This professional opinion describes the use of an off the shelf knee orthotic to correct the gait and functional mobility of a patient with hemisensory loss including proprioception following a stroke and provides supporting video. Interestingly, this case corrects a human analogue of a functional deficit found experimentally in monkeys in the 19th century by Mott and Sherrington.
Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/34528/26530
Video 1 Link: https://online-publication.com/wp/wp-content/uploads/2020/07/VIDEO-1-CPOJ.mov
Video 2 Link: https://online-publication.com/wp/wp-content/uploads/2020/07/VIDEO-2-CPOJ.mov
How To Cite: Balkaya I, Altschuler E.L. Correcting sherrington’s gait dysfunction with an off the shelf knee orthotic. Canadian Prosthetics & Orthotics Journal. 2020;Volume3, Issue1, No.4. https://doi.org/10.33137/cpoj.v3i1.34528
Corresponding Author: Eric L Altschuler, MD, PhDMetropolitan Hospital,1901 First Avenue, New York, NY, 10029, USA.E-Mail: altschue@nychhc.orgPhone: (212) 423-6448Fax: (212) 423-6326ORCID: https://orcid.org/0000-0002-3575-6954
Good treatments are available for many cases of vertigo due to a peripheral cause such as benign paroxysmal positional vertigo. Conversely, vertigo secondary to a central lesion remains a treatment challenge typically without good pharmacologic or other treatments. We have successfully treated two patients, the first to our knowledge, with central vertigo, one from brain injury, one after stroke, with low dose olanzapine which we found to quickly and dramatically resolve vertigo and permit functional normalization. In our two cases, we found that a low dose of olanzapine 2.5mg daily (typical dosing of olanzapine for the psychiatric disease is 5-20mg daily) caused vertigo to rapidly and dramatically remit. Interestingly, our two cases had different causes and possibly lesion locations.
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