Genetic Muscle Spastic Paralysis
Nicolas Machi
Description
Collection
Title:
Genetic Muscle Spastic Paralysis
Creator:
Nicolas Machi
Date:
8/10/2009
Text:
Dear Colleagues:
I am working on an interesting case and was wondering if anyone has any recommendations or previous experience with a similar patient.
This woman is 44 yrs old and states that she has been diagnosed with Genetic Muscle Spastic Paralysis. I have found some literature on Hereditary Spastic Paraplegia which describes the condition but no suggestions on effective treatments.
The patient ambulates with a cane and has been prescribed bilateral ASOs. She presents with muscle weakness in the lower extremities, left worse than right, affecting mainly hip extensors, knee extensors, plantar flexion and dorsiflexion. She also demonstrates poor proprioception bilaterally. The ASOs are for bilateral ankle instability.
She reports improvement in her gait after using the ASOs for several weeks with 1/4 lifts but finds them cumbersome in conjunction with footwear. We are interested in Orthotic treatment as well as possible E-stim use.
I appreciate any comments/suggestions.
Regards,
Nicolas Machi
Orthotics Resident
Victory O&P
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I am working on an interesting case and was wondering if anyone has any recommendations or previous experience with a similar patient.
This woman is 44 yrs old and states that she has been diagnosed with Genetic Muscle Spastic Paralysis. I have found some literature on Hereditary Spastic Paraplegia which describes the condition but no suggestions on effective treatments.
The patient ambulates with a cane and has been prescribed bilateral ASOs. She presents with muscle weakness in the lower extremities, left worse than right, affecting mainly hip extensors, knee extensors, plantar flexion and dorsiflexion. She also demonstrates poor proprioception bilaterally. The ASOs are for bilateral ankle instability.
She reports improvement in her gait after using the ASOs for several weeks with 1/4 lifts but finds them cumbersome in conjunction with footwear. We are interested in Orthotic treatment as well as possible E-stim use.
I appreciate any comments/suggestions.
Regards,
Nicolas Machi
Orthotics Resident
Victory O&P
_________________________________________________________________
Send and receive email from all of your webmail accounts.
<URL Redacted>
********************
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
Nicolas Machi, “Genetic Muscle Spastic Paralysis,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 7, 2024, https://library.drfop.org/items/show/230622.
