Bilateral AFO Wrap-Arounds - Ortho Referral

The patient was in the office today for a routine follow-up on her bilateral AFO-Wrap Arounds. She is doing well and the orthoses are fitting and functioning quite well. I have replaced the straps and pads today at no charge. Of note is a conversation I had with the patient's father today. He stated that they are attempting to stand the patient in a standing frame. She has recently received a new wheelchair, standing frame and varied assistive devices for her home. I briefly discussed with the father the benefits of standing and recommended that he consult with their physician There are different styles of orthoses that may be of benefit to the patient, i.e., a KAFO night splint for extension at the knees, as she has knee and hip flexion contractures. He will consult with physician regarding the orthoses, physical therapy and a game plan to achieve the goal of standing. Otherwise, we will see them in routine follow-up.