knee pad responses 2 of 2
Lis, Phillip
Description
Collection
Title:
knee pad responses 2 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:
I've used wrestling knee pads. There are numerous manufacturers. I went
to www.eastbay.com I checked the sizing chart listed below:
Wrestling : Knee Pads
This is a general sizing chart. Please make sure you measure your knee
correctly.
To measure correctly: Start at the center of the knee and wrap the tape
measure around the knee until it meets back up with the starting point.
Once you determined your size you can now order your kneepad.
Men's
Size Knee Pad Size
XS 10.5 - 11.5
S 11.5 - 13.5
M 13.5 - 15.5
L 15.5 - 17
XL 16 - 18
XXL 18.5 and up
Youth
Size Knee Pad Size
S 8.5 - 9.5
M 9.5 - 10.5
L 10.5 - 11.5
Home Depot
Home depot Gel Mason knee pads. Not Billable but I have had a similar
occasion and they worked great.
<URL Redacted>
d=10051&langId=-1&catalogId=10053&productId=100645271
Benik or skateboard pads work well
Have you tried full knee pads for KAFO designs. Cover the leathe
anterior surface with sach foot cover coat. It will make the leather
real durable. Hope this helps.
You might have already thought of this, but you could try some
skateboarding/ in-line skate pads.... they would be protective and maybe
socially acceptable to patient...
have a patient w/ a similar presentation but he is now 28 years old and
presents with chronic bilateral patellar tendon ruptures. I molded a
knee guard for his right knee from 3/16 copolymer over a 5mm bocklite
liner with extra padding around the knee. It is reminiscent of a
catcher's shin guard. I have replaced it once due to weight gain, and
at that time he had almost worn through the copolymer after 4 years of
wear (crawling is his exclusive mode of transportation when out of the
wheelchair). You might actually investigate catcher's shin guards,
which might be a cost-effective alternative to custom made--particularly
for a growing child. Yes--I billed it as an L2999 with tons of
description, an invoice detailing labor and materials, and photographs
to back my claim--and did get paid eventually.
I haven't had any experience with this type of fitting, but the knee
pads used by persons laying flooring tile might work. I know there is
at least one company claims to have custom made ones - so they may be
able to make a small pair. These would most likely stand up to the
abuse of constant use. One company that makes these is
<URL Redacted>
Benik Corp. has some wonderful knee pads for using on patients that
crawl for ambulation. I'm sure they will custom make anything that you
are looking for.
I have used these in the past for crawling patients as well as for
patients with bursitis of the elbow joints.
I successfully fit a patient whose main form of ambulation was on her
knees due to knee flexion contractures. We took a mold of her with
plaster and had her stand to get the correct angle.
Then we fabricated two knee orthoses with a co-poly shell and pulled a
prosthetic gel liner on the inside so she was weight-bearing on the
gel-liner.
We then put crepe and tread on the outside of the shell for durability.
We used just two straps with chafes..on the thigh and calf.
These have worked well for her.
I also recently fabricated KOs of similar design for a 28-year old male
who was very rough on his devices. We attached cut motorcycle tires on
the outside for the tread.
Hope this helps!
What about the kind you can get from Home Depot. At least they are
cheap once the wear out. I use them sometimes when I snowboard. They
are held on by elastic straps so I'd think it would be easy to adjust
them anyway you'd like. Could't bill for them though.
Get him out of jeans and into sweatpants (for the fleece and lack of
bulky seams). Go to a hardware store to find tough leather knee pads for
construction workers. They will X strap in the bend of the knees. Some
come with fair padding. Snug up/bulk up the padding for as much control
as the child can tolerate and turn him loose for several weeks. If he
spends much time on concrete you may need to sole the pads with
solegard or tire rubber for wear. Most people appreciate simple and
inexpensive solutions. Good luck.
Lowes or Home Depot sell many designs of professional knee protection.
Maybe you could add these to the sleeves...
I have made custom molded knee protectors out of 1/4 HDPE lined with
1/4 Aliplast for a similar patient. This is basically just the anterior
shell portion of a bivalved AFO. I am assuming that the primary
irritation is over the tibial tubercle.
Good luck with a challenging situation.
Yes, I had a very similar patient. We were able to use plastic knee
protectors with liners that construction worker use. They are easy to
obtain and replace as needed and have rubber pads to prevent both
slipping and damaging floors.
I would recommend you incorporate alpha gel in a spandex knee sleeve.
It will guard the knee from high pressure and shear. I've made garments
like this in the past with great success.
