The influence of new reciprocating link medial linkage orthosis on walking and independence in a spinal cord injury patient.

ABSTRACT

OBJECTIVES: The purpose of this paper is to describe the development and evaluation of a new medial linkage reciprocating gait orthosis (MLRGO) that incorporates a reciprocal mechanism and is sensitive to pelvic motion to potentially assist paraplegic patients to walk and provide functional independence. CASE DESCRIPTION AND METHODS: The new orthosis was constructed and tested by a 20-year-old female paraplegic subject with transverse myelitis at T10 level, who was 4 years post injury and had also been an isocentric reciprocating gait orthosis (IRGO) user for 2 years. She received gait training for 12 weeks before undertaking gait analysis, and also completed a questionnaire that was designed to assess the perceived functionality of the new MLRGO when compared with an IRGO. RESULTS: The results demonstrated improvements in gait velocity, step length and cadence, and also improvement in functional independence with the new orthosis compared with an IRGO. CONCLUSION: The results demonstrated that this new MLRGO could be used for paraplegic patients who would like an improvement in functional independence and ambulation.