knee pad responses 1 of 2
Lis, Phillip
Description
Collection
Title:
knee pad responses 1 of 2
Creator:
Lis, Phillip
Date:
9/16/2008
Text:
Listed below is the original post for knee pads and the replies that I
received. Thanks to all of those that replied.
Dear List, I have a 7 yo total body patient that crawls for his primary
mode of ambulation. The main complaint is bilateral knee pain and
swelling and the pt was diagnosed with prepatellar bursitis per his
physician. The pt also has mild knee and hip flexion contractures. The
physician requested knee pads for the pt to help protect the knees while
crawling. I tried neoprene knee sleeves but they were destroyed within
several weeks. Has anyone had any luck fitting a pt with knee pads
successfully. I guess the main factors of fitting this pt is the
protection/padding and suspension of the knee pads. Any ideas or
recommendations are greatly appreciated.
Replies:
Order some from Benick and then sew some Dacron on the front of them to
cover the front and see how long that last!
What about Heelbo's? I have used them on the elbows so I would think
they can also be used on the knees as well, for a small child. I think
alimed has them and other knee pads. Another idea is just have the
mother buy the knee pads that skateboarders use. Sporting shops have
them small enough for a seven year old and they are pretty durable.
Philip
Have you looked at Body Armors elbow pads? I believe their website is
go-ride.com
Modify skateboard knee pads for kids
Send mom to academy or another sports store. You may need to modify
them. You can also find them at Lowe's...Carpet and tile workers use
them.
<URL Redacted>
82.html
Have you tried off the shelf knee pads? There are gardening type that
suspend on the lower leg only, as well as volleyball knee pads. I played
in the Barcelona Olympics as a volleyball player and we used Mizuno knee
pads that were very thin, but dense and dissipated shock well. Any of
the big manufacturers, Tachikara, Asics, Mizuno, Pro Specs offer a line
of athletic knee pads that are cheap and comfortable.
If the patient crawls and has trouble with his shoes gripping the floor
as he moves, try a slider. They are plastic or leather toe caps that are
used for stroke patients with toe drop to allow them slide their toes
instead of having them grip on the carpet or flooring.
Skateboarding or volleyball kneepads with an X configuration in the
posterior might be a consideration. Good luck.
Hockey Elbow pads might be worth a go, they are less cumbersome than
gardening knee pads and come in smaller sizes you may have to customize
them a bit but they work pretty well.
The last little guy I had like this I got some Rock Cloth from a
specialty catalogue that sold material for hikers, rock climbers, sail
makers etc. The rock cloth was easy to work with but tough as heck. I
sewed a 4 wide strip ( use a zig-zag or stretch stitch) down the front
of a pair of neoprene knee sleeves that fit patient well. The rock cloth
is made for scraping against mountains and cliff fronts and really did
resist wear very well. The knee sleeves took care if the 'padding'
issue. At last report (eight months) they were still going strong.
I have a patient that is similar only she has fused knee's and hips with
the knee's at 90 degrees. What I did was to cast the patient's knee's
and form a polyelylene shell padded with Bocklite and suspended with
velcro. I did need to bring the trim lines fairly far back both medial
and lateral to prevent rotation. The nice part about the polyeth is that
it is slick and that makes it easy to scoot or crawl on carpet, tile or
hardwood floors all the while providing protection to the patient. Hope
this helps.
Have look into knee pads used in sports or construction use. You might
have to modify to fit the patient due to his size.
As strange as it sounds consider knee pads designed for the competitive
paintball market. These guys wear pads designed take abuse from
constant crawling, sliding, and slamming into the ground. Therefore
they are designed with attention to anti-migration and robustness (often
including Kevlar in the build). I would consider the longer style pads
like Empire as they will provide more area of skin contact to resist
rotation and migration. For the smaller patient I would look at the same
product but in elbow pads (you could also sew a stirrup around the foot
to help resist movement).
For an example take a look at Empire pads:
<URL Redacted>
D/Di
splayProductInformation-Start;sid=OmcR8BwyDfMRR1T0iOPRWBb78y1RxPGJzFo=?P
rodu
ctID=gN_AqArb7KgAAAEV8ax6nclg
These pads are designed to fit snug, so donning is a concern for UE
involved pt's.
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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.
received. Thanks to all of those that replied.
