PMID: 7009281Feb 1, 1981Paper

Clinical evaluation of spina bifida patients using hip guidance orthosis

Developmental Medicine and Child Neurology
G K RoseM Sankarankutty

Abstract

A hip guidance orthosis has been designed to provide the highest potential level of ambulation for the child with myelomeningocele. It permits low energy-cost ambulation at a reasonable speed, and independent transfer from chair to walking and vice versa. It also enables some patients to ascend or descend steps of up to 150mm, as well as gradients of up to one in 10. A review of 27 patients who had used the orthosis for periods of between six and 45 months was undertaken in order to establish the degree of benefit. 17 patients had no power in hips or below, the rest having some power in one or both hips. 17 patients had dorsal lesions and the remainder had lumbar lesions. Using Hoffer's (1973) classification, 13 patients had improved ambulation when using the hip guidance orthosis, and most of the remainder showed some measurable improvement in ambulation. 14 patients were tested for speed of ambulation and heart rate before and after use of the orthosis, and the mean increase in speed was 87.3 per cent, with a mean decrease in heart rate of 10bpm--a clear improvement in efficiency. The results indicate that the hip guidance orthosis can provide low-energy ambulation for spina bifida patients with dorsal and high lumbar lesions...Continue Reading

References

Apr 1, 1978·Prosthetics and Orthotics International·J StallardI R Farmer
Apr 1, 1979·Prosthetics and Orthotics International·G K Rose
Jan 1, 1978·Journal of Medical Engineering & Technology·J StallardJ B Davies

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Citations

Jul 1, 1986·Engineering in Medicine·J StallardN Jones
Aug 31, 1999·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·P J WoollamR E Major
Jan 18, 2018·Topics in Spinal Cord Injury Rehabilitation·Mokhtar ArazpourMohammad Samadian
Sep 28, 2017·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Sarah E FunderburgLaura E Case
Feb 1, 1994·Physiological Measurement·D J Pratt
May 1, 1989·Archives of Physical Medicine and Rehabilitation·A BadellJ C Perrin
Sep 1, 1993·Clinical Biomechanics·M FerrarinA Pedotti

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