Posts Tagged AFO

[WEB PAGE] Treatments for foot drop compared

 

Continue —> Treatments for foot drop compared | MS Trust

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[WEB PAGE] Embrace Comfort and Weight Distribution with CROW Boot and Neuropathic Walker

New York OMC manufactures all of its medical and orthopedic products by hand.  The New York OMC line can be used by practitioners and podiatrists as a way to increase mobility, avoid pain and surgery, and provide a better quality of life to patients.

The Charcot Restraint Orthotic Walker, or “CROW” Boot, is a cross between an ankle-foot orthoses and a custom boot. The design provides total contact for weight distribution.

New York OMC’s CROW Boot is available in any height and features a triple density custom insert to relieve plantar pressures and to increase comfort. A rocker sole ensures proper gait. The boot is lined with Volara for maximum comfort and versatility. Indications include Charcot deformities, chronic plantar ulcerations, non-union factures, traumatic injury, equinus contractures, reflex sympathetic dystrophy, and rheumatoid arthritis.

Also offered is the Neuropathic Walker – a more comfortable and advanced solution to the CROW Walker.  Like the CROW Boot, the Neuropathic Walker features a triple density custom insert. Taking comfort one step further, a soft foam padded collar decreases posterior proximal pressure. A rocker sole and integrated custom molded solid AFO are also incorporated. As an additional benefit, when ordering a Neuropathic Walker you can also order a matching shoe for the contralateral side, with the same pattern design and a sole height.

The Neuropathic Walker features total contact AFO straps that allow for greater adjustability and is available in any height. Lace, Velcro, and boot hooks allow the patient to don and doff the AFO more easily.

Contact New York OMC today for further details. Get a 10% discount on your first order by calling New York OMC at (718) 618-7292. (For discount you must call before ordering and mention LER)

via Embrace Comfort and Weight Distribution with CROW Boot and Neuropathic Walker – Act Now for 10% Discount | Lower Extremity Review Magazine

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[WEB PAGE] Achieve New Level of Comfortable Control with DAFO Softback Orthoses

Cascade Dafo, creators of the original DAFO® (Dynamic Ankle Foot Orthosis), has added the DAFO Softback™ to their custom line of orthoses. The DAFO Softback provides comfortable control of mild to moderate toe walking and knee hyperextension. The AFO’s soft yet durable posterior pad and strap combination work together to comfortably resist excess plantarflexion while encouraging free dorsiflexion.

The DAFO Softback is custom fabricated from cast or scan, with a full wraparound shell that provides flexible control of foot position and alignment. For patients needing additional padded protection for sensitive foot anatomy, the DAFO Softback Softy® version has a foam inner liner.

As with all of Cascade Dafo’s products, the DAFO Softback is covered by a full 90-day warranty. For more information, visit https://cascadedafo.com.

via Achieve New Level of Comfortable Control with DAFO Softback Orthoses | Lower Extremity Review Magazine

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[WEB SITE] An AFO for Every Need

 

New York OMC offers a proven collection of AFOS. High quality products offered by New York OMC include STI-Dynamic AFO, STI-Dynamic Overlap Joint, BRK-1 AFO, BRX-1 AFO, QNS-1 AFO, and Superflex AFO. The STI-Dynamic AFO treats indications PTTD, ankle injuries and sprains, medial and lateral ankle instability, subtalar joint instability, sinus tarsi, and foot drop. The STI-Dynamic Overlap Joint features custom molded overlap uprights, three Velcro closures, soft interface lining, high medial and lateral flanges to increase support, and hind foot and forefoot posting. The BRK-1 AFO utilizes rigid, semi-rigid, or flexible reinforcement materials to match the exact diagnosis with the appropriate amount of support required. The BRX-1 AFO is suitable for indications PTTD, charcot deformities, ankle instabilities, abnormal ankle alignment traumatic injury, and arthritis; and is available with lace, Velcro, or boot hooks closure. The Superflex AFO treats many of the same indications as the BRX-1 AFO and is built with durable vegetable dyed leather and full interface lining cushions to protect fragile skin. The QNS-1 AFO is built with a 1” custom padded collar for increased patient comfort and compliance; the flexible-molded integrated AFO allows for dynamic biomechanical function.

