Sunday, July 12, 2009

More Info on Splints

Emily had physical therapy on Friday afternoon and our therapist was kind enough to invite Mr. Blue, the orthopedist, along to meet Emily. Em was still very leary about taking her shoes off for him and she never did go along with the idea, but he saw what he needed to be able to see and we had a very good discussion.

I was able to learn more about the bracing that was prescribed for Emily and feel more informed now about the process of getting Emily sized for these and how and when she will wear them.

Emily's prescription is for Bilateral DAFO 2, Left DAFO 9 and a Knee Immobilizer.

Pictured below is a sample of what the DAFO 2 might look like. Bilateral means that they will put one on her left AND right legs. These are hinged and will allow Emily to kneel into a crouching position and lean forward in them, but they are essentially locked so she won't be able to walk to tiptoes or sit with her feet flipped back under her. I believe we will likely start out wearing them a little at a time and then eventually she'll be wearing them all day.

The next picture is a sample of what the DAFO 9 will look like. (These pictures are both from the Cascade Dafo, Inc.'s website.) The DAFO 9 and knee immobilizer are supposed to be worn at night for light stretching of her heel cord and muscles. I haven't been able to find a good picture of what the knee immobilizer will look like but it's very similar to what athletes wear after a knee injury. It's a brace that goes from ankle to thigh and are sometimes hinged. Mr. Blue thought it might be easier to see if they can combine the knee immobilizer with the DAFO 9 so it's all one piece. I believe it would be made of the same lightweight, white plastic that you see below.

When Emily goes in to get fitted for her braces we will hopefully take a video along that she enjoys watching. They won't have to put her in a cast, but will wrap her feet/leg with a lightweight material that will harden in about 5 minutes. Mr. Blue will simply cut it off with scissors when it's done.

I'm not sure when all of this will be happening. We have to get a few formalities worked out with BCMH so that she qualifies for braces. Right now I think her approval letter says something about orthopedic shoes or something like that, but doesn't cover bracing. Dr. B. is supposed to be taking care of getting that added in.

That's all I know for now. I'll keep you posted!

1 comment:

Connie Isler said...

Hope these help, and hope Emily is as patient with them as she has been with all the other attempts at helping her walk right. She's young enough that she probably won't remember any of this stuff, but at her age, joints, tendons, etc. are all a lot more "plastic" than they will be when she's older.

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