A new dynamic triceps-driven orthosis (DTDO): achieving elbow flexion in patients with C5 deficits.
This report describes a unique orthosis designed to assist activities of daily living for a patient with severe proximal upper limb weakness caused by traumatic central cord syndrome. The orthosis-the dynamic triceps-driven orthosis (DTDO)-provides elbow flexion using contralateral elbow extension to move a cable threaded across the shoulders and wrist cuffs bilaterally. The device is a simple, inexpensive design that can be reproduced by any orthotist. The DTDO has been used successfully for other patients with severe weakness in C5- and C6-innervated muscles.
Department of Physical Medicine and Rehabilitation, Mayo Clinic and Mayo Foundation, Rochester, MN 55905, USA.
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BD
Lawlor
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Stolp-Smith
D000203:Activities of Daily Living; D004551:Elbow Joint / Q000503:physiopathology*; D004867:Equipment Design; D006801:Humans; D007796:Laminectomy; D008297:Male; D008875:Middle Aged; D009989:Orthotic Devices; D016059:Range of Motion, Articular; D012865:Skiing / Q000293:injuries; D013119:Spinal Cord Injuries / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation* / Q000601:surgery; D013123:Spinal Fusion; D013577:Syndrome