![]() (C).The main indications of knee-ankle-foot orthotics 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 orthotics: (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 orthotics 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 orthoticswill be induced to move within training in balance bar (4) Strengthened by separate movement training, patient with knee-ankle-foot orthotics can carry out gait training within the balance bar (5) Patient with knee-ankle-foot orthotics and crutch can have walking training (6) Timely it changes orthotic prescription from knee-ankle-foot orthotics 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 orthotics 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. MEDI-REHATEK offers quality of lower limb orthotics. Recently I stumbled on a good blog of Orthotics offers a treatment for patients with hemiplegia II,that is very useful for patients with hemiplegia,if you feel interested,should visit there.
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