via An AFO for Every Need | Lower Extremity Review Magazine

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[WEB SITE] Kinetic Research Flagship Ankle-Foot Orthosis

The Noodle is Kinetic Research’s flagship ankle-foot orthosis.  This patented technology creates a quick and simple solution for drop foot.   What makes this ultra-lightweight AFO special is its next generation of carbon fiber properties that allow it to maintain dynamic motion and energy return. The Noodle positions the foot correctly during the swing phase and dampens heel strike for a natural loading response, minimizing foot slap. The Noodle is available with either lateral or medial strut and is the least restrictive design for controlling drop foot.

For all off-the-shelf orders, Kinetic Research will precut the footplate to size at no additional cost. The Noodle is also available in build-to-order allowing you to adjust color, height, and flexibility.

Kinetic Research offers a variety of off-the-shelf and custom dynamic ankle braces each with its own character and effect to meet the individual needs of the user.

Kinetic Research

800/919-3668

kineticresearch.com

via Kinetic Research Flagship Ankle-Foot Orthosis | Lower Extremity Review Magazine

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[BLOG POST] The Best AFO for Foot Drop Reviews in 2018

 

Life is not fair to all of us. Sometimes our bodies betray us giving abnormalities. One such abnormality is foot drop. However, with science and medicine reaching its peaks, everyone can be helped.

It is now easier than ever to bring back normality into life using the gifts from technology. People whose life has been suffering because of foot drop can now have some normality back in life with AFOs.

It is essential to choose only the best AFO for foot drop that will have an impact on every movement of yours. To ensure the maximum amount of comfort, one must be careful while buying the best foot drop braces. Here is a list of things to memorize before you buy one.

  • The best AFO for foot drop must be comfortable.
  • It should be designed to support your foot firmly.
  • The structure of the AFO should ensure that the weight of the body should be balanced on both feet properly.
  • It ought to fit in your shoes properly to avoid discomfort.
  • Most importantly, it must provide ease in movement.

Best AFO for Foot Drop


MARS Wellness Ankle Foot Orthosis Support – AFO – Drop Foot Support Splint Right, Medium

Ankle Foot Orthosis Support - AFO - Drop Foot Support Splint

This product is specially designed keeping the foot anatomy in mind. Due to this, the AFO supports the foot perfectly well. The discomfort in the heel can be minimized as the foot is entirely balanced. This increases the stability and assists in walking steadily.

It has a thicker rare portion near surrounding the heel and a thinner footplate on the front which gives the heel more support. The front portion gets more comfortable as it gets softer.

The front portion can also be cut with scissors according to your comfort and desired size. This makes the product much convenient to wear and walk in.

The product is designed to fit in almost all kinds of shoes. So even with this condition, you can wear the shoes you like most. You can do that without being bothered by the AFO braces for foot drop.

To support the foot more conveniently, the AFO braces come with a hook and loop straps. You can tie these around the calf of your leg. This ties it securely to your foot as you walk.  In our opinion, it is the best drop foot brace for people suffering this due to nerve palsy or heel cord tightness.

Ossur AFO Leaf Spring – Small/Medium – Right

Ossur AFO Leaf Spring - Small Medium

Ossur offers a product of extraordinary strength. This product is designed to have a variable texture and width. This design gives the foot brace its strength, providing support and comfort.

It weighs much less than regular foot braces, making it much more comfortable to wear and convenient to walk in. However, even with a lesser weight the quality and strength are uncompromised. The stability it provides is ideal.

The product comes in varied sizes according to height. You can choose a brace according to your height which in turn makes it much more suitable to wear and use.

The footplate of this AFO brace for foot drop has viscosity. It supports the foot and is comfortable to wear. The footplate can be trimmed into the shape of your desire.

This brace has a hollow portion over the heels. Because of this, the product is the right one to use with a variety of shoes and is also brings you more comfort.  This is the best AFO to use for long walks.

FREEDOM Swedish AFO, Black, Men’s Right

FREEDOM Swedish AFO, Black, Men's Right

This product reduces the angle between your toes and the shin to a comfortable position. This reduces the effects of drop foot and makes it easier for you to walk in. It stabilizes the foot and brings in the sense of relaxation to the foot.

