Verification of the orthosis effect in a case of paraplegic patient with spinal cord infarction: a case report

<p>We experienced a case of paraplegia due to spinal cord infarction, for which brace therapy was performed using a short leg orthosis. In this case, knee bending was observed due to excessive dorsiflexion during mid-stance due to muscle weakness in the right triceps sure muscle., who complained of fear of falling due to knee bending. Therefore, we prescribed the Walk on Trimable, which has a dorsiflexion braking function on the right side, and verified the effectiveness of the dorsiflexion braking function. The method used a three-dimensional motion analysis device. We measured barefoot walking at optimal and maximum effort speeds using Gait Solution Design and Walk on Trimable. The evaluation parameters used included the amount of forward movement of the point of application of the ground reaction force during the right stance phase and the maximum value of the plantar flexion moment of the right ankle joint. As a result, we found a significant increase in the amount of forward movement of the point of application of ground reaction force and the maximum value of the right ankle plantar flexion moment under the Walk on Trimable condition. This is thought to have contributed to an increase in the amount of forward movement of the point of reaction force application.</p>