Post Polio case
Gil Gulbrandson
Description
Collection
Title:
Post Polio case
Creator:
Gil Gulbrandson
Date:
9/13/2014
Text:
Hello all,
I have a 54 yo female, 5'4 170 pounds who has successfully lived with polio throughout her life. In May '13 she slipped and sustained a fall in which she fx her left femur. Following recovery of this injury, in Mar '14 she stumbled over a curb and fx her tib/fib. During her recovery from this injury she subsequently was dx with post polio syndrome.
On her right, less involved side, I note good hip flexors and extensors, good quads and good- dorsiflexors. On the affected left side, she has trace of all these measured movements. Clonus noted when any of these muscle groups is contracted. My assessment was corroborated by her PT.
Between the parallel bars she can ambulate surprisingly well, however fatigues within a few passes. She does not exhibit recurrvatum and does have a flexible genu valgum.
This lady is seeking some orthotic intervention that will provide her stability and gait. I feel that any intervention will act more like an anchor than an aid. Does anyone have any thoughts on what design, if any might help this lady?
Gil Gulbrandson, CO/LO
Cary, IL
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I have a 54 yo female, 5'4 170 pounds who has successfully lived with polio throughout her life. In May '13 she slipped and sustained a fall in which she fx her left femur. Following recovery of this injury, in Mar '14 she stumbled over a curb and fx her tib/fib. During her recovery from this injury she subsequently was dx with post polio syndrome.
On her right, less involved side, I note good hip flexors and extensors, good quads and good- dorsiflexors. On the affected left side, she has trace of all these measured movements. Clonus noted when any of these muscle groups is contracted. My assessment was corroborated by her PT.
Between the parallel bars she can ambulate surprisingly well, however fatigues within a few passes. She does not exhibit recurrvatum and does have a flexible genu valgum.
This lady is seeking some orthotic intervention that will provide her stability and gait. I feel that any intervention will act more like an anchor than an aid. Does anyone have any thoughts on what design, if any might help this lady?
Gil Gulbrandson, CO/LO
Cary, IL
********************
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
Gil Gulbrandson, “Post Polio case,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/236768.
