Crouched Gait - HKAFO's Ineffective- PT Upset

The patient is in the office today for a follow-up on her HKAFO's. At today's visit, the comment from the mother was that the physical therapist is upset that the patient continues to walk with a crouched gait with her knees and hips flexed, and could we do anything with the orthoses to alleviate this. Upon evaluation as previously noted, the patient has tight hip flexors and hamstrings. This is the primary cause of her crouched-type gait. At today's visit I have plantarflexed the ankle angle in hopes of achieving more knee extension. This was ineffective. I have called patients therapist and left a message for her to call me back to discuss the patient's case. The patient will follow-up after she sees her therapist.