Para-walking
Tim Jarrott
Description
Collection
Title:
Para-walking
Creator:
Tim Jarrott
Date:
3/26/2008
Text:
Dear all, I have a client who is a T12-L1 paraplegic. Accident was Nov.
2006. Rehab completed with no orthotic treatment indicated. Tried
alternative therapies to gain more function including stem cell therapy in
China. His goal is to walk in parallel bars at home alone to ensure his
bone density is maintained pending chord healing break-through and also to
keep other bodily functions in shape. He rides a 'Gigomed' bike every night
and is fit. He can transfer easily from floor to chair etc. with good upper
body strength. He can 'walk' on a treadmill with most of his weight through
his arms, flicking his legs through in a semi-circumducting manner. He has
good core strength. Knee and ankle have no ROM restriction but are flaccid,
ligaments are OK. Hip strength is:
Flex: Bil. 2/5
Ext: Bil. 1/5
Abd: L 2-3/5 R 2/5
Add: Bil. 0/5
Hip ROM unrestricted apart from: Ext: L 10 deg. R 5-10 deg.
I have read some info on HGO's and RGO's and it's looking like I will need
to cross the hip and use a reciprocating mechanism, but I'm up for other
suggestions? How long is gait training likely to last? Any other comments
technical suggestions/hints would be appreciated.
Tim Jarrott
Head to Foot Orthotics
16 / 100 New St
Ringwood VIC 3134
Australia
Ph: + 61 3 9876 0068
Fax: + 61 3 9870 0248
Mobile: 0413 628 117
E-mail: <mailto:<Email Address Redacted>> <Email Address Redacted>
Web: < <URL Redacted>> <URL Redacted>
2006. Rehab completed with no orthotic treatment indicated. Tried
alternative therapies to gain more function including stem cell therapy in
China. His goal is to walk in parallel bars at home alone to ensure his
bone density is maintained pending chord healing break-through and also to
keep other bodily functions in shape. He rides a 'Gigomed' bike every night
and is fit. He can transfer easily from floor to chair etc. with good upper
body strength. He can 'walk' on a treadmill with most of his weight through
his arms, flicking his legs through in a semi-circumducting manner. He has
good core strength. Knee and ankle have no ROM restriction but are flaccid,
ligaments are OK. Hip strength is:
Flex: Bil. 2/5
Ext: Bil. 1/5
Abd: L 2-3/5 R 2/5
Add: Bil. 0/5
Hip ROM unrestricted apart from: Ext: L 10 deg. R 5-10 deg.
I have read some info on HGO's and RGO's and it's looking like I will need
to cross the hip and use a reciprocating mechanism, but I'm up for other
suggestions? How long is gait training likely to last? Any other comments
technical suggestions/hints would be appreciated.
Tim Jarrott
Head to Foot Orthotics
16 / 100 New St
Ringwood VIC 3134
Australia
Ph: + 61 3 9876 0068
Fax: + 61 3 9870 0248
Mobile: 0413 628 117
E-mail: <mailto:<Email Address Redacted>> <Email Address Redacted>
Web: < <URL Redacted>> <URL Redacted>
Citation
Tim Jarrott, “Para-walking,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 23, 2024, https://library.drfop.org/items/show/229133.
