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The reciprocating gait orthosis: long-term usage patterns

L Sykes1, J Edwards, E S Powell

  • 1North Western Orthotic Unit, Hope Hospital, Salford, England.

Archives of Physical Medicine and Rehabilitation
|August 1, 1995
PubMed
Summary
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Many patients do not use the reciprocating gait orthosis (RGO) due to perceived lack of function. Understanding nonusage patterns in RGO patients is crucial for improving prescription practices and patient outcomes.

Area of Science:

  • Orthotics and Biomechanics
  • Rehabilitation Medicine
  • Spinal Cord Injury Research

Background:

  • The reciprocating gait orthosis (RGO) is a device prescribed for individuals with spinal cord lesions.
  • Previous studies have not extensively detailed RGO nonusage rates and associated factors.

Purpose of the Study:

  • To determine the frequency of nonusage of the reciprocating gait orthosis (RGO) among patients fitted between 1986 and 1993.
  • To identify reasons for RGO nonusage and analyze usage patterns.

Main Methods:

  • Retrospective review of patient records for 85 individuals fitted with an RGO.
  • Prospective survey of 81 patients using a detailed questionnaire to assess usage patterns and reasons for nonusage.
  • Analysis of data from 35 patient respondents.

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Main Results:

  • A high rate of nonusage (71%) was observed at a mean follow-up of 5.4 years.
  • Among respondents, 20 out of 35 were classified as nonusers.
  • Significant differences in perceived functionality, independence, and reliability were noted between users and nonusers, and between adult and pediatric groups.

Conclusions:

  • The substantial nonusage of RGOs indicates a need to re-evaluate prescription practices.
  • Understanding patient-perceived barriers to RGO use and age-specific differences is essential for optimizing patient selection and support.