Tuesday, June 18, 2024

Dynamic Walk AFO

Keith Vinnecour

I have a client who did very well with the dynamic walk on his right leg only for 6 months, then he said that it did not work as well. He continued to use it for two years, but he fell when using the AFO.

His diagnosis is Inclusion-Body Myositis, IBM. He is in his 70s and walks with a walker. He now needs some braces bilaterally.

What is the groups’ experience with this device as far as its longevity and not loosing function over time?

This patients muscle test is:
Right Left
Hip Flexion 2+ 2+
Hip Extension 5 5
Knee Extension 5 5
Knee Flexion 1 2
Dorsi Flexion 0 2
Plantar Flexion 5 5
It would seem like the perfect orthosis, as his needs to use his plantar flexion strength for push off and I would prefer to have free plantar flexion range of motion.

Your thoughts?

Keith E. Vinnecour, C.P.O.(E)


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