response summary- alternative BE harnesses
Joan Cestaro
Description
Collection
Title:
response summary- alternative BE harnesses
Creator:
Joan Cestaro
Date:
11/14/2007
Text:
Thank you so much to everyone who responded, sent photos and/or otherwise
explained creative and unique alternatives. My original question precedes a
list of responses.
Joan Cestaro
RPI- Winchester
I am trying to find an alternative harnessing strategy for a BE who is
experiencing a deteriorating contalateral shoulder, making the standard
figure 8 uncomfortable to the point of dysfunctional. The axilla loop is
the problem. He has no interest in a myo.
Are there any harnessing options that eliminate the axilla loop? I would
love any sketches or pictures of alternatives (or website references). He
has a very short limb, APRL hand and hook.
I had a similar paitent that had a brachial plexus injury. Try taking the
axilla strap that normally wraps around the contralateral shoulder the the
back and make a chest strap. Sew a chafe with an anterior closure clip for
an orthosis at the junction of the inverted Y-strap. Use a sliding D-ring
buckle on the anterior strap. It is sort of a chest strap figure of 8. This
will relieve the axillary pressure. I used Spenco in the axilla here.
did you look into ottobock figure of 9 harness? it is very soft and
comfortable, i had good success with it. problem with it is - cable chews
through the soft material farely fast(several mths, depends), otherwise -
very neet device. you could make one inhouse out of velfoam.
If you haven't already received this 100 times already: Michigan roller
harness. If you need a picture of it on a Patient, let me know. I just did
one. You can order it from Pel.
try a sholder disartic type light weight socket with a comfortable whole to
let his arm through. Use a chest strap to hold it in place. Attach your
cable straps to the socket as necessary. I have done this and it works very
well. Be patient with your patient and yourself as to socket comfort (trim
lines) and cable attachment locations.
Check out MICA. They have a silicone axilla loop that is quite comfortable.
I can't remember where I saw this on the internet, but there is an option of
a semirigid custom moulded axilla strap. Just wrap plaster under the axilla,
up throught the delto-pectoral groove and back around. You modify your cast
to relieve the pectoralis tendon and widen the area over the delto-pectoral.
Mould the strap out of PE which will make it flexible enough to be
comfortable but rigid enough to keep it's shape. It basically forms a
rounded triangle which will be one side of your 8.
Contact John Michael. I think he has something from Germany that shows
different harnessing techniques.
go thro this wepsite and try -heavy duty transradial harness
- <URL Redacted> thank you
Marty Robinson in Toronto Ontario devised a nifty suspension using a TES
belt and some creative sewing, I think the CAPO magazine Alignment published
a short article on it. Something to consider.
explained creative and unique alternatives. My original question precedes a
list of responses.
Joan Cestaro
RPI- Winchester
I am trying to find an alternative harnessing strategy for a BE who is
experiencing a deteriorating contalateral shoulder, making the standard
figure 8 uncomfortable to the point of dysfunctional. The axilla loop is
the problem. He has no interest in a myo.
Are there any harnessing options that eliminate the axilla loop? I would
love any sketches or pictures of alternatives (or website references). He
has a very short limb, APRL hand and hook.
I had a similar paitent that had a brachial plexus injury. Try taking the
axilla strap that normally wraps around the contralateral shoulder the the
back and make a chest strap. Sew a chafe with an anterior closure clip for
an orthosis at the junction of the inverted Y-strap. Use a sliding D-ring
buckle on the anterior strap. It is sort of a chest strap figure of 8. This
will relieve the axillary pressure. I used Spenco in the axilla here.
did you look into ottobock figure of 9 harness? it is very soft and
comfortable, i had good success with it. problem with it is - cable chews
through the soft material farely fast(several mths, depends), otherwise -
very neet device. you could make one inhouse out of velfoam.
If you haven't already received this 100 times already: Michigan roller
harness. If you need a picture of it on a Patient, let me know. I just did
one. You can order it from Pel.
try a sholder disartic type light weight socket with a comfortable whole to
let his arm through. Use a chest strap to hold it in place. Attach your
cable straps to the socket as necessary. I have done this and it works very
well. Be patient with your patient and yourself as to socket comfort (trim
lines) and cable attachment locations.
Check out MICA. They have a silicone axilla loop that is quite comfortable.
I can't remember where I saw this on the internet, but there is an option of
a semirigid custom moulded axilla strap. Just wrap plaster under the axilla,
up throught the delto-pectoral groove and back around. You modify your cast
to relieve the pectoralis tendon and widen the area over the delto-pectoral.
Mould the strap out of PE which will make it flexible enough to be
comfortable but rigid enough to keep it's shape. It basically forms a
rounded triangle which will be one side of your 8.
Contact John Michael. I think he has something from Germany that shows
different harnessing techniques.
go thro this wepsite and try -heavy duty transradial harness
- <URL Redacted> thank you
Marty Robinson in Toronto Ontario devised a nifty suspension using a TES
belt and some creative sewing, I think the CAPO magazine Alignment published
a short article on it. Something to consider.
Citation
Joan Cestaro, “response summary- alternative BE harnesses,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 23, 2024, https://library.drfop.org/items/show/228759.
