Foundations for Ankle Foot Orthoses
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