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.
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:
I've used wrestling knee pads. There are numerous manufacturers. I went
to www.eastbay.com I checked the sizing chart listed below:
Wrestling : Knee Pads
This is a general sizing chart. Please make sure you measure your knee
correctly.
To measure correctly: Start at the center of the knee and wrap the tape
measure around the knee until it meets back up with the starting point.
Once you determined your size you can now order your kneepad.
Men's
Size Knee Pad Size
XS 10.5 - 11.5
S 11.5 - 13.5
M 13.5 - 15.5
L 15.5 - 17
XL 16 - 18
XXL 18.5 and up
Youth
Size Knee Pad Size
S 8.5 - 9.5
M 9.5 - 10.5
L 10.5 - 11.5
Home Depot
Home depot Gel Mason knee pads. Not Billable but I have had a similar
occasion and they worked great.
<URL Redacted>
d=10051&langId=-1&catalogId=10053&productId=100645271
Benik or skateboard pads work well
Have you tried full knee pads for KAFO designs. Cover the leathe
anterior surface with sach foot cover coat. It will make the leather
real durable. Hope this helps.
You might have already thought of this, but you could try some
skateboarding/ in-line skate pads.... they would be protective and maybe
socially acceptable to patient...
have a patient w/ a similar presentation but he is now 28 years old and
presents with chronic bilateral patellar tendon ruptures. I molded a
knee guard for his right knee from 3/16 copolymer over a 5mm bocklite
liner with extra padding around the knee. It is reminiscent of a
catcher's shin guard. I have replaced it once due to weight gain, and
at that time he had almost worn through the copolymer after 4 years of
wear (crawling is his exclusive mode of transportation when out of the
wheelchair). You might actually investigate catcher's shin guards,
which might be a cost-effective alternative to custom made--particularly
for a growing child. Yes--I billed it as an L2999 with tons of
description, an invoice detailing labor and materials, and photographs
to back my claim--and did get paid eventually.
I haven't had any experience with this type of fitting, but the knee
pads used by persons laying flooring tile might work. I know there is
at least one company claims to have custom made ones - so they may be
able to make a small pair. These would most likely stand up to the
abuse of constant use. One company that makes these is
<URL Redacted>
Benik Corp. has some wonderful knee pads for using on patients that
crawl for ambulation. I'm sure they will custom make anything that you
are looking for.
I have used these in the past for crawling patients as well as for
patients with bursitis of the elbow joints.
I successfully fit a patient whose main form of ambulation was on her
knees due to knee flexion contractures. We took a mold of her with
plaster and had her stand to get the correct angle.
Then we fabricated two knee orthoses with a co-poly shell and pulled a
prosthetic gel liner on the inside so she was weight-bearing on the
gel-liner.
We then put crepe and tread on the outside of the shell for durability.
We used just two straps with chafes..on the thigh and calf.
These have worked well for her.
I also recently fabricated KOs of similar design for a 28-year old male
who was very rough on his devices. We attached cut motorcycle tires on
the outside for the tread.
Hope this helps!
What about the kind you can get from Home Depot. At least they are
cheap once the wear out. I use them sometimes when I snowboard. They
are held on by elastic straps so I'd think it would be easy to adjust
them anyway you'd like. Could't bill for them though.
Get him out of jeans and into sweatpants (for the fleece and lack of
bulky seams). Go to a hardware store to find tough leather knee pads for
construction workers. They will X strap in the bend of the knees. Some
come with fair padding. Snug up/bulk up the padding for as much control
as the child can tolerate and turn him loose for several weeks. If he
spends much time on concrete you may need to sole the pads with
solegard or tire rubber for wear. Most people appreciate simple and
inexpensive solutions. Good luck.
Lowes or Home Depot sell many designs of professional knee protection.
Maybe you could add these to the sleeves...
I have made custom molded knee protectors out of 1/4 HDPE lined with
1/4 Aliplast for a similar patient. This is basically just the anterior
shell portion of a bivalved AFO. I am assuming that the primary
irritation is over the tibial tubercle.
Good luck with a challenging situation.
Yes, I had a very similar patient. We were able to use plastic knee
protectors with liners that construction worker use. They are easy to
obtain and replace as needed and have rubber pads to prevent both
slipping and damaging floors.
I would recommend you incorporate alpha gel in a spandex knee sleeve.
It will guard the knee from high pressure and shear. I've made garments
like this in the past with great success.
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.
Citation
Lis, Phillip, “knee pad responses 2 of 2,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/229496.