The product is made of injection molded polyethylene which makes it resilient. A strong enough AFO will provide the necessary support. The material used for the manufacturing of this foot brace makes it very durable.

The hook and lock strap that ties over the calf to fasten it is padded. This makes it soft and comfortable to wear. The splint can also be altered to an extent according to your desire by using a heat gun. So you can adjust your comfort level with the AFO.

Comfortland Foot Drop Splint (Large Left)

Comfortland Foot Drop Splint (Large Left)

The flexibility and shape of the splint make it the best AFO for foot drop. This product will make life so much easier for you. Especially for people who have busy schedules and often need to wear shoes, this is the one for them.

The shape fits perfectly well in most shoes. Even if it doesn’t, all you need to do is trim it a little the way you want, and it will work just fine.

An elastic band secures the AFO with the leg. So if you happen to wear tight jeans, this won’t be bulging out to show you are wearing an AFO. The elastic band also makes it painless to wear.

The reinforcement to the foot is flawless with polyethylene structure. The quality and durability remain uncompromised.

Rolyan A508RL Large Ankle Foot Orthosis for Right Leg

Rolyan Small Large Ankle Foot Orthosis for Right Leg

This product can help people with a more severe problem of foot drop. It can hold up an unsteady ankle and provide support to the ankle and foot region, backed by the calf.

It is made of a hard material which can help with minor involuntary muscular contractions.

This contributes a lot of stability to the foot and assists in the regular walking, reducing the effects of the abnormality.

The foot plate is larger than the average size usually found in the markets. This provides aid to the forefoot during motion, keeping the foot steady. It can be modified slightly with the help of ordinary scissors or a heat gun.

BOLD Foot Drop Splint Left Small White

BOLD Foot Drop Splint Left Small White

This product is excellent for people who develop the foot drop due to some neurological issues. It has better strength to provide for walking and can help in foot drop brace running.

This is usefectiveul in assisting with dorsiflexion and gives better control to the foot.

It is manufactured in a pre-dorsiflexion pose, which makes motion a lot more convenient. The comfortable straps that go around your calf to fasten it securely now come with padding.

So, this makes it easy to wear all day long without any inconveniences. Also, this can be used for rehabilitation purposes and offers some cure for foot drop.

Sky Medical Products (v) Semi-Solid Ankle Foot Orthosis Drop Foot Brace Medium Left

Sky Medical Products (v) Semi-Solid Ankle Foot Orthosis Drop Foot Brace Medium Left

The shape of this product ensures a correction to the foot drop problem as you wear it. It assists in bringing your feet in a right posture, which in turn will help you carry out the daily life activities such as walking more easily.

This product will reduce the pain that may arise in the ankles and prevents calcaneus agitation. The heels are positioned in a convenient pose. It holds and supports the foot by reducing the angle of the foot. This angle is made abnormally large due to neurological issues which result in this condition.

The foot plate ends right before the toes to make their move easier and give more stability to you. The comfortable design of this AFO can aid the foot; it can be the foot drop brace for sleeping.

Since the design is convenient from the edges at the forefoot to the buckle strap at the leg, one can even sleep in this without much discomfort.

Frequently Asked Questions About The Best AFO For Foot Drop:

Q: What the best AFO for foot drop does?

A: It helps people with a condition of foot drop that comes due to neurological abnormalities. It stabilizes the foot and holds it in a healthy posture which makes it easy for a person to walk and stand correctly.

Q: Which is the best AFO for foot drop?

A: The best AFO will be the one which is comfortable to wear and provides the essential support to the foot. It also has a soft strap to avoid unease and blisters on the lower limbs.

Q: Does an AFO help in jogging?

A: If the foot drop is mild and the AFO is strong enough to support the foot and leg, then with time the person might be able to jog.

Q: Do AFOs cure foot drop?

A: They do not cure foot drop, but they can help in the therapy and make it easier to overcome mild foot drop.

Conclusion:

By going through this list, one can decide which one is the best AFO for them. It is essential to choose thebest AFO for foot drop because it will affect all the things you do in routine. It aids in standing and walking correctly.

