How to do ambulation training with KAFO in patient of spinal cord who got complication with accidental burn on thigh region?

Mr. Shah had D12 compression fracture, spinal cord compression with ASIA type B with neurological level of injury D12 & fracture upper end humerus. After one and half month of ambulation training he could walk with walker with moderate assistance for balance during dynamic activity of walking and assistance for stepping leg forward.  He was taking hot fermentation for pain around shoulder of left side which had humeral fracture.  Unfortunately he kept the hot water bag by side of the Lt thigh. Because he didn’t had sensation below D12 ( below groin region) he couldn’t realized his mistake and he got huge burn on the anterior aspect of the thigh.
This where we had a big setback in patient of SCI walking with walker and KAFO. Because of burn we couldn’t put on the KAFO till the burns heal. It would have taken 2-4 weeks for healing. That means we would have lost one month of ambulation training. But I was ready to waste one month of ambulation training. We waited for 2 day till the boils burst and allowed the fluid of burn to drain partially.
walking with KAFO. thigh band is not tied to keep burn area freeThigh band removed so anterior aspect of the thigh is free ( sample photo: as the concerned patient with burn didn not allowed to put his photo on net.)
I was very disturbed I wanted to start walking as soon as possible. Suddenly I got a brilliant idea. In a KAFO we have 3 bands of support. 1. Thigh band, 2. Knee band /cuff & 3. Calf band.
So I tied AFO, Knee band/cuff & Calf band and did not tied thigh band which was coming over the burn are over the anterior aspect of thigh.
With AFO, knee strap and thigh pad we got 3 point support and could manage without thigh band. I could start walking with KAFO within 2 day of burns.

Published by GajananBhalerao

DR. GAJANAN BHALERAO (PT) MPTh Neuro, NDT Adult (USA), Motor relearning (Australia), Aquatic therapist (Switzerland). Associate professor at Sancheti Institute College of physiotherapy, Shivajinagar, Pune. Founder Director of "School of neuro rehab and aquatic therapy" , speciality centre for neuro rehabilitation of stroke, brain and spinal cord injury. Mobile : 9822623701,

3 thoughts on “How to do ambulation training with KAFO in patient of spinal cord who got complication with accidental burn on thigh region?

    1. thanks for the query. your queries give me new ideas to write new blog.
      sorry i can’t upload the picture of patient because has not permitted to post his photo and internet. i respect his privacy and decision.
      i may upload other patients photo with same concept of how to do it.


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