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PT in japan -> bracing (December 12, 2001 7:51:00 PM)
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i am writing for info./advice. a client, 3.5-years-old with CP and cortical blindness. strength is fair, trunk and bilat. upper extremities. bilat hip and knee str. are also fair. she consistently demonstrates little desire to explore; indep. prone-pivoting, rolling, and ring-sitting. she maintains quadraped indep., and stands with the assistance of a fixed object 1-2 minutes with bilat. 20 deg. knee flexion. prone stander, completely upright is tolerated for 30 minutes. no observation of commando crawling nor weight shift. family reports child sits contently @ a low chair or prone/supine @ home throughout the day......little or no attempts to explore or self-care. feeding and dressing requires hand-over-hand assistance. i am writing from an overseas military installation where resources are quite limited. my question, are there specific criteria to brace??? kafo??? afo??? thank-you for any/all responses.
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