Responses to RGO question

nathan keepers

Description

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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Citation

nathan keepers, “Responses to RGO question,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 24, 2024, https://library.drfop.org/items/show/223695.