Orthotic Prescription/Ambulation Training for SCI
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8 terms
Terms | Definitions |
|---|---|
 Midthoracic lesions (T6 - T9) | Supervised ambulation for short distances. Requires B KAFOs and crtuches. Swing-to gait pattern, requires assistance. May prefer standing devices/standing wheelchairs for physiological standing. |
| High lumbar lesions (T12 - L3) | Can be independent in ambulation all surfaces and stairs. Swing through or four point gait pattern. B KAFOs and crutches. May use RGOs with walker with or without FES system. Independent household ambulators. Wheelchair use for community ambulation. |
| Low lumbar lesions (L4 - L5) | Independent with B AFOs and crutches/cane. Typically independent ambulators. May still use wheelchair for activities with high endurance requirements. |
| High cervical lesions (C1 - C4) | Require electric w/c with tilt in space seating or reclining seat back. Microswitch or puff and sip controls. portable respirator may be attached. |
| Cervical Lesion with C5 - elbow flexion | Can use manual chair with propulsion chair. Independent for short distances on smooth, flat surfaces. May use electric w/c for distances and energy conservation. |
| Cervical Lesion with C6 - radial wrist extensors | Manual wheelchair with friction surface hand rims, independent |
| Cervical Lesion with C7 - triceps | Manual wheelchair with friction surface hand rims, independent, with increased propulsion |
| Patients with Hand function (C8 - T1) and below | manual wheelchair, standard hand rims |
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