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Orthotic compensation for non-functioning hip extensors.

C Ogilvie1, N Messenger, P Bowker

  • 1North-Western Orthotic Unit, Hope Hospital, Salford, U.K.

Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
|December 1, 1988
PubMed
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The Reciprocating Gait Orthosis (RGO) enables functional walking for patients with spinal cord injuries by using cables to coordinate hip movement. This innovative orthosis has shown promising results in clinical use.

Area of Science:

  • Orthotics and Biomechanics
  • Rehabilitation Engineering
  • Pediatric Orthopedics

Background:

  • Rigid orthoses with three-point fixation offer joint stabilization.
  • Hinged orthoses allow single-plane movement, preserving stability and function.
  • The Reciprocating Gait Orthosis (RGO) utilizes Bowden cables with Hip-Knee-Ankle-Foot Orthoses (HKAFO) for reciprocal hip flexion/extension.

Purpose of the Study:

  • To evaluate the efficacy and performance of the Reciprocating Gait Orthosis (RGO) in patients requiring assisted ambulation.
  • To assess the functional outcomes and identify potential complications associated with RGO use.

Main Methods:

  • Fitting 40 patients with the RGO, including 22 with Spina Bifida (ages 3-34).
  • Focusing on patients with Thoraco-lumbar or upper Lumbar spinal lesions.

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  • Utilizing trunk and arm movements to initiate gait, with cable tension locking hips in neutral.

    • Main Results:

    • The RGO facilitated functional walking in patients.
    • Reported issues included one instance of 'knee clash' and three cases of structural device failure.
    • The device demonstrated effectiveness in enabling reciprocal gait through coordinated upper and lower limb movement.

    Conclusions:

    • The Reciprocating Gait Orthosis (RGO) is a viable option for achieving functional ambulation in individuals with specific neurological conditions.
    • Further refinement may be needed to address minor mechanical issues like 'knee clash' and improve long-term structural durability.