HOW TO CHOOSE BETWEEN KAFO WITH STATIC ANKLE UNIT & DYNAMIC ANKLE WHILE PRESCRIBING KAFO IN SPINAL CORD INJURY?


While staring Ambulation Training In Spinal Cord Injury we commonly prescribe KAFO for standing and walking. But there is always a dilemma between KAFO with static ankle unit and dynamic ankle while prescribing KAFO in spinal cord injury. How to decide between with static dynamic ankle unit and dynamic while prescribing KAFO in spinal cordContinue reading “HOW TO CHOOSE BETWEEN KAFO WITH STATIC ANKLE UNIT & DYNAMIC ANKLE WHILE PRESCRIBING KAFO IN SPINAL CORD INJURY?”

When & how to progress from KAFO TO AFO in patients with Incomplete Spinal cord injury.


      In patients with incomplete cord injury we start ambulation training with KAFO but it becomes very difficult how to shift from KAFO to AFO. What is the solution? While ambulation training with KAFO we start with knee locked position in KAFO that helps in stabilizing the knee. As patient is showing progressContinue reading “When & how to progress from KAFO TO AFO in patients with Incomplete Spinal cord injury.”

HOW TO DO WALKING TRAINING WITH WALKER IN PATIENTS OF SPINAL CORD INJURY WITH COMPLICATION UPPER END HUMERAL FRACTURE ?


Case study:       Mr. Shah had D12 compression fracture & fracture upper end humerus of left side in a Road traffic accident in first week of July 2011. He was operated for decompression followed by fixation of spine and stabilization humeral fracture with internal fixation of She was presenting with neurological level D10, Type BContinue reading “HOW TO DO WALKING TRAINING WITH WALKER IN PATIENTS OF SPINAL CORD INJURY WITH COMPLICATION UPPER END HUMERAL FRACTURE ?”

HOW TO DO WALKINNG TRAINING IN SPINAL CORD INJURY WITH B/L COLLES’ FRACTURE (WRIST).


Patients with spinal cord injury commonly have B/L  Colles’ fracture wrist that delays the weight bearing through upper limb. This limits the ambulation training with walker or crutches, push ups, transfers from bed to chair. Early ambulation plays a important role in restoration ambulation in incomplete cord injury with Type B,C,D. So how to makeContinue reading “HOW TO DO WALKINNG TRAINING IN SPINAL CORD INJURY WITH B/L COLLES’ FRACTURE (WRIST).”

All patients showing Type A lesion on initial ASIA scale assessment are not complete cord injury


Most of the cases of spinal cord injury on initial assessment will show no motor or sensory control and no sacral sparing and we classify them under Type A lesion: complete cord injury. As we consider it as TYPE A complete cord injury our rehabilitation approach changes drastically. We start assuming that this is completeContinue reading “All patients showing Type A lesion on initial ASIA scale assessment are not complete cord injury”