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ANKLE FOOT ORTHOSES

Neurology

ANKLE FOOT ORTHOSES

1. Extensor posturing (hip and knee extension and ankle plantar flexion) may occur during the stance phase.

2. To facilitate swing phase of gait an AFO may be used to compensate for excessive ankle plantar flexion and lack of knee flexion.

3. An AFO set in 5 degrees of dorsiflexion will not only help to clear the foot but will make it more difficult for patient to hyperextend the knee.

4. There is limited evidence that an AFO when combined with posterior tibial nerve denervation, improves gait outcomes in hemiplegic patients. There is limited evidence AFOs improve various parameters of gait.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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