Self-Assessment: Muscle US: Quantitative Assessment & Patterns of Muscle Involvement | Gait Analysis & Orthotics for NMDs-Gait Analysis & Orthotics for NMDs: Session Recording

Video Transcription

Video Summary

The lecture focused on gait analysis and bracing for lower motor neuron disorders, led by Dr. Donna Bloodworth, a specialist from Baylor College of Medicine. Dr. Bloodworth began by discussing the historical classification of braces since 1973, emphasizing the joints they support, such as ankle-foot orthotics (AFO), knee-ankle-foot orthotics (KAFO), and hip-knee-ankle-foot orthotics (HKAFO). She detailed materials used in modern braces, from metal and leather to thermoplastics and carbon fiber, and highlighted their evolution towards lighter and more durable structures.<br /><br />Dr. Bloodworth illustrated how braces enhance stability and gait efficiency by aligning the foot with the ground, constraining undesirable motion, and addressing issues like foot drop. Practical tips for brace selection were shared, emphasizing the importance of adjusting for patient needs in terms of weakness in specific muscle groups and unique challenges posed by conditions like Charcot-Marie-Tooth or post-polio syndrome.<br /><br />A notable portion of the session involved interactive components, including guidance on evaluating patients’ gait and foot structure, such as addressing flat or cavus feet. The lecture underscored the nuanced relationship between gait biomechanics and the use of orthotic devices, combined with a collaborative approach involving orthotists and physical therapists to achieve optimal patient outcomes. Participants were encouraged to engage with the provided orthotic examples and seek personalized insights into common gait and bracing challenges encountered in clinical practice.

Keywords

gait analysis

lower motor neuron disorders

bracing

Dr. Donna Bloodworth

Baylor College of Medicine

ankle-foot orthotics

knee-ankle-foot orthotics

hip-knee-ankle-foot orthotics

gait biomechanics

orthotic devices

Charcot-Marie-Tooth

CMT

Charcot-Marie-Tooth Disease

Charcot-Marie-Tooth