Monday, September 28, 2020

Tendo AB's Exoskeleton (Hand Unit)

This article in Health Europa describes an exoskeleton that could offer greater independence to people with high spinal cord injuries.  A modified space technology designed by Tendo AB, the new exoskeleton is a minimalist system for users with compromised hand strength or motor control.  The technology may be expanded to focus on other limbs, such as the elbow or knee.  Since the exoskeleton "(uses) the body’s signals as a source," it will be interesting to see what beneficial effects the device might have as a therapy tool.  There are many possibilities here; the hand technology alone has the potential to change many lives for the better.

Tuesday, September 15, 2020

Graduate Max Ahlquist's Recovery Story

 Max Ahlquist was paralyzed in a rafting accident, but he has had a miraculous recovery and continues to work hard in his physical therapy.  His positive story is one worth sharing, like the news that he has graduated as co-valedictorian and is now moving on to college.  Congratulations, Max! 

Tuesday, September 1, 2020

Using KAFOs and a Mobility Scooter (Video)


Today's video is posted in response to a question someone asked about mobility.  When starting to use KAFOs (knee-ankle-foot orthoses) and trying to navigate a college campus, I was blessed to be provided with a mobility scooter.  This video shows how well the KAFOs worked with the scooter, even when I was relatively new to long leg braces.  Between the two, I gained an immense amount of independence.  (This clip is also featured in my video "6 Years in 6 Minutes," where you can see how the scooter works similarly outside on different surfaces.)


Scooters are not always an option if you have a spinal cord injury.  I could not have used one in the first year post-SCI due to the extensive spinal damage caused by the original accident.  As time has passed, a scooter has been a great device for me.  It's especially nice to be able to swivel the seat and not have to avoid a footrest when standing.  The scooter is easier on the wrists and shoulders than a manual wheelchair is, and can go over more terrain without trouble.  Several types of scooters give increased accessibility because they are smaller, as well.  The prices of scooters vary widely and you may find foundations or other groups able to help with the cost.  


A scooter is not an option or best choice for everybody with an injury or neurological condition.  Obviously each user who does try a scooter will find disadvantages and advantages for the individual situation.  But for those who are curious about life with KAFOs and wondering about possibilities, maybe this video will be a help.  


Note: if you have a spinal cord injury and are considering a mobility scooter, make sure to research the size and padding of the scooter's seat and foot area.

Tuesday, August 25, 2020

Liam Wagner's Milestone Walk

 This is an encouraging story about Liam Wagner, recovering from a spinal cord injury four years ago.  He walks three times a week with forearm crutches and is working toward walking a mile on September 12th.  Now he is hoping to use "Liam's Milestone" to raise money for adaptive equipment for others. 

Monday, August 10, 2020

Prayers for Memphis H.

Six-year-old Memphis sustained a serious cervical SCI in June.  It's good to see that she is getting support and encouragement: she can look forward to having her own service dog in a year, thanks to some South Florida Foundations and Furry Friends adoption.  Memphis has a lot of rehabilitation ahead of her.  Please keep this little girl and her family in your thoughts and prayers.

Tuesday, July 28, 2020

Getting KAFOs/ Long Leg Braces after Spinal Cord Injury

Today I'd like to share information about the process of getting KAFOs (Knee-Ankle-Foot Orthoses).  As usual, nothing here reflects a medical recommendation, professional opinion, or endorsement.  Note also that I receive no money or compensation for any of the products named.  I write about my own experiences and hope that they encourage others to keep moving forward.  Please seek advice from medical professionals and physical therapists. 

With that disclaimer, if you want to know more about KAFOs, where to start?  If you're like me and you have a spinal cord injury or similar neurological condition, or if you know someone who does, you may already have passed time surfing the internet.  I spent hours doing general research about leg braces.  There are a lot different types of bracing to help with therapy and functional walking.  HKAFOs (Hip-Knee-Ankle-Foot Orthoses) extend up around the hips and include a belt or back bracing, KAFOs generally run from mid-thigh down, and AFOs (Ankle-Foot Orthoses) are used for bracing below the knees.  (To learn more about types of leg braces and to see pictures, click here.)  Within these categories, realize that braces provide varying levels of support.  They may be sturdier for users with very little muscle function, or be relatively lightweight, intended to offer supplemental support for toe droop or knee buckling.  Newer models of some of these braces are mechanically assistive with springs, or feature robotic stance control that responds to muscle movement. 

Over time, I've tried HKAFOs, KAFOs, and AFOs of multiple types (thank you, Hanger!), including stance control C-braces, polypropylene plastic and carbon fiber AFOs, thermoplastic heavy-duty KAFOs, modular KAFOs (my name for the Allards Combo brand), and (H)KAFOs with a hip belt and the Up and Go bracket system for gait stabilization.  I consider myself blessed to have had the opportunity to experiment with various kinds of bracing.  Sometimes braces have to be fitted directly for the user and cannot be used on a trial basis, or are too expensive and rare for clinics to have on-hand.

To schedule an appointment with an orthotist, I had to have a doctor's written approval (a scrip).  Insurance wants the document to show that braces are medically necessary or beneficial for your health.  I talked with my insurance provider directly and asking about leg braces as authorized Durable Medical Equipment.  I would suppose that spine centers or specialty clinics devoted to SCI rehab have standard ways of doing all of this. 

The first visit at the orthotics clinic was an assessment of the injury and its specific impact.  This stage was mostly answering questions.  What muscles were functioning?  What was my level of independence at different tasks, such as sitting up or leaning over?  Did I have any walking ability?  I was using a wheelchair for mobility at the time and had a little hip function.  When my knees were blocked or locked straight, I could take small steps.  Information like this helps determine what bracing is viable.

For me, the results were almost a disappointment.  My request for braces was nearly turned down because my walking ability was very poor.  Fortunately, I had a great advocate in my orthotist.  If it hadn't been for him, the braces would never have happened.  (If you know much about SCIs, you know that opportunities can easily be shut down.  Don't be discouraged and don't give up.  Be persistent and pursue all your options.)

Fitting for leg braces was a separate appointment.  All I had to do was show up.  The casting process was fairly straightforward.  It just involved having measurements taken and being still while the clinician created a mold of my legs.

 


The molds were used to fabricate custom braces for use at home.  I picked up the braces  about a month later, approximately two weeks after the one-year anniversary of my accident.  Since we had been able to keep my body used to being upright, I did not have to go through any stages of readjusting, such as worrying about blood pressure problems or potential blood clots.  Getting used to the braces mainly meant wearing them for longer periods of time each day: an hour one day, two hours the next day, four hours the next, and so on.  By July 4, I could walk down the local trail just enough to view fireworks while standing.  It was a long and triumphant way from the hospital bed where I had been exactly a year earlier.  Well worth it!


Obviously that isn't the whole story about long leg braces.  There is much more to say about adjusting to them and using them for daily function, but I hope that these short insights will help others who are looking into leg braces.  Please contact me or leave a comment below if you have any questions!

Thursday, July 16, 2020

Classics Column: "Not Your Virgil's Sinon"

Guest Column:

Not Your Virgil’s Sinon: The Greeks and the Man Who Tricked the Trojans

Thank you to Alex!

Image: Detail from The Procession of the Trojan Horse in Troy by Domenico Tiepolo (1773).  Public Domain.