The best AFO is the one which goes best with the level of your case and brings most support and convenience. So, when choosing an AFO one must choose wisely.

 

via 7 Best AFO for Foot Drop Reviews | (Revealed) Mobility Pedia

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[BLOG POST] Things to Know the Foot Drop Treatment

ROBERTCHASE JUL 31, 2018

Foot drop (now and again called drop foot or dropped foot) is the failure to raise the front of the foot because of shortcoming or loss of motion of the muscles and nerves that lift the foot. Foot drop itself isn’t a sickness; it is a manifestation of a more outstanding issue or restorative condition.

You can perceive foot drop by how it influences your step. Somebody with foot drop may drag their toes along the ground when strolling because they can’t lift the front of their foot with each progression. With a particular end goal to abstain from hauling their toes or stumbling they may lift their knee higher or swing their leg in a full bend. That is called steppage walk and is a way of dealing with stress for foot drop issues.

Reasons for Foot Drop

There is three primary driver of the debilitated nerves or muscles that quick foot drop:

1: Nerve Injury

The peroneal nerve is the nerve that imparts to the muscles that lift the foot. Harm to the peroneal nerve is the most popular reason for foot drop. The nerve wraps from the back of the knee to the front of the shin and sits intently to the surface, making it simple to harm. Harm to the peroneal nerve can be caused by sports wounds, hip or knee substitution medical procedure, a leg cast, labor or notwithstanding folding your legs.

2: Muscle Disorders

A condition that makes the muscles gradually debilitate or break down can likewise cause foot drop. This clutter may incorporate muscular dystrophy, amyotrophic sidelong sclerosis (Lou Gehrig’s malady) and polio.

3: Brain or Spinal Disorders

Neurological conditions can likewise cause foot drop. States may incorporate stroke, multiple sclerosis (MS), cerebral paralysis and Charcot-Marie-Tooth illness.

How Foot Drop is Treated

Treatment for foot drop requires treating the hidden therapeutic condition that caused it. At times foot drop can be lasting, but numerous individuals can recoup. Various medications can help with foot drop:

1: Surgery

If a squeezed nerve or herniated circle cause your foot drop, then you will probably have a medical procedure to treat it. The medical system may likewise be necessary to repair muscles or ligaments if they were explicitly harmed and are causing foot drop. In severe or long haul cases, you may have the medical procedure to intertwine your ankle and foot bones and enhance your stride.

2: Functional Electrical Stimulation

A little device can be worn or carefully embedded just beneath the knee that will empower the typical capacity of the nerve, making the muscle contract and the foot to lift while at the same time strolling.

3: Braces or Ankle Foot Orthosis (AFO)

Wearing an AFO knee brace that backings the foot in a typical position are a standard treatment for foot drop. The gadget will balance out your foot and ankle and hold the front piece of the foot up when strolling. While generally, specialists have endorsed massive stiff braces that go inside the shoe, the Saebo Step is a lightweight and practical alternative that offers help outside the shoe.

4: Physical Therapy

Treatment to fortify the foot, ankle and lower leg muscles are the essential treatment for foot drop and will by, and large be recommended notwithstanding the treatment alternatives specified previously. Extending and scope of movement activities will likewise help keep stiffness from creating in the rear foot area.

 

via Things to Know the Foot Drop Treatment | Minds

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[WEB SITE] FootFlexor for Patients with Foot Drop

 

Core Products International introduces the FootFlexor, described as a functional and comfortable AFO that allows the foot to perform naturally while walking. Designed to work with most lace-up shoes and boots, the FootFlexor works by incorporating the FootFlexor Wrap, eyelet clips, and a tension cord to help lift the toe during gait. This comfortable product allows for the use of one’s own muscles, increasing mobility and regular movement, unlike a rigid AFO. Using a product that is comfortable to wear helps increase compliance for those who require dorsal flexion support and/or assistance. When properly maintained and used, the FootFlexor helps improve gait, increases confidence in walking ability, and helps reduce the incidence of falls.