Dear List, I have a 7 yo total body patient that crawls for his primary
mode of ambulation. The main complaint is bilateral knee pain and
swelling and the pt was diagnosed with prepatellar bursitis per his
physician. The pt also has mild knee and hip flexion contractures. The
physician requested knee pads for the pt to help protect the knees while
crawling. I tried neoprene knee sleeves but they were destroyed within
several weeks. Has anyone had any luck fitting a pt with knee pads
successfully. I guess the main factors of fitting this pt is the
protection/padding and suspension of the knee pads. Any ideas or
recommendations are greatly appreciated.
Replies:
Order some from Benick and then sew some Dacron on the front of them to
cover the front and see how long that last!
What about Heelbo's? I have used them on the elbows so I would think
they can also be used on the knees as well, for a small child. I think
alimed has them and other knee pads. Another idea is just have the
mother buy the knee pads that skateboarders use. Sporting shops have
them small enough for a seven year old and they are pretty durable.
Philip
Have you looked at Body Armors elbow pads? I believe their website is
go-ride.com
Modify skateboard knee pads for kids
Send mom to academy or another sports store. You may need to modify
them. You can also find them at Lowe's...Carpet and tile workers use
them.
<URL Redacted>
82.html
Have you tried off the shelf knee pads? There are gardening type that
suspend on the lower leg only, as well as volleyball knee pads. I played
in the Barcelona Olympics as a volleyball player and we used Mizuno knee
pads that were very thin, but dense and dissipated shock well. Any of
the big manufacturers, Tachikara, Asics, Mizuno, Pro Specs offer a line
of athletic knee pads that are cheap and comfortable.
If the patient crawls and has trouble with his shoes gripping the floor
as he moves, try a slider. They are plastic or leather toe caps that are
used for stroke patients with toe drop to allow them slide their toes
instead of having them grip on the carpet or flooring.
Skateboarding or volleyball kneepads with an X configuration in the
posterior might be a consideration. Good luck.
Hockey Elbow pads might be worth a go, they are less cumbersome than
gardening knee pads and come in smaller sizes you may have to customize
them a bit but they work pretty well.
The last little guy I had like this I got some Rock Cloth from a
specialty catalogue that sold material for hikers, rock climbers, sail
makers etc. The rock cloth was easy to work with but tough as heck. I
sewed a 4 wide strip ( use a zig-zag or stretch stitch) down the front
of a pair of neoprene knee sleeves that fit patient well. The rock cloth
is made for scraping against mountains and cliff fronts and really did
resist wear very well. The knee sleeves took care if the 'padding'
issue. At last report (eight months) they were still going strong.
I have a patient that is similar only she has fused knee's and hips with
the knee's at 90 degrees. What I did was to cast the patient's knee's
and form a polyelylene shell padded with Bocklite and suspended with
velcro. I did need to bring the trim lines fairly far back both medial
and lateral to prevent rotation. The nice part about the polyeth is that
it is slick and that makes it easy to scoot or crawl on carpet, tile or
hardwood floors all the while providing protection to the patient. Hope
this helps.
Have look into knee pads used in sports or construction use. You might
have to modify to fit the patient due to his size.
As strange as it sounds consider knee pads designed for the competitive
paintball market. These guys wear pads designed take abuse from
constant crawling, sliding, and slamming into the ground. Therefore
they are designed with attention to anti-migration and robustness (often
including Kevlar in the build). I would consider the longer style pads
like Empire as they will provide more area of skin contact to resist
rotation and migration. For the smaller patient I would look at the same
product but in elbow pads (you could also sew a stirrup around the foot
to help resist movement).
For an example take a look at Empire pads:
<URL Redacted>
D/Di
splayProductInformation-Start;sid=OmcR8BwyDfMRR1T0iOPRWBb78y1RxPGJzFo=?P
rodu
ctID=gN_AqArb7KgAAAEV8ax6nclg
These pads are designed to fit snug, so donning is a concern for UE
involved pt's.
CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients. If you are not the intended recipient, (or authorized to receive for the recipient) you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please destroy all copies of this communication and any attachments and contact the sender by reply e-mail or telephone (813) 281-8100.
********************
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
Lis, Phillip, “knee pad responses 1 of 2,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 23, 2024, https://library.drfop.org/items/show/229495.
