I have a patient in my sub-acute unit who presents quite a positioning
problem. He has a head injury, with severe tonal problems, and strong flexor
withdrawal. We can position him well, but as soon as we let go, he begins to
move out of that position, putting pressure on his toes. He has ankle,
mid-foot and toe flexion contractures, and dorsal toes are usually on the bed.
Consequently, he has recurrent pressure ulcers on the dorsal toes. Any hard
orthotic would cause a problem.
Has anyone seen an orthotic that could assist with this problem? It would
need to cover his toes, or prevent him fro flexing his leg enough to get them
on the bed.
Renee
--
Renee Cordrey, MSPT, CWS
"He's the best physician that knows the worthlessness of the most medicines."
Ben Franklin, Poor Richard's Almanac, 1733
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