Core Products International, Inc.

via FootFlexor for Patients with Foot Drop | Lower Extremity Review Magazine

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[WEB SITE] Controlling Foot Drop – Physical Therapy Products

Published on 

Uzo Igwegbe, PT, MPT, fitting a stroke survivor with the thigh component of the Bioness L300 Go, targeted at stimulating the L hamstrings to minimize L knee hyperextension in stance during ambulation.

Uzo Igwegbe, PT, MPT, fitting a stroke survivor with the thigh component of the Bioness L300 Go, targeted at stimulating the L hamstrings to minimize L knee hyperextension in stance during ambulation.

By Uzo Igwegbe, PT, MPT

Foot drop, a gait abnormality, is an insufficient ability to dorsiflex or clear the foot/feet during the swing phase of gait, causing an increased risk for stumbling, falls, or injury. In a normal gait cycle, initial foot contact occurs with the heel; however, an individual with foot drop may drag the foot and/or make initial contact with the forefoot or foot flat. To compensate they may excessively flex the hip and knee, or circumduct the affected limb, or increase time spent in swing phase of the affected extremity.

The cause of drop foot is due to damage to the common fibular (peroneal) nerve (inclusive of the sciatic nerve), weakness or paralysis of the tibialis anterior, extensor halluces longus and extensor digitorum longus. Foot drop is associated with cerebrovascular accident/stroke, brain injury, multiple sclerosis, cerebral palsy, spinal cord injury, spinal stenosis, disc herniation, poliomyelitis, diabetes mellitus, Charcot-Marie-Foot Disease, muscular dystrophy, Amyotrophic Lateral Sclerosis, or direct injury to the peroneal nerve.

Ankle foot orthotics (AFOs) and Functional Electric Stimulation (FES) technologies are used in the management and treatment of drop foot in physical therapy. These two approaches strive to facilitate a natural gait with increased speed, improved balance, confidence, safety, and independence with ambulation and functional mobility.


Product ResourcesThe following companies provide products to treat ankle injuries, foot drop and other aspects of stroke and neurological rehabilitation:

Active Ankle
www.activeankle.com

Allard USA Inc
www.allardusa.com

APDM
www.apdm.com

GAITRite/CIR Systems Inc
www.gaitrite.com

Gorbel Medical/SafeGait
www.safegait.com

Mobility Research
www.litegait.com

Motorika Medical Ltd
www.motorika.com

Ottobock
www.ottobockus.com

ProtoKinetics
www.protokinetics.com

Saebo Inc
www.saebo.com

Solo-Step
www.solostep.com

Tekscan
www.tekscan.com

Vista Medical
www.boditrak.com

Woodway USA
www.woodway.com


Orthotic Management

Ankle foot orthotics, the most common approach used, support neutral foot position to facilitate clearance during swing and provide ankle stability during loading response.1 AFOs are either off the shelf (for short-term use) or custom made from a cast (for complex cases or long-term use). These L-shaped braces are worn in footwear and, in most cases, a larger shoe size of one half to a full shoe size may be required due to the bulk of the orthosis. To obtain an AFO, a correct foot drop diagnosis by the therapist/physician and a physician’s AFO prescription is needed to proceed with a comprehensive assessment, with recommendations of treatment options from a licensed orthotist. A cast impression of the foot and leg is done for custom AFO. Follow-up appointments are done after reception of the AFO for re-evaluation of fit and function. The AFOs prescribed for drop foot include:

1) Posterior Leaf Spring AFO:This prefabricated, semi-rigid, polypropylene AFO supports individuals with mild foot drop and knee instability. It provides dorsiflexion during swing and controls plantarflexion at heel strike. Resistance to plantarflexion can be controlled by modifying the ankle and footplate trim lines. This AFO is the initial “go-to” brace for physical therapists because they are readily available, lightweight, inexpensive, and can provide initial ankle stability early in rehabilitation; however, there are newer, lighter, more comfortable, user-friendly and functional models available. Sources for these types of AFOs include Orthotic & Prosthetic Lab Inc, Webster Groves, Mo, which makes the Dynamic ROM AFO, and Orange County, Calif-headquartered, Össur Americas, which offers a prefabricated, polypropylene AFO Leaf Spring.

