Foundations for Ankle Foot Orthoses: Difference between revisions

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== Types of AFO ==
== Types of AFO ==
AFO - Ankle Foot Orthosis


GRAFO - Ground Reaction Ankle Foot Orthosis
* AFO - Ankle Foot Orthosis
 
* GRAFO - Ground Reaction Ankle Foot Orthosis
DAFO - Dynamic Ankle Foot Orthosis
* DAFO - Dynamic Ankle Foot Orthosis
 
* SMAFO- Supramalleolar Ankle Foot Orthosis
SMAFO- Supramalleolar Ankle Foot Orthosis
* Custom Made  
 
* Off the shelf
Custom Made  
 
Off the shelf


== Orthotic Assessment   ==
== Orthotic Assessment   ==
Range of Motion (ROM)
'''<u>Passive Assessment:</u>'''
 
Muscle Power
 
Proprioception
 
Sensation
 
Leg Length
 
ROM Foot/Ankle
 
Dynamic Assessment
 
Level of mobility
 
Gait Pattern


Compensation Mechanisms o Instability
* Range of Motion (ROM)
* Muscle Power
* Proprioception
* Sensation
* Leg Length
* ROM Foot/Ankle


Risk of injury
'''<u>Active Assessment:</u>'''


Pain
* Level of mobility
* Gait Pattern
* Compensation Mechanisms o Instability
* Risk of injury
* Pain


== Gait Cycle ==
== Gait Cycle ==
Normal Gait or Pathological Gait
'''<u>Normal Gait Cycle:</u>'''
 
Pathological Gait due to:
 
Pain
 
Joint ROM limitations
 
Muscle weakness/ paralysis


Neurological deficit


Sensory deficit
'''<u>Pathological Gait Cycle:</u>'''


Leg length  
* Pain
* Joint ROM limitations
* Muscle weakness/ paralysis
* Neurological deficit
* Sensory deficit
* Leg length  


== Pathologies ==
== Pathologies ==

Revision as of 13:00, 30 April 2022

Original Editor - Carin Hunter based on the course by Donna Fisher
Top Contributors - Carin Hunter, Jess Bell, Kim Jackson and Tarina van der Stockt

Introduction[edit | edit source]

Types of AFO[edit | edit source]

  • AFO - Ankle Foot Orthosis
  • GRAFO - Ground Reaction Ankle Foot Orthosis
  • DAFO - Dynamic Ankle Foot Orthosis
  • SMAFO- Supramalleolar Ankle Foot Orthosis
  • Custom Made
  • Off the shelf

Orthotic Assessment  [edit | edit source]

Passive Assessment:

  • Range of Motion (ROM)
  • Muscle Power
  • Proprioception
  • Sensation
  • Leg Length
  • ROM Foot/Ankle

Active Assessment:

  • Level of mobility
  • Gait Pattern
  • Compensation Mechanisms o Instability
  • Risk of injury
  • Pain

Gait Cycle[edit | edit source]

Normal Gait Cycle:


Pathological Gait Cycle:

  • Pain
  • Joint ROM limitations
  • Muscle weakness/ paralysis
  • Neurological deficit
  • Sensory deficit
  • Leg length  

Pathologies[edit | edit source]

Paediatrics-

Neural Tube Dysfunction??? / Spina Bifida

Cerebral Palsy

Muscular Dystrophy

Cerebral Vascular A – Early intervention

Multiple Sclerosis – Progressive

Polio  

Neuropathy- HMSN, Diabetes, Tumor

Trauma – Nerve injury, Pain, Instability

Goal setting/ Prescription[edit | edit source]

Positioning

Provide Support

Prevent contractures

Improve mobility

Increase stability

Patient Needs