Drop Attacks and AFO's
Ben McMurtrie
Description
Collection
Title:
Drop Attacks and AFO's
Creator:
Ben McMurtrie
Date:
12/18/2014
Text:
Dear Listservers
I have a 13y old patient with Coffin Loury Syndrome.
We have been managing his plano-valgus posture over the years with UCBL’s and semi-rigid FOs.
Just in the last few months he has developed a startle reflex that causes all his muscles to relax, so he has drop attacks – about 6-7 a day. This may be a side effect from recent mufti level spinal surgery.
This of course causes concern from a falls point of view but he also somehow on his R>>L side goes into an equinas position at foot/ankle – that in turn has been causing soft tissue injuries.
I am looking for some solutions to prevent the equinas and to some extent knee flexion. A GRAFO's are the obvious choice – but I don’t want them too rigid either for everyday walking. I was thinking long the lines of a custom carbon ½ proximal GRAFO with a flex strut still like the Kinetic research noodles, or maybe an adjustable dorsi/plantar stop Co-Poly AFO.
I know i can't have the best of both worlds - but does anyone have other suggestions?
Thankyou in advance.
Ben McMurtrie
Orthotist – Geelong Orthotics, Australia
Ben McMurtrie
Geelong Orthotics P/L
70 Bellerine St
Geelong 3220
Vic Australia
Ph 613 5224 2200
Fax 613 5223 3229
Mob 0412 822 427
E <Email Address Redacted> <mailto:<Email Address Redacted>>
W www.geelongorthotics.com.au< <URL Redacted>>
Follow Geelong
on Facebook
www.facebook.com/GeelongOrthotics< <URL Redacted>>
The information contained in this email transmission is confidential and is intended only for the use of the addresses. If you are not the named recipient, you are hereby notified that any dissemination, distribution, copying or use of the information is strictly prohibited and unauthorised. If you receive this transmission in error, please delete this email and I would request that you notify me by telephone +61 3 5224 2200 to advise of this error
I have a 13y old patient with Coffin Loury Syndrome.
We have been managing his plano-valgus posture over the years with UCBL’s and semi-rigid FOs.
Just in the last few months he has developed a startle reflex that causes all his muscles to relax, so he has drop attacks – about 6-7 a day. This may be a side effect from recent mufti level spinal surgery.
This of course causes concern from a falls point of view but he also somehow on his R>>L side goes into an equinas position at foot/ankle – that in turn has been causing soft tissue injuries.
I am looking for some solutions to prevent the equinas and to some extent knee flexion. A GRAFO's are the obvious choice – but I don’t want them too rigid either for everyday walking. I was thinking long the lines of a custom carbon ½ proximal GRAFO with a flex strut still like the Kinetic research noodles, or maybe an adjustable dorsi/plantar stop Co-Poly AFO.
I know i can't have the best of both worlds - but does anyone have other suggestions?
Thankyou in advance.
Ben McMurtrie
Orthotist – Geelong Orthotics, Australia
Ben McMurtrie
Geelong Orthotics P/L
70 Bellerine St
Geelong 3220
Vic Australia
Ph 613 5224 2200
Fax 613 5223 3229
Mob 0412 822 427
E <Email Address Redacted> <mailto:<Email Address Redacted>>
W www.geelongorthotics.com.au< <URL Redacted>>
Follow Geelong
on Facebook
www.facebook.com/GeelongOrthotics< <URL Redacted>>
The information contained in this email transmission is confidential and is intended only for the use of the addresses. If you are not the named recipient, you are hereby notified that any dissemination, distribution, copying or use of the information is strictly prohibited and unauthorised. If you receive this transmission in error, please delete this email and I would request that you notify me by telephone +61 3 5224 2200 to advise of this error
Citation
Ben McMurtrie, “Drop Attacks and AFO's,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/236931.
