Selecting the Correct Ankle Foot Orthosis (AFO)

Selecting the Correct Ankle Foot Orthosis (AFO) - Orthotic Training: Episode 2

Рет қаралды 43,832

Күн бұрын

David Lawrence discusses ankle foot orthotics (AFOs), providing background on the purpose and use of each type.
CLICK BELOW TO SKIP TO EACH SECTION:
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00:00 Selecting the Correct Ankle Foot Orthotic
00:50 Pathology vs. Preference
01:54 AFO Considerations
04:57 Stabilizing AFOs
05:46 Foot Drop Considerations
07:22 Plastic AFOs
09:23 Carbon Fiber AFOs
13:41 Off Loading Braces
15:03 Suggestions
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This is the second episode of our Orthotic Selection and Training video series. This comprehensive series addresses the considerations to be weighed prior to bracing, as well as how to properly select, fit, and train patients using lower extremity braces. The series is made for rehabilitation professionals and is an excellent resource for patients and clinicians using lower extremity braces.
View the entire series here: • Orthotic Selection and...
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Instructor: David Lawrence, MSPT, AT-Ret
David is an internationally renowned rehabilitation professional and educator. In addition to treating patients, he delivers courses in the USA and abroad on knee, hip and foot pathologies, rehabilitation following limb amputation, and disabled sports and recreation. He is founder of The Gait Center, a walking focused physical therapy clinic located in Richmond, VA, USA, as well as the founder and Chief Executive Officer for Mission Gait.
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For more information on Mission Gait, visit our website at: www.MissionGait.org
Subscribe to our KZfaq channel at: / missiongait
This video is made possible because of our donors. Consider supporting our work at: www.missiongait.org/donate
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Social Media:
Facebook: / missiongait
Instagram: / missiongait
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Video production by Sly Dog Creative

Пікірлер: 39

@AMER-xh2bi Ай бұрын

Thank you this is one of the best videos I have ever seen, you guys will help a lot of orthotists and give them a new way to decide what is best for the patient

@MissionGait Ай бұрын

Thank you so much for the kind words!

@hdstuff99 10 ай бұрын

This is one of the most thorough presentations i have ever seen about anything. I have ALS and my needs are so special. Thank you so much.!!!!!!!!

@MissionGait 10 ай бұрын

We are so glad you have found this helpful!

@ceete6432 Жыл бұрын

Thank you so much for this video. I work in orthotic lab, we make costom AFOs. One of the best job I’ve ever have. Thought out the years I learned a lot and now I am a lead in plastics department.

@user-fd8gv4bj4g 11 ай бұрын

Excellent explanation! This is just what I needed to know tonight. Thank you for such great help.

@abbysworld05 7 ай бұрын

You are completely right about how if you don’t wear your brace it’s useless in the closet, my foot issue was only partly fixed cuz I only wore up up to Kindergarten cuz I hated it, my mom said the brace I hated the most was this brace that went really high up and had a bunch of straps and helped with my hips to straighten up where your hip is supposed to be cuz it made me look/walk weird, but I brace I remember is a Barbie brace that I found in my old house in a closet and I can tell by the style of the Barbie is that it was the late early 2000s like 2008 or 2010, from how it looked I could tell it was for my ankle so I can tell that one was most likely made to specifically help me with my feet issue by helping me to walk straight which I’m guessing in turn will help me with standing straight, it was partly fixed cuz I only wore it in school and my teachers always had to put it back on cuz I would take it off and on top of that I stopped completely wearing it when I was in Kindergarten cuz of how much I hated it, the good thing is that you wouldn’t be able to tell my foot issue for both of my feet unless you look really hard cuz when you look hard you can tell that I don’t stand straight, but my hip issue was fully fixed so it’s exactly how it’s supposed to but apparently how I stand isn’t how your feet is supposed to be, it doesn’t seem odd to me cuz I always stood like that, I’m guessing back then it was obvious worse but since I was little, I don’t remember so from what I remember I’ve always stood like that but apparently how my feet are isn’t how it’s supposed to be,the main reason I think it’s not weird to me is cuz it’s not easily noticeable,it was easy to know back then but since my feet were partly fixed and my hip was completely fixed,it makes it hard for people to tell, the only way to tell is if you are staring really hard at both my feet and notice that my feet is not how it’s supposed to

@anthonycarney7849 2 жыл бұрын

I agree with you I had a mojor stroke and it left me with drop foot and not been able to walk is the hardest part of my stroke and nobody will walk with something in ur shoe that does not work keep up the great work and its a pity the people who give out casts don’t know what ur talking if I met u after my stroke I would be running niw

@Tech01RT 10 ай бұрын

Thank you so much for this video; very informative and summarized

@kennethwalker7768 Жыл бұрын

Informative and thorough.

