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Flashcards in Practical 2 Deck (30)
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1

Indications for DAFO?

Flexible pes planus, mild to moderate spastic diplegic or hemiplegic CP, Hypotonic CP

2

Contraindications for a DAFO:

Toe walker, mod-high tone, ankle arthritis (rigid foot deformities)

3

What does a UCBL do?

Controls Mid foot and Hind foot (subtalar and tarsal joints)

4

Indications for UCBL:

Pronation control, flexible pes planus, OA of the hindfoot, posterior tib dysfunction, tarsal coalition, rearfoot valgus/varus,

5

Contraindications for UCBL:

Toe walker, mod-high tone, ankle arthritis (rigid foot deformities)

6

Indications for SMO or SMAFO:

Severe Pes Planus, Mild ankle instability, low (hypo) tone, Intermittent toe walkers, mild to moderate CP, tarsal coalition, post tib dysfunction

7

Contraindications for SMO or SMAFO:

high tone (hypertonicity) , sagittal plane, weakness deformity, dominate toe walkers, equinovarus/valgus

8

Contraindications for total contact AFOs:

edema fluctuations, insensitivity, wounds, or scars near trim lines

9

Bilateral Metal Upright (bars) AFO indications:

Foot drop, Post-Polio, Neuropathic feet
Poor knee control in sagittal plane
Ankle varus/valgus
Foot drop with uncontrolled edema
Poor skin below the knee

10

Bilateral Metal Upright (bars) AFO Contraindications:

Patient’s concerns with bulk/weight
Limits shoe wear

11

Free motion/articulated/hinge AFO indications:

Posterior tib tendon dysfunction
Subtalar or talar joint instabilities

12

Free motion/articulated/hinge AFO Contraindications:

Weak Quads, Sagital plane ankle weakness
High impact sports

13

Free motion/articulated/hinge AFO motion:

Allows sagittal plane motion free DF and PF
Limits coronal plane instabilities

14

Action of Dorsiflexion assist AFO:

Assist in clearance of the toes while allowing for some PF
Variable DF Assist
Allows for controlled foot flat stance phase

15

Indications for dorsiflexion assist AFO:

DF weakness

16

Contraindications for Dorsiflexion assist AFO

Contraindicated in moderate to severe tone levels or in individuals with altered knee control

17

Posterior Stops in AFO indications:

Structural collapse of the ankle foot, severe spacticity,

18

Posterior Stops in AFO contraindications:

inadequate hip strength, absent quads, fluctuating edema, fixed/contracted spastic gastrocs

19

SAFO=Solid Ankle Foot Orthosis=a non articulated AFO indications:

Ankle instability/weakness in more than one plane
Equino varus
Moderate-severe pes plano valgus
Mild-moderate genu recurvatum

20

SAFO=Solid Ankle Foot Orthosis=a non articulated AFO contraindications:

edema
skin issues

21

Indications for posterior leaf spring:

Mild –Moderate Foot drop (LMN flaccid paralysis of dorsiflexors) and knee hyperextension

22

Contraindications for posterior leaf spring:

moderate to severe spasticity, coronal plane ankle instability, ankle dorsiflexion limitations/fused joint, severe knee instability

23

Action of posterior leaf spring:

Limits plantar flexion to assist limb clearance in swing. Patient has to have adequate knee, hip, and ankle plantar flexor strength

24

Indication for spiral AFO:

Ankle dorsiflexion weakness and/or plantar flexors ALONG with mild-moderate medial-lateral instability

25

Contraindications for spiral AFO:

Inadequate hip strength, moderate to severe spasticity, severe medial lateral ankle instability, fluctuating edema

26

Ground/Floor Reaction AFO indications:

crouched gait, Foot drop with knee instability, quadriceps weakness, MS, Spina Bifida patients

27

Ground/Floor Reaction AFO contraindications:

Genu recurvatum, ACL, Severely ER Feet, patients that do not have adequate trunk control/balance or have flaccid/limited quad strength especially if used bilaterally

28

KAFO indicated for:

knee, ankle, and foot instability
Post polio syndrome (PPS), genu recuvatum, weakness proximal to knee,
SCI, CVA, Spina Bifida
quads less than 3+/5

29

Indications of stance control KAFO:

knee buckling flaccid paralysis of quads

30

Contraindiacation of stance control KAFO:

contractures of knee/ankle, insufficient hip musculature, DF ROM