2) Solid AFO: This custom-fabricated plastic AFO prevents plantarflexion and prevents/limits dorsiflexion. It supports the ankle-foot complex in the coronal and sagittal planes in individuals with complete or nearly complete loss of dorsiflexion and mild to moderate knee hyperextension. Although bulky, it provides significant ankle support. It is contraindicated in individuals with fluctuating edema due to its rigid structure. Its bulk, difficulty obtaining properly fitted footwear, and general discomfort due to heat generated from continuous use can be barriers to utilization. One source for these devices is Kiser’s Orthotic and Prosthetic Services Inc, Keene, NH, which manufactures its solid ankle AFO to help combat spasticity, help the toe to clear, and prevent the Achilles tendon from tightening.

Table1

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3) Free Motion Articulating AFO: The ankle joint here is activated, so the individual must have active ankle motion. It is commonly prescribed for individuals with some dorsiflexion, but who still need frontal plane stability. It is not recommended for patients with significant quadriceps weakness. Among the products available in this category is the Exos Free Motion Ankle from DJO Global Inc, Vista, Calif; a prefabricated AFO made to be moldable, adjustable, and can be custom fit. Becker Orthopedic, Troy, Mich, also offers a plastic AFO with articulating ankle, which can be used with a variety of the company’s thermoplastic ankle joints and posterior stops.

4) Short Leg AFO with Fixed Hinge: A good option for people who have flatfoot and drop foot, this AFO holds the foot at 90 degrees to the lower leg and controls unwanted inward rotation of the foot, which is common in stroke and Charcot-Marie Tooth patients. It is relatively light and easily fits footwear. A disadvantage of this brace, and the solid AFO, is its failure to provide a natural gait. Among the sources that offer this type of orthoses is New Linox, Ill-headquartered Rinella Orthotics & Prosthetics Inc.

5) Dorsiflexion Assist AFO: This has a spring-like hinge which assists the ankle with dorsiflexion as the foot comes off the ground for those with mild to moderate drop foot, and a flat or unstable foot as it offers a more natural gait pattern. The short lower leg length of this brace and the Short Leg AFO fails to provide adequate support in people over 6 feet or 225 pounds.

6) Plantarflexion Stop AFO: This brace prevents plantarflexion and has a hinge that facilitates normal dorsiflexion. Due to its cumbersome size, it is not utilized often but can be effective in people with more severe or spastic drop foot. Orthotic & Prosthetic Lab Inc provides plantarflexion stop AFOs that are designed to prevent unwanted plantarflexion while permitting free dorsiflexion. These AFOs are also available from Yakima, Wash-headquartered Yakima Orthotics & Prosthetics, and are designed to provide medial/lateral stability and plantarflexion/dorsiflexion control.

7) Energy Return AFO: This prefabricated, lightweight AFO is made of carbon graphite material. It provides assistance in dorsiflexion and energy return at push-off to propel the individual forward with plantarflexors. It provides stability only in the sagittal plane; however, a foot orthotic can be placed on the flat foot for frontal plane stability. In stroke and spina bifida patients, carbon-fiber AFOs increased walking speed and decreased energy cost when compared to unbraced walking.2 Research suggests that Energy Return AFOs facilitate plantar flexor muscle regeneration and prevents atrophy.3,4

Therapists have a number of choices in this category, including the ToeOff carbon composite dynamic response floor reaction AFO from Allard USA Inc, Rockaway, NJ; designed to keep the foot up during swing phase as well as provide soft heel strike and stability in stance. In addition to providing good toe-off to the wearer, the company recommends this AFO for foot drop in combination with no spasticity to moderate spasticity. The Ypsilon, also from Allard, is made to provide toe-off assistance to stable ankles while also allowing natural ankle movement, while the company’s BlueROCKER provides more rigid orthopedic control and was developed for bilateral foot drop. It can be used for foot drop in combination with no spasticity to severe spasticity, as well as partial foot amputations, impaired balance, and weakness or impairment in multiple leg muscle groups. The Peromax carbon fiber AFO and Trulife Matrix Max carbon fiber AFO are two other options available to the PT market in this category.

