Paraplegic
Rick Stapleton
Description
Collection
Title:
Paraplegic
Creator:
Rick Stapleton
Date:
2/12/2015
Text:
Good afternoon List-serve,
I have a quadriplegic, 52 y/o, male, s/p T10 complete spinal cord injury from MVA in 2007. Wore HKAFOs with LSO trunk support right after accident but hasn't worn anything for years. He really wants to stand to get out of the wheelchair. He wants to be able to get vertical. I have an order for bilateral HKAFO. MMT= hip flexor/extensors trace, everything distal zero, excellent upper body strength, seems to be pretty realistic, knows he won't be walking any kind of distance and if I can't get him stable enough he knows how to use a swing through gait, like he originally accomplished after the accident. Hip flexion contractures 10 degrees, 18 degree left knee flexion contracture, 12 degree right knee flexion contracture, ankles can get to 90 degrees. No spasticity, everything is flaccid. He is very motivated to stand, wants to be more mobile but knows that walking with a reciprocating gait is not realistic. He wants to be able to walk a small amount but more importantly just wants to get vertical. What kind of hip and knee joints? I was thinking bail locks on the knees but what about the hips? I am not sure about locking the hip joints, how do you unlock the hips and knees safely, what works best with this challenging scenario?
Thanks in advance,
Rick Stapleton, CPO
NOTE: The information in this email and any attachments may be confidential and/or medical privileged. Access to this email by anyone other than the intended addressee is unauthorized. If you are not the intended recipient (or the employee or agent responsible for delivering this information to the intended recipient), please notify the sender by reply email and immediately delete this email and any copies from your computer and/or electronic storage system. The sender does not authorize the use, distribution, disclosure or reproduction of this email (or any part of its contents) by anyone other than the intended recipient(s). No representation is made that this email and any attachments are free of viruses. Virus scanning is recommended and is the responsibility of the recipient.
I have a quadriplegic, 52 y/o, male, s/p T10 complete spinal cord injury from MVA in 2007. Wore HKAFOs with LSO trunk support right after accident but hasn't worn anything for years. He really wants to stand to get out of the wheelchair. He wants to be able to get vertical. I have an order for bilateral HKAFO. MMT= hip flexor/extensors trace, everything distal zero, excellent upper body strength, seems to be pretty realistic, knows he won't be walking any kind of distance and if I can't get him stable enough he knows how to use a swing through gait, like he originally accomplished after the accident. Hip flexion contractures 10 degrees, 18 degree left knee flexion contracture, 12 degree right knee flexion contracture, ankles can get to 90 degrees. No spasticity, everything is flaccid. He is very motivated to stand, wants to be more mobile but knows that walking with a reciprocating gait is not realistic. He wants to be able to walk a small amount but more importantly just wants to get vertical. What kind of hip and knee joints? I was thinking bail locks on the knees but what about the hips? I am not sure about locking the hip joints, how do you unlock the hips and knees safely, what works best with this challenging scenario?
Thanks in advance,
Rick Stapleton, CPO
NOTE: The information in this email and any attachments may be confidential and/or medical privileged. Access to this email by anyone other than the intended addressee is unauthorized. If you are not the intended recipient (or the employee or agent responsible for delivering this information to the intended recipient), please notify the sender by reply email and immediately delete this email and any copies from your computer and/or electronic storage system. The sender does not authorize the use, distribution, disclosure or reproduction of this email (or any part of its contents) by anyone other than the intended recipient(s). No representation is made that this email and any attachments are free of viruses. Virus scanning is recommended and is the responsibility of the recipient.
Citation
Rick Stapleton, “Paraplegic,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/237106.
