Orthotronic mobility system improves activities of daily living for KAFO, stance control orthosis users

CHICAGO — Use of an orthotic mobility system improved gait and activities of daily living for patients who wear a traditional KAFO and stance control orthosis, according to data presented at the American Academy of Orthotists and Prosthetists Annual Meeting and Scientific Symposium, here.

Andreas Kannenberg, MD, PhD presented results of a study that showed KAFO and stance control orthosis (SCO) users demonstrated significant improvement in ambulation, paretic limb health and improved perceived ease and safety while wearing a C-Brace (Ottobock, Plymouth, Minn.).

The study included five KAFO users and eight SCO users who wore a custom C-Brace. Researchers recorded 3 months of home use and conducted a follow-up questionnaire, designed to report on five domains of activities of daily living. Overall, 22 of 45 activities were determined to be easier with the brace, including walking on uneven terrain, walking down stairs and walking at different speeds.

 

Andreas Kannenberg

The C-Brace allowed better ramp and stair descent, whereas standard KAFO and SCO technologies do not, Kannenberg said.

“What all of these KAFOs and SCOs have in common is that they don’t allow for knee flexion in a weight-bearing condition,” Kannenberg said. “That is something that we all need for walking.”

With decreased perception of balance and safety, avoidance of societal participation becomes common, which is why the C-Brace is important for amputees, according to Kannenberg.

“Improvement of perceived balance and safety lays the foundation for patients to improve participation in work life, family life and social life,” he said. — by Shawn Carter

For more information:

Kannenberg A. Paper F22. Presented at: American Academy of Orthotists and Prosthetists Annual Meeting and Scientific Symposium. Feb. 26-March 1, 2014. Chicago.

Disclosure: Kannenberg is executive medical director for Ottobock North America.

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