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]

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