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kdmpt
Instructor
| Joined: | Fri Jul 7th, 2006 |
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Posted: Fri Aug 7th, 2009 10:15 pm |
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Chip,
Have you tried John's suggestions? Were they helpful? Have you viewed the video clips showing proper harness application?
http://litegait.com/adult-harness-app-standing.html
http://litegait.com/adult-harness-app-supine.html
Please update us on how things are going.
Kayli Morgan, PT
Mobility Research
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jkelly
Instructor
| Joined: | Fri Jun 20th, 2008 |
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Posted: Sat Jun 20th, 2009 02:34 pm |
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Hi Chip,
Two suggestions:
You said you have tried foam inserts. I am imagining a thin man, without much soft tissue for the harness to grab? I have been using a roll of 1 inch T-foam, that I can cut pieces in the shape I need. I would try cutting a band basically the width of the harness and the circumference of your patient's trunk. Then, I secure it in place with an abdominal binder. You want the foam to cover the hips and pelvis. When you tighten the harness, make sure it sinks into the foam, and is so tight, that you cannot get two fingers under any of the straps.
The other option is the optional leg straps. These are used in place of the standard groin straps. These avoid all pressure in the groin area, but I find do not keep the harness in place as well when using 40% or more body weight support.
I hope this helps!
John
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Chip
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| Joined: | Thu Jun 18th, 2009 |
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Posted: Fri Jun 19th, 2009 12:36 am |
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I am working with a 72 y/o 7 years post L spine trauma paraplegic. The Lite gait has had a profound affect on getting his mobility, especially walking, restored. A major setback is that no matter how the harness is applied, it migrates superiorly causing the groin straps to put pressure on that area, causing breakdown with short term use. Have tried foam in serts, turning the harness around, and prolonged rest in sitting. Nothing seems to work. Would welcome any/all suggestions
Chip
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