The Efficacy of Ortho-Prosthesis and Knee Ankle Foot Orthosis on  Functional Gait Activities in Pediatric Congenital Limb Deficiency: A case report

Thanakorn Thammakornsuksiri; Yousif  Algabri; Muhammad  Nouman

Authors

Thanakorn Thammakornsuksiri Sirindhorn School of Prosthetics and Orthotics, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok
Yousif Algabri Department of Biomedical Engineering, School of Control Science and Engineering, Shandong University, Jinan, Shandong, 250061, China
Muhammad Nouman Sirindhorn School of Prosthetics and Orthotics, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok

Keywords:

tibia hemimelia, knee ankle foot orthosis, ortho-prosthesis, congenital femoral deficiency

Abstract

Objectives: This study aimed to demonstrate the efficacy of ortho-prosthesis and knee-ankle foot orthosis (KAFO) in improving functional gait activities in children with congenital limb deficiencies.

Study design: A case report.

Setting: Sirindhorn School of Prosthetics and Orthotics, Faculty of Medicine Siriraj Hospital, Mahidol University.

Subjects: The study presents the case of a 10-year-old child with a left congenital femoral deficiency with fibular hemimelia and right tibial hemimelia.

Methods: A pediatric orthopedist provided surgical treatment, and a prosthetist and orthotist prescribed the design, choosing the appropriate KAFO for the right side and ortho-prosthesis for the left side. Outcome measurements were recorded using the Four Square Step Test (FSST), Time Up and Go (TUG) Test, and the 10-Meter Walk Test after using the devices for two and five months.

Results: The results of FSST and TUG showed improvement after five months of training, with 19.69% and 34.25% less time required, respectively. The parameters of the 10-Meter Walk Test also improved after five months of training.

Conclusions: Appropriate fitting of different devices and training using those devices can help improve balance and functional gait activities in children with congenital limb deficiencies.

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