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Orthotic Management of Equinus in Early Duchenne Muscular Dystrophy Using a Supramalleolar Tone Balancing Orthosis

Departments of Orthopaedics, Neurological Sciences, and Physical Medicine and Rehabilitation, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois

Gene Bernardoni

Ballert Orthopedic, Chicago, Illinois. Address correspondence and reprint requests to I. M. Siegel, M.D., 1725 West Harrison, Suite 1106, Chicago, Illinois 60612

A supramalleolar orthosis designed to balance tone about the ankle is described. The appliance provides ankle stability, stimulates dorsiflexion, and inhibits plantar flexion, thus delaying equinus contracture requiring surgical release. The orthosis has proved useful in the management of early Duchenne muscular dystrophy. Key Words: Duchenne muscular dystrophy—Lower limb orthosis.

Neurorehabilitation and Neural Repair, Vol. 11, No. 1, 1-5 (1997)
DOI: 10.1177/154596839701100101


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