Ankle Foot Orthoses

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Hey Everyone,

I'm currently in the process of completing a tutorial on: 'describe the indications and contraindications of ankle foot orthoses'

Any links or comments would be greatly appreciated. However I'm more stumped by the contraindications, my professor suggested skin disturbances and knee joint disturbances (depending on the type of ankle foot orthoses). On the same note I'm stumped by the indications because well, I would have thought the indications for ankle foot orthoses would be the same for normal foot orthoses...apparently not!

Thankyou

 

Not sure there are contra-indications per se. There are some cautions.

Hyperextention trauma in the knee is a contra indication for GRAFOs or AFOs which sit on the anterior part of the leg.

One of the most common problems i see is people with tight triceps Surae who orthotists then cram into a 90 degree device. Escape pronation being inescapable they generally get rubs / ulcers medial malleolus / navicular.

People with fragile skin on the legs.

There are other cautions depending on what type of AFO is being used. Perhaps you need to distinguish between afos, dafos, kafos, grafos, safos, smafos, hkafos etc.

Regards
Robert

 

Attached is a guide I tend to use - hope it is of some help

Plenty more info here

Ian

 

Good info!

Most of the AFO's i use are on children (mainly CP). Not used a ritchie brace on an adult although i've used something very similar.

Just goes to show. "AFO" is probably to broad a description, theres a lot of things people have come up with which cross the ankle joint one way or another.

Apples and Oranges.

Regards
Robert