Standing and walking are key goals of rehabilitation. Standing requires an anteriorly directed force at the mid back, complemented by posteriorly directed forces from the chest and legs. Standing benefits the patient physiologically and psychologically. Orthoses, including frames, swivel walkers, and the parapodium, foster crutchless standing. Walking requires stability plus some means of shifting weight and advancing the legs individually or together. Limited ambulation may be achieved with ankle-foot orthoses, knee-ankle-foot orthoses, and trunk-hip-knee-ankle-foot orthoses, including various versions of reciprocating gait orthosis. Each type of orthosis is described, including its availability for children and adults and its advantages and disadvantages.
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Research Article|
January 01 2000
Orthotic Options for Standing and Walking
Joan Edelstein
Joan Edelstein
1
Director, Program in Physical Therapy, Columbia University, New York, New York
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Top Spinal Cord Inj Rehabil (2000) 5 (4): 11–23.
Citation
Joan Edelstein; Orthotic Options for Standing and Walking. Top Spinal Cord Inj Rehabil 1 April 2000; 5 (4): 11–23. doi: https://doi.org/10.1310/MN48-UKL9-8Y3G-4HWC
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