Lower Extremity

RGO (RECIPROCATING GAIT ORTHOSIS)

A reciprocating gait orthosis (RGO) is also a HKAFO however it allows one leg to be placed ahead of another - more like normal walking. This is achieved by linking the two KAFOs together by a band, two cables or a push-pull rod which transfers movement energy from one leg to the other (see diagram). Therefore as one leg is flexed or brought forward, it causes a reciprocal extension of the other leg. This allows a much smoother gait and greatly reduces the amount of effort that is needed to walk. A walker can often be abandoned for forearm crutches.

The RGO is commonly used for individuals with a lesion level of T12 to L3 (although higher levels are possible) who lack adequate strength to maintain hip extension. Good upper extremity strength, high motivation levels, good family support and minimal contractures definitely contribute to the successful use of the device.

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