Orthotic Treatment Management of Monoplegia

Definition
Paresis or paralysis affecting one limb only.

Causes:
• Cerebral palsy
• Injury to the brain

Sign & symptoms:
• Unable to walk properly-(if lower limb affected)
• Unable to perform any activity-(if upper limb affected)
Complications
• Pes equines
• Shortening
• Severe contracture
• Scoliosis
• Loss of function

Orthotic Treatment

For Lower limb
KAFO- If knee extensors/flexor affected
AFO-If quadricep weakness with genu recurvatum
Rigid AFO- If tibialis anterior and tricep surae weakness
In case of AFO- If muscle grading is 3- , Solid AFO
– If muscle grading is 3+, AFO with Ankle joint
In case of KAFO- If knee flexor is 3-, Knee extensor is 3+, KAFO with drop lock knee joint. If knee flexor is 3+, Knee extensor is 3-, KAFO with free lock
For upper Limb
Wrist hand orthosis
Elbow wrist hand orthosis

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