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Thread: walking with braces

  1. #1

    walking with braces

    my son-14 years old-complet sci -(t8-t10) after road accident,now after two years he is strong in his shoulder and handS.
    can he walk with any braces? exa.walkabout ? RGO ?he have to back to his school after one month,and he need any hop for walking!

  2. #2
    Senior Member mr_coffee's Avatar
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    wewe, does he have trunk control? I know some mid t-level that brace walk for exercise, but you have to have extremely strong upper body to keep it up with endurance issues, becuase basically ur upper body is moving ur lower body for you.

    Or you can hop, which would be less stressful on your sholders/arms, but again, you need trunk control. This is all done with a walker of course. I recommend getting KAFOs, not RGO's, RGOs arn't very supportive compared to KAFOS but KAFOS are much more expensive and its hard to get insurance to cover it.
    Injured:10-16-04
    C7/C8, T1 incomplete;


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  3. #3
    As I understand it RGO's support not only the ankles and knees but also the hips and back, so they give MORE support, not less, than KAFO's. I think it depends on how much trunk strength you have whether you need the added support of the AGO. mr_coffee is right; it takes lots! Type in RGO above in "search". I think there are other posts on this subject. Hope it works out that he can get upright and moving!

  4. #4
    thanks for replays ,he can sit without suport of his hands,he can mov with basin his legs just when he is lying on he's back,does this help for walking?som doc. said that if he comp.he cant have this movemment??!!!

  5. #5
    I am a physical therapist who works with SCI patients.Walking is always a fascinating dynamic with people who have had a spinal cord injury. The stress on the shoulders is often too much to handle over time and can lead to injury, which then impairs wheelchair mobility and transfers. Care must be taken by the therapists who attempt walking with patient's who have no trunk. I have even heard of therapist walking patients with only AFO's, only to have those patient tear a knee ligament or meniscus. Walking is great if it can be taught correctly. RGO's can be difficult to manage and cumbersome. KAFO's with a locking knee joint are usually the best bet. Good luck. I'm willing to answer any questions you might have.

  6. #6
    Senior Member mr_coffee's Avatar
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    lyfconcepts,

    I have even heard of therapist walking patients with only AFO's, only to have those patient tear a knee ligament or meniscus.

    I hope they were fired for doing somthing so stupid. Common sense tells you that is going to lead to injury, I can't think of why the patient wouldn't even see thats going to ask for a hyperextended knee or twisted ligament.

    wewe, when you say he can sit, are you saying he can sit up straight or is he in a C position?
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  7. #7
    yes he can sit staight,now he is wearing brace to prevent scoliosis.

  8. #8
    If he needs external support just to sit, then walking will be very difficult. Most patients who end up walking successfully need some trunk control to balance. The brace will not help him to progress his legs, or balance for that matter. Consider some type of standing frame first. Or..if he requires a power chair, there are some standing chairs if it is that important.

  9. #9
    Senior Member mr_coffee's Avatar
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    They do have walkers that allow you to bare all your upper body weight on them for peoplpe with weak trunk control, its basically your sholders holding you but it is alot easier on your sholders tahn the standard walker.
    Injured:10-16-04
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  10. #10
    I have improving trunk strength, especially in my abs/obliques and can sit mostly straight on my own. My lower back muscles are weak or barely firing and standing up with parallel bars is a tricky balance. I have to really keep my back arched, if a break at the waist I can't catch myself. Lyfconcepts advice about the standing frame has been spot on for me. I've loosened the fit so I can do back/side bends and practice contracting my quad...

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