MUD Mired in time...

Bracing strategies Bracing for stability – if energy conserving skills are absent then this eases stance Bracing for mobility – requires sensory with quick adaptability but is hurt by stability. Bracing choice prescriptions are related to the wobble zone, where stance must give way to swing. What swings is NOT the leg. It is the thigh flexing while the foot is on the ground which makes the thigh bend the knee. Most of the energy of walking is injected by the psoas at this transition. Extra stability here poisons the essence of walking – energy conservation. But, clinically we need to bow to reality. The eccentric energy saving mechanism requires a very fast adjusting and inertially sensitive neurology as the driver. There is where we must make separate strategies 1. can neurologically adjust quickly and proportionately 2. can not

Treatment strategy across the board derives from this:

Two groups

for distinct surgical interventions or for kinds of braces & walking aids.

Always have the TRANSITIONS in mind between step stance to swing to step stance...

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