TBI patient
Brittany White
Description
Collection
Title:
TBI patient
Creator:
Brittany White
Date:
8/3/2012
Text:
I have a young male patient with a head injury from a motorcycle accident
and strong extensor tone as a result (incidentally an Iraq veteran, but not
injured in service)
He pretty much walks on the ball of his foot, heel never hits the
ground, strong varus thrust at the knee and ankle, knee and hips stay
slightly flexed throughout stance and swing phase. He currently
ambulates with a quad cane, a loner articulated AFO that is way too big,
and PT assistance. Right now his tone is keeping his knee from buckling in
ambulation, but he can't do single limb stance on affected side at all or
stand for more than 3 minutes with weight mostly on good side. No use of
hand on affected side either.
His tone is so high that I cannot passively stretch his knee into full
extension, and the tone of course varies. He is awaiting botox treatment.
He lives at a TBI rehab center now, so has access to plenty of PT.
He currently has an order for an AFO and a KO as well, but they are open to
any orthotic suggestions.
Ideal orthosis would lock his knee in various degrees of extension for
standing stability, allow free swing, resist genu varum, resist equinovarus
at foot. Easy as that.
I immediately thought KAFO to address his knee as well and would love to
make use of stance control technology, but not sure if that is an option
with his tone, lack of heel strike, etc. Therapist is asking if there is a
quick disconnect type option to use the AFO independently of thigh
section or KO over the top of AFO. I've never loved the KO over the AFO
set up, but I'm open to any suggestions.
I've got some ideas rolling around in my head, but would greatly appreciate
any ideas on orthotic design
--
Brittany White CO
BioTech Prosthetics and Orthotics
biotechnc.com
919-471-4994
and strong extensor tone as a result (incidentally an Iraq veteran, but not
injured in service)
He pretty much walks on the ball of his foot, heel never hits the
ground, strong varus thrust at the knee and ankle, knee and hips stay
slightly flexed throughout stance and swing phase. He currently
ambulates with a quad cane, a loner articulated AFO that is way too big,
and PT assistance. Right now his tone is keeping his knee from buckling in
ambulation, but he can't do single limb stance on affected side at all or
stand for more than 3 minutes with weight mostly on good side. No use of
hand on affected side either.
His tone is so high that I cannot passively stretch his knee into full
extension, and the tone of course varies. He is awaiting botox treatment.
He lives at a TBI rehab center now, so has access to plenty of PT.
He currently has an order for an AFO and a KO as well, but they are open to
any orthotic suggestions.
Ideal orthosis would lock his knee in various degrees of extension for
standing stability, allow free swing, resist genu varum, resist equinovarus
at foot. Easy as that.
I immediately thought KAFO to address his knee as well and would love to
make use of stance control technology, but not sure if that is an option
with his tone, lack of heel strike, etc. Therapist is asking if there is a
quick disconnect type option to use the AFO independently of thigh
section or KO over the top of AFO. I've never loved the KO over the AFO
set up, but I'm open to any suggestions.
I've got some ideas rolling around in my head, but would greatly appreciate
any ideas on orthotic design
--
Brittany White CO
BioTech Prosthetics and Orthotics
biotechnc.com
919-471-4994
Citation
Brittany White, “TBI patient,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/234324.
