Dorsiflexor, plantar flexor workout in a leg immobilized with ilizarov

[mageshanand]

Hello guys,

I got a patient who had RTA around a year back, he had tibial non union at around mid shaft, he is currently in Ilizarov lengthening program for the past 4 months now.

My problem is this, he has very weak dorsiflexor and plantar flexor, grade 1 (both).

How can I train it, I was wondering if I can give electrical stimulation in a modified way, by placing electrodes, one at the lumbar region at around L5/S1 and the other at his feet, there by following the sciatic nerve path, I would stimulate all the muscles supplied by the nerve, which would include DF and PF, ankle.

But electrical stimulation is contraindicated in case of metallic implants, now that too external fixator, will this modified electrode placement make a difference or is this also contraindicated?

please help me, even if you have other ideas please share it with me, Thanks

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