Looking for opinions
Kevin Matthews
Description
Collection
Title:
Looking for opinions
Creator:
Kevin Matthews
Date:
7/13/2007
Text:
Hello all. My name is Kevin Matthews. I'm an orthotist in San Antonio (Go Spurs). I had an idea for an AFO design for a child with significant tone. This particular child has decent range on the right, but I couldn't get the left to range to neutral. His therapist said he can get him to neutral. This child has an appointment for evaluation for Botox in both LE's next month. Typically I would recommend an inner boot on the left for a child with this amount of tone, or contracture of the joint. I'm not a big fan of one piece wraparound AFO's.
Now, the reason for my call. In considering design for this child a thought occurred to me. A little about me. I'm one of those who are constantly trying to reinvent the wheel. You'd think after 25 years I'd have my designs down. Well, I don't. Since this child will probably be getting Botox in a month or so, he may not need the inner boot. If possible I'd rather avoid putting him in an inner boot that becomes unnecessary.
So this is my idea. How about an outer boot. I think this may work and I'd like to know if any of you have tried this and if it was successful. The benefits of an outer boot is that it can be DC'd if child gains range. I am going to make it from 3/32 copoly over a 1/8 polypro solid AFO. I will cut windows in copoly to make it easier to don as most of the plastic will be unnecessary if you think about it. It will also allow use of just the AFO sometimes and when more support/control is needed you can add outer boot.
If you need more info just ask. I'll take pictures of the orthosis as I make it. It might have been better to wait until after I fit it, but I'd like thoughtful discourse on this design which I'll post to the list when compiled. I'm sure this has been tried before and helpful input may help me to avoid complications due to something I may have missed.
I will post responses with credentials unless asked not to. I feel it will be beneficial to know who advice is coming from. If possible include your years of experience in your reply. So, what do you think of my idea and do you feel it will work? I'm more interested in your thoughts on design and variations you may have tried, not the treatment protocol.
Kevin C. Matthews, CO/LO
Certified/Licensed Orthotist
Advanced Orthopedic Designs
12315 Judson Rd. Suite 206
San Antonio, TX 78233
Phone: 210-657-8100
Fax: 210-657-8105
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
Now, the reason for my call. In considering design for this child a thought occurred to me. A little about me. I'm one of those who are constantly trying to reinvent the wheel. You'd think after 25 years I'd have my designs down. Well, I don't. Since this child will probably be getting Botox in a month or so, he may not need the inner boot. If possible I'd rather avoid putting him in an inner boot that becomes unnecessary.
So this is my idea. How about an outer boot. I think this may work and I'd like to know if any of you have tried this and if it was successful. The benefits of an outer boot is that it can be DC'd if child gains range. I am going to make it from 3/32 copoly over a 1/8 polypro solid AFO. I will cut windows in copoly to make it easier to don as most of the plastic will be unnecessary if you think about it. It will also allow use of just the AFO sometimes and when more support/control is needed you can add outer boot.
If you need more info just ask. I'll take pictures of the orthosis as I make it. It might have been better to wait until after I fit it, but I'd like thoughtful discourse on this design which I'll post to the list when compiled. I'm sure this has been tried before and helpful input may help me to avoid complications due to something I may have missed.
I will post responses with credentials unless asked not to. I feel it will be beneficial to know who advice is coming from. If possible include your years of experience in your reply. So, what do you think of my idea and do you feel it will work? I'm more interested in your thoughts on design and variations you may have tried, not the treatment protocol.
Kevin C. Matthews, CO/LO
Certified/Licensed Orthotist
Advanced Orthopedic Designs
12315 Judson Rd. Suite 206
San Antonio, TX 78233
Phone: 210-657-8100
Fax: 210-657-8105
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
Citation
Kevin Matthews, “Looking for opinions,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/228414.
