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reciprocal gait orthosis
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reciprocal gait orthosis - April 7, 2000 8:13:00 PM
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Erica Francisco
Posts: 19
Joined: August 29, 1999
From: Canoga Park, CA
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at what level is the reciprocal gait orthosis prescribed and what functions must they have?
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Re: reciprocal gait orthosis - April 19, 2000 3:46:00 PM
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Dana D
Posts: 142
Joined: September 18, 1999
Status: offline
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In an inservice I had at work this week, there was a study presented, regarding RGO's vs. using a swing through gait pattern with bilateral KAFO's with individuals with spina bifida. The results concluded that although individuals using RGO's had a more "typical" gait pattern, they did not remain ambulators for as many years as those with the swing through gait pattern and KAFO's. They suggested that due to social reaons....getting from point A to point B faster and more efficiently, contributed to their motivation to ambulate. And those with the KAFO's did not ambulate for as many years, due to the lack of efficiency it took to get around. I feel bad presenting this without the article and authors..... I have it at work... I'll get back to you on that!
Just wanted to share......
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Re: reciprocal gait orthosis - April 22, 2000 12:45:00 PM
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Dana D
Posts: 142
Joined: September 18, 1999
Status: offline
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This isn't the article i was speaking of, but it is an abstract from one which discusses RGO's and at what level they found them to be beneficial.
Ambulation with the reciprocating-gait orthosis. Experience in 15 children with myelomeningocele or paraplegia.
Gerritsma-Bleeker CL, Heeg M, Vos-Niel H
We reviewed 15 children with spina bifida or paraplegia who have used a reciprocating-gait orthosis between 1985 and 1995. All were nonfunctional ambulators. The level of the spinal lesions ranged from Th10 to L3. The mean age of fitting the orthosis was 5 years. 8 children have stopped using it at an average age of 10 years. The maximum ambulation level with the orthosis was a community ambulator in 4 children, household ambulator in 9 children and 2 remained nonfunctional ambulators. The average daily use was 6 hours by community ambulators to 0.5 hours nonfunctional ambulators. Bilateral dislocations of the hip, mild flexion deformities of the hips and knees and scoliosis were well tolerated with orthotic wear. Since functional ambulation could be achieved in 6 children with no quadriceps power, the use of this orthosis can be advocated for upper lumbar and low thoracic lesions. Strong motivation, realistic goals and expectations, the ability to participate in a training program and journeys for frequent orthosis repairs are of importance for successful use of this orthosis.
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