Reciprocating Gait Orthosis (RGO)

What is a Reciprocating Gait Orthosis (RGO)?

A reciprocating gait orthosis (RGO) is a specialised orthopaedic device designed to assist individuals with mobility impairments achieve a more natural walking pattern.

It’s made up of jointed metal frames, straps, and components that attach to the wearer’s legs and torso. The primary function of an RGO is to mimic the natural walking motion by coordinating the movement of both legs. So when one leg moves forward, the other moves backward. This coordinated movement allows for a smoother and more efficient walking experience.

RGOs are equipped with hinges at the hip and knee joints, which enable dynamic movement and better coordination. They also include a locking mechanism that provides stability during standing or resting phases. The user initiates movement through weight shifting or the use of assistive devices, while the RGO converts this motion into a controlled, reciprocal gait pattern.

How can RGOs help patients?

Reciprocating gait orthoses significantly benefit individuals with lower limb weakness or paralysis by enhancing mobility and promoting greater independence in walking. Many potential candidates for the RGO may otherwise rely on a wheelchair or a walker to be mobile.

Some of the key advantages of RGOs include:

• Improved gait pattern: By supporting reciprocal leg movement, RGOs facilitate a more natural walking motion compared to traditional braces.
• Enhanced stability and support: The locking mechanism and jointed structure offer additional balance and control, reducing the risk of falls.
• Increased independence: Many individuals using RGOs can perform daily activities with reduced reliance on carers, wheelchairs, or walkers.
• Improved circulation and muscle tone: Walking with an RGO helps maintain muscle function and encourages better blood circulation in the lower limbs.
• Better postural alignment: By promoting proper hip and knee movement, RGOs support improved posture and alignment, which can help prevent secondary complications.
• Psychological and social benefits: Increased mobility, or simply being able to stand at the same height as others, can lead to greater social engagement and an improved quality of life.

Who are RGOs suitable for?

RGOs are particularly beneficial for individuals with mobility impairments due to various medical conditions. Some of the most common conditions where RGOs are prescribed include:

• Spinal cord injury (SCI): RGOs are commonly used by individuals with incomplete spinal cord injuries who have some residual mobility.
• Cerebral palsy (CP): Individuals with cerebral palsy may benefit from RGOs to assist with movement and walking stability.
• Spina bifida: Patients with spina bifida, a congenital condition affecting the spinal column, often require RGOs to support ambulation.
• Stroke (hemiplegia): Stroke survivors with partial paralysis or significant weakness in one side of the body can use RGOs to improve mobility.
• Guillain-Barré syndrome: Some individuals recovering from this condition, which affects the peripheral nervous system, may benefit from an RGO to regain movement.
• Muscular dystrophy: Certain forms of muscular dystrophy that lead to muscle weakness may require the use of RGOs for continued mobility support.
• Traumatic brain injury (TBI): Depending on the extent and location of the injury, individuals with TBI may use RGOs to regain walking function.

Our personalised approach to designing and manufacturing complex orthotics

At LOC, we specialise in the design and manufacture of bespoke RGOs, particularly for patients with spinal injuries. Our clinical team has extensive experience in assessing and fitting these complex orthoses to ensure the best possible outcomes for our patients.

We manufacture our RGOs in our Kingston clinic, allowing for meticulous control over the process and ensuring optimal quality. Traditionally, RGOs required a plaster of Paris casting for fitting, but our advanced 3D scanning process eliminates the need for casting, reducing patient stress and discomfort.

We also use computer-aided design (CAD) technology to refine the alignment and fitting process, resulting in a superior orthotic device.

Once an RGO is fitted, regular maintenance and optimisation are crucial to ensure continued effectiveness. We provide an on-site servicing and use our video vector gait laboratory to fine-tune alignment and optimise rehabilitation progress over time.

By combining cutting-edge technology with expert clinical care, we ensure that our patients receive the best possible support in their journey towards improved mobility and independence.