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Company News >> Orthosis in rehabilitation treatment for hemiplegia III

 (C).The main indications of  knee-ankle-foot orthosis  for hemiplegic patients in clinical:

(1) severe flaccid paralysis; (2) severe sensory disturbance; (3) unilateral spatial neglect (4)  lower support of hip, knee (5) joint deformity and contracture

Treatment schedule for lower limb orthosis:

(1) rehabilitation exercise begins from getting up, standing, includes the sitting balance training activities and daily living (ADL) training on bed.Write down a prescription for lower limb knee-ankle-foot orthosis  (2) The fabrication of knee-ankle-foot orthosis finishes after one week of rehabilitation exercise.The injured part wearing knee-ankle-foot orthosis has the balance and weight-bearing training in the balance bar (3) patients with knee-ankle-foot orthosis will be induced to move within training in balance bar (4) Strengthened by separate movement training, patient with knee-ankle-foot orthosis can carry out gait training within the balance bar (5) Patient with knee-ankle-foot orthosis and crutch can have walking training (6) Timely it changes orthotic prescription from knee-ankle-foot orthosis to AFO with improvement of lower extremity function.That will strengthen separate movement training of lower limb, walking and ADL training.

In the early rehabilitation early seating and standing training will promote positive support reaction with lower limb orthosis. It must take into account that the possibility of increasing the lower limb extensor spasms and deteriorating gait. Therefore according to the functional recovery of patients, it should also strengthen basic operation training of the lower extremities , in training.And it can prevent spasms exacerbation based on a low frequency of little training principles . In addition, the prescription of lower limb orthosis needs updating with the recovery of lower limb motor function. Don’t impede the separate movement as the fixation of knee and ankle joint.Therefore it should strengthen the separation sports training meanwhile  the use of knee-ankle-foot orthoses and AFO. The key to successful treatment is combining lower limb orthosis with physical therapy.

(D) Ankle Foot Orthosis (that is AFO)
 AFO is the most common lower limb orthosis for hemiplegic patient . The prescription of AFO is suitable for foot drop, foot varus,tiptoe and so on.Light-weight plastic AFO can correct light foot varus.  AFO with on both sides of the adjustable metal stop-bars AFO or rigid plastic AFO that will be suitable for severe foot varus with tiptoe.That will fix ankle in a light ankle dorsiflexion meanwhile resist and reduce shank triceps reflex spasm confrontation during walking.It can prevent knee hyperextension and improve walking function,as well as change the fixation angle of ankle according the extent of spasm.

It will extend the support time of lower limb in walking and increase joint stability for hemiplegic patient with severe foot varus and tiptoe who can wear AFO.Patient can make more symmetrical gait with reducing excessive activity  of anterior tibial muscle ,increasing quadriceps activity and consuming less energy in waking.AFO can be pricey hemiplegia walking speed, reducing energy consumption during walking. 

(E) knee orthosis 

Hemiplegic patients can consider using orthopedic knee orthosis even AFO can’t completely control knee hyperextension . Knee orthosis is often used in conjunction with AFO clinically.

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