Using EDX Studies to Inform Orthotic Interventions-Dr. Gabet -Gait & Wheelchair Mobility

Dr. Gabet -Gait & Wheelchair Mobility

Pdf Summary

This document provides information on gait mechanics and analysis, as well as wheelchair mobility options for individuals with motor neuron disease (MND) or amyotrophic lateral sclerosis (ALS). <br /><br />In terms of gait mechanics, the document discusses the basic principles of gait, including the characteristics of smooth and regular movements in different planes, the location and displacement of the center of gravity (COG) during gait, and the impact of COG displacement on energy expenditure and stability. The document also covers the determinants of gait, such as pelvic rotation, pelvic tilt, and knee and ankle mechanisms.<br /><br />The document then transitions to discussing wheelchair mobility options for individuals with MND or ALS. It emphasizes the importance of assistive devices and orthotics early in the course of the disease, but notes that most patients will eventually require a wheelchair due to both proximal and distal weakness. It provides information on the timing of transition to a wheelchair, the multidisciplinary evaluation process, and Medicare functional requirements for wheelchair prescription.<br /><br />The document explores different types of wheelchairs, including self-purchase manual chairs, power wheelchairs (Group 3), and customized manual tilt-in-space wheelchairs. It discusses the specific features and considerations for each type, such as home accessibility, control options, seat functions (tilt, recline, elevation), and other components like headrests and pressure relieving cushions. The document also mentions grants and foundations that may provide assistance with obtaining additional seat functions.<br /><br />Overall, the document highlights the importance of anticipating a patient's future needs and providing customized solutions for wheelchair mobility in individuals with MND or ALS. It emphasizes the role of multidisciplinary evaluation and collaboration between healthcare professionals, caregivers, and vendors to ensure the best possible mobility options for patients.

Keywords

gait mechanics

wheelchair mobility

motor neuron disease

amyotrophic lateral sclerosis

center of gravity displacement

energy expenditure

multidisciplinary evaluation

power wheelchairs

customized manual tilt-in-space wheelchairs

mobility options

ALS

MND