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    Ankle Foot Orthosis (AFO)

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    aienjalil
    Ankle Foot Orthosis (AFO) are devices used to support and stabilize the ankle and foot. The main parts include a shell or cuff to distribute pressure, joints to allow movement, and straps to control movement. There are different types of AFOs including posterior shell, anterior shell, and joined AFOs. Posterior shell AFOs can be rigid, flexible, or joined and are used for conditions like foot drop or instability. Anterior shell AFOs prevent forward tibial progression and are used when plantar flexors are weak. The type chosen depends on the patient's specific needs and circumstances.

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    Ankle Foot Orthosis (AFO)

    Uploaded by

    aienjalil
    200 views10 pages
    Ankle Foot Orthosis (AFO) are devices used to support and stabilize the ankle and foot. The main parts include a shell or cuff to distribute pressure, joints to allow movement, and straps to control movement. There are different types of AFOs including posterior shell, anterior shell, and joined AFOs. Posterior shell AFOs can be rigid, flexible, or joined and are used for conditions like foot drop or instability. Anterior shell AFOs prevent forward tibial progression and are used when plantar flexors are weak. The type chosen depends on the patient's specific needs and circumstances.

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    Ankle Foot Orthosis (AFO) are devices used to support and stabilize the ankle and foot. The main parts include a shell or cuff to distribute pressure, joints to allow movement, and straps to control movement. There are different types of AFOs including posterior shell, anterior shell, and joined AFOs. Posterior shell AFOs can be rigid, flexible, or joined and are used for conditions like foot drop or instability. Anterior shell AFOs prevent forward tibial progression and are used when plantar flexors are weak. The type chosen depends on the patient's specific needs and circumstances.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    200 views10 pages

    Ankle Foot Orthosis (AFO)

    Uploaded by

    aienjalil
    Ankle Foot Orthosis (AFO) are devices used to support and stabilize the ankle and foot. The main parts include a shell or cuff to distribute pressure, joints to allow movement, and straps to control movement. There are different types of AFOs including posterior shell, anterior shell, and joined AFOs. Posterior shell AFOs can be rigid, flexible, or joined and are used for conditions like foot drop or instability. Anterior shell AFOs prevent forward tibial progression and are used when plantar flexors are weak. The type chosen depends on the patient's specific needs and circumstances.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 10

    Ankle Foot Orthosis (AFO)

    Nurhayati Binti Arshad


    Functions for parts of AFO
    PARTS OF FUNCTIONS
    AFO
    Shell / Cuff Distribution of pressure & for strength of device
    Joints Given accordingly to patients circumstances
    Straps Positioned for control movement & distribution of
    forces
    Footplate Different functions are provided given by the
    different length & flexibility
    Materials Given accordingly by the strength and ages of
    patients, each material have its own advantages &
    disadvantages
    Types of AFOs
    • Posterior Shell AFO
    • Rigid design
    • Flexible design
    • Joined AFO

    • Anterior Shell AFO


    • Rigid design
    • Joined AFO

    • Conventional AFO (will not cover as it is not cosmesis wise, heavy, usually made to fit one shoes only
    and less surface are in contact with patients, hence less distribution of pressure)
    Posterior Shell AFO

    • Closed-fit shell type to offer good control of


    movement
    • Main differences for Rigid and Flexible AFO :
    anterior trimlines between foot & calf for rigid
    AFO are much more than flexible AFO, thus
    resisting movement. Usually in case for needed
    control in dorsi/plantar flexion, sub-talar
    instability & forefoot deformity. Ex: spasticity
    patient.
    • Flexible AFO allows bending and offer some
    control plantarflexion at heel-strike & spring at
    push-off. Usually in case of simple flaccid
    footdrop
    Posterior Shell AFO
    TYPES Posterior Shell Rigid AFO Posterior Shell Flexible AFO
    Indications -instability of ankle & foot -foot drop
    -to decreased ankle motion -mild spasticity
    -post-surgical immobilization
    -moderate to severe spasticity
    -for unstable midfoot
    -for children who start to stand but cannot
    walk yet
    Contra-indications -oedema -ML instability
    -loss sense of protection (except with soft -oedema
    padding) Severe spasticity
    -presence of function in ankle motion -knee hyperextension

    Advantages -fit into shoes -some ankle motion possible


    -cosmesis-wise -inexpensive
    -simple to make -cosmesis-wise
    -inexpensive -fit into shoe
    Disadvantages -wearer will feel hot at certain times -cannot control ML instability
    -patients must wear socks -patients must wear socks
    Posterior Shell-Jointed AFO

    • Similar design with additional joints.


    • Allows some degree of movement &
    depending joints used which can control
    or assist movement
    • Allows normal tibial progression and still
    offer good control of ML forces and keep
    neutral position of ankle.
    Posterior Shell-Jointed AFO
    Type Posterior Shell-Jointed AFO – Free motion Posterior Shell-Jointed AFO – PF stop

    Indication -ML instability -Foot drop


    -Knee hyperextension in stance
    -Mild to severe spastic instability
    -Toe walkers
    Contra-indication -Oedema -Patient with weak proximal muscles
    -Loss sense of protective -oedema
    -Spasticity -Loss sense of protective
    -Drop foot -Severe spasticity

    Advantages -Inexpensive -Allow forward progression of tibia during stance


    -Good cosmesis phase
    -Fit into shoe -Eliminate hyperextension moments of rigid AFO

    Disadvantages -Bulky at ankle joint -Bulky at ankle joint


    -Patient must wear socks - Patient must wear socks
    Anterior Shell AFO

    • Main purpose to prevent tibial progression.


    Ex; when plantar flexors are weak
    • Are not made flexible as bending of material
    usually place pressure at tibia and boney
    anatomy of anterior dorsal foot
    • Anterior jointed-shell AFO allows free PF but
    stops DF which allow normal shock-
    absorbing action of ankle after heel strike,
    stop ankle to DF and act to stabilize knee
    Anterior Shell AFO
    Type Anterior Shell AFO Anterior Jointed-Shell AFO – DF stop
    Indication -Forward action of tibia during stance -Forward action of tibia during stance
    -Knee flexion gait pattern -Knee flexion gait pattern
    -Weak PF -Weak PF
    -Unstable midfoot during stance -Unstable midfoot during stance phase
    phase
    -Mild to severe spastic instability
    Contra-indication -Oedema -Weak DF
    -Loss of protective sensation -Oedema
    -Loss of protective sensation
    -Severe spasticity
    Advantages -Inexpensive -Inexpensive
    -Good cosmesis -Good cosmesis
    -Fit into shoe -Fit into shoe
    Disadvantages -Patient must wear socks -Bulky at ankle joint
    -Must be molded carefully over tibia -Patient need to wear socks
    -Must be molded carefully over tibia
    Thank you

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