@usmanhaider6258 9 ай бұрын

Good presentation to prescribe the devices. Its also beneficial for both patient and PNOs❤

@shashinath7195 Жыл бұрын

A 17 year old boy with cereberal palsy has crouch gait. His Right leg has less tone and hence goes into more pronounced crouch. Left leg having more tone is straighter than the right. The Right leg is 01 inch shorter than the left. He has been prescribed Floor Reaction Orthosis. My question is whether both legs need to be braced or only the right one?

@nolaigmckaigney7135 Жыл бұрын

i would like this AFO. have spastic ankle 7 years post stroke. what is requirement to be suitable for thisAFO

@abbysworld05 7 ай бұрын

As a kid I had to wear braces on for both of my feet cuz my feet wasn’t straight and cuz my hips were weird so I walked weird or something, the only brace I remember are these Barbie braces, I only remember them cuz I saw it in a closet in my old house, I can tell it was for my ankle cuz from what I remember it only went up to the ankle and it was tiny so I’m guessing I was in preschool, also cuz it was a different barbie style then todays barbie and it looks like barbie from either 2010 or around 2008 but most likely 2008 cuz my parents said I probably stopped wearing them completely in Kindergarten cuz I hated wearing them and my teachers kept having to put it on when I got to school got I took it off, my mom said I also had a brace for my hip so I could stand straight cuz my hip was weird or something and it was really high up and had a bunch up straps and my mom said I hated that one the most, it doesn’t surprise me and it doesn’t surprise me that I hated both, my hip issue/standing up straight was fully fixed but the foot issue can be seen if you look really hard so I would say it was partly fixed but not fully cuz I only had to wear it at school cuz I hated wearing it and my parents said I most likely stopped wearing it before Kindergarten, it doesn’t suprise me how much I hated it cuz I have sensory issues which can come with adhd

@kathylopez1336 Жыл бұрын

Last 2yrs walking declined, enjoyed walking hv DropFoot i was given AFO but not shown how to wear/use daily it's hard to put on everyday w/o assistance i fractured my foot 4y/o

@jameshamm7911 9 ай бұрын

Hey there. I have a fused ankle with a medial muscle flap that is rather large and obtrusive, meaning a typical "U" style brace does not work. Anyway, after 6 surgeries where they removed all the hardware and performed a partial distal fibulectomy, my foot kind of wanders a wiggles a bit whenever I walk. Not only, but the whole foot/ankle feels weak and I have to use crutches whenever I walk more than a few feet. I am curious about the brace at time-stamp 11:40, but also need an off-loading brace (all of which allow the medial flap to be open and free, so something braced laterally or behind the leg) and am wondering if you can recommend something for me to request of my orthopedic surgeon for referral?

@MissionGait 9 ай бұрын

Hi, thanks for contacting us! As you are seeking clinical guidance, please send an email to admin@missiongait.org so that our doctors can assist you with your question.

@brendanpotash 9 ай бұрын

I am trying to locate and offloading AFO brace like you have mentioned here. There are zillions of dropfoot options, but this seems to be absent on web searches. Can you possibly recommend a source? I have bone on bone in my left ankle and have worn out my carbon fiber front loading option. I’ll be seeing my. New podiatrist in a few days and want to be prepared for my options.

@MissionGait 9 ай бұрын

Please email admin@missiongait.org so that our team can assist you with this medical question!

@taillwhip360 Жыл бұрын

good explanation, but missing the main information that this is a service provided by certified orthotist !!!!!

@iCanHearUSign 4 ай бұрын

What would you suggest for Parkinson’s dystonic foot ie foot inversion, toe clawing and foot drop?

@MissionGait 4 ай бұрын

Hi, thanks for contacting us. If you are seeking clinical guidance or specific information please email admin@missiongait.org.

@OneKindWord Жыл бұрын

A year ago I was fine. Now I have dual foot drop. I am traumatized about my life today.

@thecrowsnest6963 2 жыл бұрын

Most of these don’t work for hyperextension, is there a solid, stabilizing lightweight brace that helps prevent hyperextension with foot drop?

@NotAnotherKuromi 2 жыл бұрын

These help with hyperextension of the ankle, what problem are you seeing?

@platotle2106 Жыл бұрын

@@NotAnotherKuromi all of them?

@TheCL296 Жыл бұрын

Usually you can add a heel lift to AFOs or to the shoe to prevent hyperextension. You would pick the least restrictive AFO and add a lift for the impairments you are mentioning.

@onefabknitternz 10 ай бұрын

Ottobock walk on reactions

@emunahfriedman5495 Ай бұрын

What info do you have on a SMO for an adult. AFO did not work for me

@MissionGait Ай бұрын

An SMO is a brace that helps keep the foot and ankle stable, while an AFO helps keep the leg stable from the foot to the knee. Check out our video on KAFOS, which offer more stability than an AFO: kzfaq.info/get/bejne/adddeJufuLq2fGw.htmlsi=wkx5zfL2E5WxsoQW