Using EDX Studies to Inform Orthotic Interventions-Dr. Patel - Using EDX Studies to Inform Orthotic Interventions

Dr. Patel - Using EDX Studies to Inform Orthotic Interventions

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The document discusses cases of left leg weakness and right leg weakness and numbness, along with the appropriate orthotic considerations for each case. <br /><br />In the case of left leg weakness, an 18-year-old female presented with frequent tripping on her left foot. She had left leg weakness and numbness that began gradually over a few weeks. After a physical examination and electrodiagnostic study, it was determined that she had a left common fibular nerve injury at the level of the fibular head. To improve gait and safety, the patient was advised to wear an off-the-shelf posterior leaf spring AFO (ankle foot orthosis). <br /><br />In the case of right leg weakness and numbness, a 38-year-old male presented with right leg weakness and numbness below the knee as a result of a gunshot wound. A physical examination and electrodiagnostic study revealed a complete injury of the right sciatic nerve affecting both the fibular and tibial fibers to the leg. The patient was likely to be left with long-term weakness and numbness in the right leg, even if surgical repair was successful. To aid in ambulation without the use of crutches, a double metal upright AFO with a sole plate to the metatarsal area and dorsiflexion stop was ordered.<br /><br />The document also provides information on the principles of orthotics and orthotic design considerations, such as adjustability, cosmesis, comfort, effectiveness, functionality, necessity, weight, long-term vs. short-term use, dynamic vs. static design, energy costs, and costs. Different types of ankle foot orthoses, including double upright metal AFOs, plastic AFOs, pre-articulated ankle joints, and various joint styles, are discussed.<br /><br />Overall, the document emphasizes the importance of selecting the appropriate orthosis based on the patient's specific condition and goals, as well as considering factors such as stability, range of motion control, cost, cosmesis, and durability. It also highlights the need for collaboration with a certified orthotist and possible involvement of physical therapy in the management of orthotic interventions.

Keywords

left leg weakness

right leg weakness

numbness

orthotic considerations

common fibular nerve injury

posterior leaf spring AFO

right sciatic nerve injury

double metal upright AFO

orthotics principles

orthotic design considerations