Foundations for Ankle Foot Orthoses

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]

Range of Motion (ROM)

Muscle Power

Proprioception

Sensation

Leg Length

ROM Foot/Ankle

Dynamic Assessment

Level of mobility

Gait Pattern

Compensation Mechanisms o Instability

Risk of injury

Pain

Gait Cycle[edit | edit source]

Normal Gait or Pathological Gait

Pathological Gait due to:

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