Saturday, December 3, 2022

replies for “challenging bk”

Jean Hobkirk

Thank you for all of your responses. Several people suggested making a rocker sole on his shoe or trying one of the manufactured “toning” shoes. Below is a list of responses.

Throw a pair of the rocker, ‘toning” shoes on him that everyone is wearing, if his balance is OK he might like it. saves you from returning feet.
Jay

A quick easy fix using the same foot might be to just make a rocker bottom
on the forefoot of the shoe by taking some of the sole off as far back as
you need, this would help him roll over much easier.

Brandon

Try the Freedom foot (rumour is they don’t have a “dead spot in the middle) and the senator and Promenade are affordable. Promenade has a softer heel then Ossur feet, and is spit toe/split heel.
Suspension? A Suprachondylar strap? He will miss the support given by the SC socket though…

I believe (He also feels that his knee becomes too stiff and he feels “blocked)
is the reason for not getting comfortable rollover as Knee joint along with hip joint ROM is crucial in order to get the easy rollover. You can show the gait video to your amputee to convince him. Hope this will work.
Anil Singh
P&O

Consider those fitness tennis shoes, shape ups, or any of those rocker soled shoes.
Gary A. Lamb LPO, CO, FAAOP

Genesis Plus foot from Mica Corp..This foot by far has the best
potential for promoting easy rollover from heel to toe…I would only
use it for patients such as you have described, otherwise the complaint
is always “its too easy to rollover the toe.”
The downside to the foot is the customer support. The staff wasn’t able
to assist with any questions regarding bumper selections.
Ryan

Try him on a Trowbridge terraround?
Ted A. Trower CPO, FAAOP

I recently had a patient with a request for easier roll over. I modified an
Endolight ankle. I used a soft snubber and a ground away some of the
aluminum on the anterior lip that goes over the snubber. You do it little
by little until you get the desired range of motion. It worked very well.
Jon

A single or multi-axis foot with soft rubbers and 3/4 toe-break springs to mind.
OB single axis? Endolite Multiflex foot and ankle?
What size foot is he?
By the sounds of it any ‘full-length keel’ foot is proving too stiff @ rollover.
If you have the facility perhaps even try a bespoke made single-axis wood foot with toe-break?

Thomas Wickerson
Clinical lead – Prosthetics

Jean Hobkirk, CP

Yuma, AZ

(928) 341-1965

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