MUD Mired in time...

The casual clinician does not recognize the huge differences of needs of these two groups nor shortcuts in repair related to these differences.

Braces for 'walkers' must be set for transitions (not slow, not stable). They might even be used to speed up a slow or locking transition. Stepper braces should NOT mask sensation the lack of which increases instability and coordinated energy transferal. Whether using Inman's determinants to progress or a substitute to get around a deficiency, an easy gauge of functional efficiency is simply to follow the head, even blocking the body from view. Smooth forward progression? Halting progression? At the end of stance with the hip extended (10 deg or so?) there is stretch of the proximal rectus femoris (RF) which the body should note but ignore. If spastic reflex is set such that this stretch TRIGGERS a reflexive contraction of the RF (or even the whole quadriceps), then at the moment when the psoas is to flex the thigh, this abnormal