What is the RGO?

Reciprocal Walking Orthosis (RGO), is a highly functional walking orthosis widely used in indications such as Spina Bifida, Traumatic Paraplegia and Muscular dystrophies, which need support in walking and can be ambulant from the mental aspect.
 
RGO provides an excellent walking function compared to other orthoses. Free hands and free hip joint structures prevent both freedoms of movement and formation of hip contracture. Repeating each step, one leg forward and the back mechanism of the other leg thanks to the joint mechanism actively both stretches and activates the muscles of the hip region.
Children 18 months of age can be considered as a starting point for device use. Its applicability at an early age gives a better chance of standing and stepping, as well as providing a very important effect in their physiological, skeletal and psychological development. RGO is widely used in lesion levels from L3 to T12 (possible at higher levels) Good upper limb strength, high level of motivation, good family support, and minimal contractures contribute to the successful use of the device.
Properties of ISOSENTRIK Reciprocal Walking Orthoses
 
ISOSENTRIC ® RGO, is a walking device designed for people who have little or no control of the lower extremities due to neuromuscular disorder or injury. The device is ideal for spina bifida, patients with traumatic paraplegia, muscular dystrophy and osteogenesis imperfecta.
ISOSENTRIK ® RGO offers the following advantages:
  * “Efficient ambulation” – ISOSENTRIK ® provides more efficient energy recycling. This creates energy savings for users with muscle weakness. It also provides more physical activity for overweight users and provides ease of walking.
  * “Hands-Free” standing, balance and support – enables the use of hands for different activities of standing. Apart from the hip joint, its support in the knee and ankle joint by the device helps the user to stand without using a walker or cane.
 * “Dynamic” hip stretching “- Hip flexion contractures are prone to people with many Spina Bifida and paraplegia. This trend is prevented by the mechanism where one leg moves forward from the RGO device and the other leg moves back. Thanks to this mechanism, active stretching, and therapeutic effect are provided at every step.

Dafo orthosis at the level of the Supramalleoler region due to the open back allows plantar and dorsiflexion movements following the neutral axes of the foot. The ankle, due to its 3 axes; with small amounts of adduction and inversion flexion, abduction and eversion movement is accompanied by dorsiflexion. These small amounts of inversion and eversion are closely related to the balance strategies in the hip, pelvis, and trunk.