Which is an indication for RGO or HKAFO?

Which is an indication for RGO or HKAFO?

• A. Unable to maintain an upright posture with the hip joints extended
• B. Athletic performance enhancement
• C. Full independent ambulation without assistive devices
• D. Cervical spine stabilization only

Answer: (A)

The need for an RGO or HKAFO arises when a patient cannot keep an upright posture with the hips extended because of motor weakness or poor hip/knee control. These braces provide rigid support and alignment for the hips and knees, helping to stabilize the limb segments and convert limited control into a functional standing balance and gait pattern. In spina bifida with paraplegia, weakness or contractures at the hip and knee can make it hard to stand straight; an RGO (reciprocating gait orthosis) or an HKAFO (hip–knee–ankle–foot orthosis) gives the necessary support to help the person stand and step, particularly when there’s some usable trunk control and upper-limb function to assist with balance and positioning.

They’re not meant for athletic performance, and they don’t imply complete independence without any devices. They’re also not used for cervical spine stabilization, which involves a different region and device.