Users with big toe plantar ulcerations who are unable to cope with the plastic AFO due to skin breakdown from continuous pushing off the foot plate can have the addition of a custom foot orthotic, which can help offload those areas. Items like a heel lift can be placed under the foot plate to control for knee hyperextension. Despite their advantages, this AFO is not ideal for individuals with large calves or very tall individuals, as their long stride repeatedly overextend and weaken the AFO, or individuals with spastic drop foot or tight Achilles tendon, as the overactivity of the muscle pushes down on the foot plate, excessively hyperextending the knee.

Therapist is shown fitting a stroke survivor with the lower leg cuff of the Bioness L300 Go to stimulate the tibialis anterior muscle to improve L foot clearance during ambulation.

Therapist is shown fitting a stroke survivor with the lower leg cuff of the Bioness L300 Go to stimulate the tibialis anterior muscle to improve L foot clearance during ambulation. 

Performing the initial stimulation testing to determine whether the desired muscle activation is elicited prior to ambulation.

Performing the initial stimulation testing to determine whether the desired muscle activation is elicited prior to ambulation.

Functional Electrical Stimulation Management

The L300 Foot Drop System and WalkAide are approved medical devices for foot drop by the US Food and Drug Administration and are used in rehabilitation hospitals. The Bioness Legacy L300, L300 Go, and WalkAide consist of a lower leg cuff which holds electrode(s), providing low-level electrical stimulation to an intact peroneal nerve. The L300 Go and WalkAide use advance tilt sensor technology to monitor movement in all three kinematic planes, providing stimulation to lift the foot at the appropriate time. This makes foot clearance at various cadence and terrains feasible. They do not require a foot sensor like the Legacy L300, decreasing setup time and allowing users to ambulate with or without footwear. They can be used if knee instability and foot drop are present, promoting clinical application as majority of individuals present with both. Patients work alongside a clinician to obtain training for home use or utilize these technologies in the clinical setting.

Conclusion

The options available in the treatment and management of foot drop are numerous. The path to obtaining the right product involves a joint partnership between the patient, physical therapist, physician, and orthotist. The clinician must draw from the patient’s needs, abilities, facets of gait needing improvement, and special conditions specific to the patient to recommend the optimal product. In the choice between an AFO and FES device, the ultimate goal is to provide a product that will yield compliance, a normalized gait, and contribute to independent function. PTP

Uzo Igwegbe, PT, MPT, is outpatient physical therapist, senior, at HealthSouth Rehabilitation Hospital of Cypress, located in Houston, Texas. She earned her master’s degree in physical therapy at The Robert Gordon University in Aberdeen, Scotland, in February 2010. She joined HealthSouth Rehabilitation Hospital in January 2012, starting at the City View location in Fort Worth, Texas, working in both inpatient and outpatient settings, developing treatment plans for pulmonary, brain injury and orthopedics patients. Igwegbe joined the HealthSouth Cypress team in September 2013, where she primarily worked with outpatients with a wide range of neuromuscular and musculoskeletal conditions, as well as post-orthopedic surgery patients. For more information, contact PTPEditor@medqor.com.

References

  1. Farley J. Controlling drop foot: Beyond standard AFOs. Lower Extremity Review. 2009.
  2. Danielsson A, Sunnerhagen K. Energy expenditure in stroke subjects looking with a carbon composite ankle foot orthosis. J Rehabil Med. 2004;36(4):165-168.

  3. Wolf SI, Alimusaj M, Rettig O, Doderlein L. Dynamic assist by carbon fiber spring AFOs for patients with myelomeningocele. Gait Posture. 2008;28(1):175-177.

  4. Meier RH, Ruthsatz DC, Cipriani D. Impact of AFO (ankle foot orthosis) design on calf circumference. Lower Extremity Review. 2014;6(10):29-35.

via Controlling Foot Drop – Physical Therapy Products

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[VIDEO] CVA/Drop Foot Patient Case Study & Casting – Arizona AFO – YouTube

Patient is a 48 year old male that suffered from a cerebrovascular accident which caused paralysis in the patients lower left extremity. This resulted the patient in having drop foot.

Patient was dispensed an Arizona Extended AFO which provided dorsi-flexion assist. For more information and other helpful videos, please visit us at http://www.ArizonaAFO.com

via CVA/Drop Foot Patient Case Study & Casting – Arizona AFO – YouTube

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