Thursday, April 18, 2024

hyperkyphosis in the elderly

Hampshire Orthotics

I have a gentleman aged 92 years who came to me asking for a spinal brace to
prevent him “doubling up” when he walks and stands. He has tried corsets
with shoulder straps and a soft LSO Boston style brace in the past but they
did not help at all.

He has a flat rigid lumbar spine and hyperkyphosis which brings his head
very anterior of the central line, so there is a massive moment pulling him
down, mostly flexing at the hips.

I suspect his best option is to use a high walking stick/frame, but want to
look into orthotic options for him.

I think the only way to stop this is to use a body jacket with thigh cuffs,
hip joints set up as in an RGO to enable him to walk (OK to lock for
standing only). He probably wouldn’t want to have all that bulk and weight.

He walks his dog every day and is the main carer for his wife.

Does anyone have any suggestions or orthotic braces they have tried (fails
and successes) for this patient group?

I would be grateful for any info and will post all on here.

Thanks, Lucy

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