Subject: Twister cable for In-Toeing
Hi List
I’m helping to manage a 67y old male with cerebellar ataxia. I have
provided AFO’s in the past to help control the varus ankles (custom tamarack
and Valga-noodle). He now has developed an in-toeing Right lower leg/foot.
The rotation is around 45-50deg and is causing him to trip when the rotated
leg advances in swing – clips the left medial shoe.
The rotation is coming from laxity at the knee joint not the hip as you
would normally expect. We have ruled out tight or overactive hip adductors.
His neuro physio and I are trying to come up with a solution. His PT wants
me to try elasticated straps that wrap around and attach to the thigh
somehow Im not sure this will be effective, will probably rotate on thigh
and loose the ext rotation force. My other thought was a type of twister
cable attached to a hip band, that we used a long time ago for kids, but
don’t now.
I can’t find anything of this design from the suppliers.
I’m hoping I can find something that can anchor onto the top of his AFO
Any suggestions will be appreciated, thanks
Regards Ben
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
W
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