SCI Standing and Gait Training

Question 1

SCI Standing Balance Examination for Incomplete Injuries

Answer 1

• Standard standing balance assessment with varying conditions (vision, VOS, dynamic tasks)
• Outcome Measures: BBS, FGA, DGI, TUG

Question 2

SCI Standing Balance Examination for Complete Injuries (para)

Answer 2

• Orthoses (KAFOs)
• Assistive Devices
• Static and Dynamic balance assessment

Question 3

KAFO Standing/ Gait requirements

Answer 3

• Hamstrings > 90 SLR
• Hip flexors (hip must ext beyond neutral)
• Gastrocs 7-10 degrees DF
• Pt must perform at least 30 does in parallel bars with legs supported

Question 4

Can you do KAFO training for cervical level injuries?

Answer 4

Probably not because you need strong UEs

Question 5

What is the goal of KAFO training

Answer 5

• could be standing or household ambulation or community ambulation
• more likely standing and household ambulation for upper thoracic injuries
• possibly community ambulation for lower thoracic and lumbar level injuries, but unlikely in KAFOs given inefficiency of gait with locked knee joints