Polio sequela usually causes motor dysfunction of the lower extremities. Recently MEDI-REHATEK received a polio patient,who has muscle paralysis in lower leg section and severe muscle spasm in posterior leg and sole of foot after inspection.At the same time, knee and hip presents apparently compensatory flexion contracture after tiptoeing with claudication for nearly 30 years.Patients can not lift the instep due to muscle spasms when walking via the gait analysis.Hip needs carrying over high so that the affected legs can be put the front side of the body with knee flexing over in the swing phase. It completes the walking motion relying on the rotation of the whole body as the foot is not flat with tiptoeing in the stance phase.The other foot has the tendency of foot varus.
After symptom and gait analysis, orthopedic program for the polio patient must meet the following design requirements:
1, Orthosis can well withstand severe spasm of rear leg and sole of foot muscle;
2, To ensure the stability of the ankle joint in normal physiological position when walking;
3, To correct the deformity of knee flexion through daily walking ;
4, Instep should maintain a good physical position;
5, Orthosis is easy to wear, with beautiful appearance,hidden meanwhile ensuring sufficient structural strength;
6, Orthosis can meet the requirements of longtime wearing.
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