Good head, neck and shoulder control
Windswept slightly to left as a result of increased tightness in right hipflexors and adductors
Approximately 300 flexion contracture at knees
Approximately 250 flexion contracture at hips
Wears AFOs so ankles positioned at 900
Alice's hip and knee flexion means she is unable to use a conventional prone or supine stander. Her sit-to-stand frame goes some way to an upright posture, but comfort and functionality is limited.
After determining Alice's range of movement at hips and knees, the Mygo swinging footplate was adjusted to its maximum angle of 20 degrees in the prone direction. The foot sandals were moved backwards to allow greater knee flexion, and the footplates were adjusted to the maximum angle of plantar flexion to maintain an angle of 90 degrees at the ankles.
Alice's contractures and slight windsweeping are successfully accommodated in the Mygo stander. The narrow chest support also means that Alice's hand function is not impaired even though she does not have perfectly symmetrical trunk position. Alice reports finding the standing frame very comfortable; her therapist is delighted because her standing programme can now continue.