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Functional Top Down Approach to Bracing

Functional Top Down Approach to Bracing. RGOs (Reciprocal Gait Orthoses ) HKAFOs (Hip Knee Ankle Foot Orthoses ) KAFOs (Knee Ankle Foot Orthoses ) AFOs (Ankle Foot Orthoses ) FOs (Foot Orthoses ). DISCLAIMER.

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Functional Top Down Approach to Bracing

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  1. Functional Top Down Approach to Bracing • RGOs (Reciprocal Gait Orthoses) • HKAFOs (Hip Knee Ankle Foot Orthoses) • KAFOs (Knee Ankle Foot Orthoses) • AFOs (Ankle Foot Orthoses) • FOs (Foot Orthoses)

  2. DISCLAIMER • The upcoming algorithm should be used for the adult/pediatric population with neuromuscular impairments who are looking to ambulate as a means for functional mobility.

  3. Lower extremity Bracing algorithm

  4. Algorithm Overview

  5. Reciprocal Gait Orthosis (RGOs)

  6. Hip Knee Ankle Foot Orthosis (HKAFO)

  7. Knee Ankle Foot Orthosis (KAFO)

  8. Ankle Foot Orthosis (AFO) *1-knee flexion and/or hyperextension *2-instability defined as decreased control of movement *3-instability defined as subtalar, forefoot/hindfoot, excessive movement and or alignment *5 Dynamic movement into ankle dorsiflexion *6 Consider alignment/movement up the kinetic chain causing medial/lateral ankle instability (ie knee varus/valgus, femoral anteversion/retroversion, leg length discreptancy *4 Static hold/positioning into ankle dorsiflexion or neutral position

  9. Ankle Foot Orthosis continued..

  10. Ankle Foot Orthosis continued..

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