and therapist to view it and make a decision. Keever
Wallace CO
Why is her stability decreasing? Did you ask her if she wanted to wear
An orthosis of this magnitude. Quite likely the simple pelvic band will twist
and rotate without an opposing hip joint for contralateral anchoring.
How much does she weigh, and what is her endurance. Brue Russell CO
Although I am obviously biased toward RGOs since we make them, I that
they would be a sound application for your case. A single bar upright
with metal pelvic section would be well suited for your use. Thoracic
uprights with an abdominal pad would give you additional support. Let
us know if we can help you.
Sincerely,
Gerry Stark, BSME, CP, FAAOP
Vice President of Education & Tech Support
Fillauer Companies, Inc.
Contact LTI (liberating technologies) at 508 893 6363 and speak to Bill
Hanson. They distribute the ARGO, but they also have an evaluation brace you can borrow
for 2 weeks to see if this will work for your client. As you know, it is difficult to make a decision
until the client actually tries the brace.
Best Wishes
Arthur Graham CP,CPO(UK)
www.nextstepoandp.com
Jane Marlor here I have used RGOs extensively with adults...what you will create is an active
assistive device which will aid in ambulation , increase cardiac stability , not to mention
decrease osteoporosis tendencys due to weight bearing...the up and about is alot of strapping
esp for a woman to utilize as I always hesitate to get too much equipment so close to the
groin area...difficult in the bathroom...plus the added risk of yeast infections most improtantly
before you decide on a system check for HIP FLEXION CONTRACTURES...using the
thomas test....if there is anything present...the pt will be fighting to get the hip into
extension...and the RGO will fail...I would try the STEEPER RGO Liberty Mutual has a demo
unit that you can try...ALSO try to contact Wally Motlock the god father of RGOs he is semi
retired .at this time however he will also give you insight...I am available to consult anytime...would
be glad to help where are you located...please reply to <Email Address Redacted> good luck...
We recently fit a T6 (?) with an IRGO. Male patient 30 some years of
age. Total para secondary to GSW. This patient literally crawled when
not in a wc.
We stood him for the first time in 7 years. Tears both from joy and
fear! Following up the therapists says he is making progress but she
states that he is satisfied just standing. I would like very much for
him to progress to ambulation but we will see.
I have never used the Up and About system and really must confess to
knowing very little about it. I am not an RGO guru but have used both
the LSU cable system and Wally Motloch's IRGO system. Both have strong
points and weak points. For an adult I prefer the IRGO with the
external afos and the lateral uprights.
If you will phone Fillauer and request The IRGO video it is worth
watching. Please pay particular attention to the adult male as he
describes navigating on an airline using the system. Also checkout
the external afos and the ease of donning and doffing.
I will stop here. The video will show much more than I ever could.
Gordon Bass CPO
In my opinion, the RGO would be too much. Sounds like you would be
better off using the pelvic band.
Don
---------------------------------
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Win 1 of 4,000 free domain names from Yahoo! Enter now.
Citation
nathan keepers, “Responses to RGO question,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/223695.
