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  • walking with braces

    my son-14 years old-complet sci -(t8-t10) after road accident,now after two years he is strong in his shoulder and handS.
    can he walk with any braces? exa.walkabout ? RGO ?he have to back to his school after one month,and he need any hop for walking!

  • #2
    wewe, does he have trunk control? I know some mid t-level that brace walk for exercise, but you have to have extremely strong upper body to keep it up with endurance issues, becuase basically ur upper body is moving ur lower body for you.

    Or you can hop, which would be less stressful on your sholders/arms, but again, you need trunk control. This is all done with a walker of course. I recommend getting KAFOs, not RGO's, RGOs arn't very supportive compared to KAFOS but KAFOS are much more expensive and its hard to get insurance to cover it.
    Injured:10-16-04
    C7/C8, T1 incomplete;


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    • #3
      As I understand it RGO's support not only the ankles and knees but also the hips and back, so they give MORE support, not less, than KAFO's. I think it depends on how much trunk strength you have whether you need the added support of the AGO. mr_coffee is right; it takes lots! Type in RGO above in "search". I think there are other posts on this subject. Hope it works out that he can get upright and moving!

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      • #4
        thanks for replays ,he can sit without suport of his hands,he can mov with basin his legs just when he is lying on he's back,does this help for walking?som doc. said that if he comp.he cant have this movemment??!!!

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        • #5
          I am a physical therapist who works with SCI patients.Walking is always a fascinating dynamic with people who have had a spinal cord injury. The stress on the shoulders is often too much to handle over time and can lead to injury, which then impairs wheelchair mobility and transfers. Care must be taken by the therapists who attempt walking with patient's who have no trunk. I have even heard of therapist walking patients with only AFO's, only to have those patient tear a knee ligament or meniscus. Walking is great if it can be taught correctly. RGO's can be difficult to manage and cumbersome. KAFO's with a locking knee joint are usually the best bet. Good luck. I'm willing to answer any questions you might have.

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          • #6
            lyfconcepts,

            I have even heard of therapist walking patients with only AFO's, only to have those patient tear a knee ligament or meniscus.

            I hope they were fired for doing somthing so stupid. Common sense tells you that is going to lead to injury, I can't think of why the patient wouldn't even see thats going to ask for a hyperextended knee or twisted ligament.

            wewe, when you say he can sit, are you saying he can sit up straight or is he in a C position?
            Injured:10-16-04
            C7/C8, T1 incomplete;


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            • #7
              yes he can sit staight,now he is wearing brace to prevent scoliosis.

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              • #8
                If he needs external support just to sit, then walking will be very difficult. Most patients who end up walking successfully need some trunk control to balance. The brace will not help him to progress his legs, or balance for that matter. Consider some type of standing frame first. Or..if he requires a power chair, there are some standing chairs if it is that important.

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                • #9
                  They do have walkers that allow you to bare all your upper body weight on them for peoplpe with weak trunk control, its basically your sholders holding you but it is alot easier on your sholders tahn the standard walker.
                  Injured:10-16-04
                  C7/C8, T1 incomplete;


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                  • #10
                    I have improving trunk strength, especially in my abs/obliques and can sit mostly straight on my own. My lower back muscles are weak or barely firing and standing up with parallel bars is a tricky balance. I have to really keep my back arched, if a break at the waist I can't catch myself. Lyfconcepts advice about the standing frame has been spot on for me. I've loosened the fit so I can do back/side bends and practice contracting my quad...

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                    • #11
                      he does'nt need external support for sitting ,the brace htat he is wearing just for prevent scoliosis.
                      we are thinking to com to u.s.a for continuo his rehab. for walking???
                      is it practical??
                      we live in israel.

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                      • #12
                        I'm T-10 complete and I can walk with braces and a walker. He should be able to do it. It's really hard, but worth it.

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                        • #13
                          thank you mattblan,what kind of braces you used??
                          how long time you were in reh. for traning??
                          how many hour aday you are walking??
                          have you any pain in you'r shoulders??

                          have you any photo.with your'r walking brace??
                          sorry ,but i need answers .
                          again thank you!

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                          • #14
                            My son started in braces about 6 mos. after being injured. It does take a considerable amount of strength to use them. He is a T12 and did regain some hip flexors. To start it was a little scary, but in time, he has been able to walk fairly well. Supposingly, they will help with bone loss as you are weight bearing when you are in them.

                            The braces he has are pretty standard. They lock at the knee so you have to stand and sit with your knees locked. We are looking into getting some Townsend braces that will allow his knee to bend so, he can sit instead of falling into a chair. I will look for some pictures of him in his braces for you to see.

                            His rehab doctor felt that everyone with some feeling below the nipple line, should at least have the opportunity to try them. You have nothing to lose and everything to gain. Good Luck!
                            "Our lives begin to end the day
                            we become silent about things that matter."
                            - Martin Luther King Jr

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                            • #15
                              Imahopeful thanks for this info. does you'r son has sps.in his legs?
                              how old is you'r son??
                              what kind of brace he has(the name....??)
                              how does he deal with his injury???

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