What type of orthosis is recommended for an L1 complete spinal cord injury?

In the context of a complete spinal cord injury at the L1 level, a knee-ankle-foot orthosis (KAFO) is particularly suitable due to its ability to provide support to the lower extremities and assist with mobility. Since an L1 injury typically results in varying degrees of paralysis and loss of motor function below that level, maintaining stability and alignment in the knees and ankles is crucial for ambulation and standing. The KAFO allows for controlled movement at the knee while supporting the ankle, facilitating some degree of ambulation with crutches or walker.

While other types of orthoses might offer some benefits, the KAFO stands out for individuals with their specific needs associated with L1 injuries, allowing for sufficient weight bearing and functional mobility following rehabilitation. Other options, such as an LSO (lumbar sacral orthosis), might focus on trunk stability but do not address the need for lower limb support in the specific context of an L1 complete injury.