Lower limb

Development of the arch: functional implications

Contrary to the conclusions of early research, recent studies suggest that arch height does indeed affect lower extremity function. The biomechanics associated with different arch heights may provide a basis for treatment and … READ MORE

Footwear and risk of knee OA: The search for meaning in moments

Although footwear may in fact play a role in the development of knee osteoarthritis and its clinical management, those relationships are turning out to be much more complicated than once thought. Want a helping hand? Try wearing … READ MORE

Paraplegic man walks with own legs again

American man, 26, completes 3.5-metre course thanks to computer system that reroutes signals from his brain to electrodes on his knees. Fig. 1. Partial picture of the overground walking course, depicting the BCI-Parastep system, the … READ MORE

Double bonus – AFOs improve dual-task gait in two ways

Ankle foot orthoses intervene at the level of the body and at the level of activity. But they might also have effects at the level of participation. – Nikta Pirouz CPO By Jordana Bieze Foster, Lower Extremity Review March 2015 … READ MORE

Great systematic review on pediatric supported standing

Supported standing programs have been used in various settings for more than 50 years in an effort to reduce and prevent complications and to optimize various aspects of function. In spite of widespread clinical use, we lack … READ MORE

Robotic gait training doesn’t wow young patients with CP

Kids, parents differ on ‘normal’ gait. Although physical therapists and parents often strive for attaining normal gait in children with neuromotor disorders, a new study from researchers at the University of Alberta in Edmonton, … READ MORE

Post-polio syndrome: It takes a team approach

Donald Sutherland plays President Snow in the Hunger Games films. Sutherland contracted polio as a child and developed a love of reading while bedridden. He went on to become an accomplished actor, and has appeared in over 130 films. … READ MORE

Determination of OA knee brace effectiveness

Osteoarthritic knee braces have been developed to lessen loads in the degenerative compartment while subsequently reducing knee pain in patients with uni-compartmental arthritis. Evoke™ knee brace highlights. OssKin The present … READ MORE

Orthotic devices boost balance over time in children with CP

Balance improves over time in children with cerebral palsy, CP, who switch from a dorsiflexion-free orthotic device to a more restrictive one, according to research from Northwestern University’s Feinberg School of Medicine in … READ MORE

SmartKnit Seamless Socks

No rubbing on toes with SmartKnit XStatic-Toe. Accessorize your SMOs, AFOs, KAFOs with SmarKnit Seamless Socks SmartKnit socks are made especially for kids and adults wearing AFOs. Feet and legs stay comfortably cool with wicking … READ MORE

Growing pains – adapting orthotic devices to maturing patients

Accommodating growth without compromising fit and function is a challenge for practitioners who prescribe orthotic devices for young patients. Adjustments and add-ons—as well as educating parents about expected changes—can make … READ MORE

Toe walking treatment and management

The management of toe walking is controversial — the natural history is poorly defined, and only limited data are available regarding direct comparisons of different treatment modalities. Therefore, the physician’s first decision … READ MORE

Custom hinged AFO vs. standard ankle foot orthosis in stroke recovery

Functional Bracing with Adjustable Dynamic Response. Address the entire gait cycle providing unrestricted motion, customized stability, and smooth rollover. Ultraflex Hemiparesis is one of the most common impairments after stroke that … READ MORE

Non-surgical approach helps people with paralysis voluntarily move their legs — a first

Paralyzed men move legs with new non-invasive spinal cord stimulation. Five men with complete motor paralysis were able to voluntarily generate step-like movements thanks to a new strategy that non-invasively delivers electrical … READ MORE

Martyn Ashton – Back on Track

Following his injury in 2013, Martyn Ashton, trials legend, creator of Road Bike Party 2, and, above all family man and bike rider, began his inspirational journey to get back on track. Joined by his friends Danny MacAskill, Chris … READ MORE

Paralyzed patients in Calgary are able to cycle again

Functional electrical stimulation bike in Faculty of Kinesiology’s Thrive Centre available for public use. Amanda Timm, 21, is now able to cycle again using the FES bicycle at her school, the University of Calgary. Jennifer … READ MORE

Controlling drop foot: beyond standard AFOs

The basic goal of orthotic management is to improve toe clearance during swing and provide stability during stance, but new technologies—from energy-storing composites to functional electrical stimulation—do much more. By Jeremy … READ MORE

Adapted Tango: bringing artistry to rehabilitation

Adapted tango, a version of traditional Argentine tango modified to address motor impairments, has been shown to improve balance, mobility, and cognition in older adults and patients with Parkinson disease, with better compliance than … READ MORE

Diane Covington: AFOs positively impact every aspect of her dynamic life

It’s a happy coincidence that Diane Covington lives just a few miles from a New Balance store, for two reasons. The brand’s sporty and comfortable styles are perfectly suited for Covington’s life on the go. And they come in … READ MORE

Brennan Ryan: With AFOs and cool sneakers, this 10-year-old can be a regular kid

If you ask Brennan Ryan what his favorite after-school activities are, he’ll tell you, “Basketball, baseball, flag football, and Cub scouts.” Ask him what his favorite part of school is and he’ll answer, “Recess.” This … READ MORE

Orthotic solutions for children with hypotonia

New research underscores years of positive clinical results. When it comes to orthotic management of pediatric patients with hypotonia, the medical literature is only beginning to document the effectiveness that clinicians have been … READ MORE

Gait: The cornerstone of intervention

Quantifying the effects of hypotonia starts in the clinic. Effective management of children with hypotonia requires an understanding of how the condition affects gait. Clinicians typically rely on their professional experience when … READ MORE

Ankle foot orthosis, AFO

The strength and stability of a person’s body is of paramount concern for individuals with Cerebral Palsy; the more stable a body is, the better a person can ambulate and complete tasks both big and small. Orthotic devices worn on … READ MORE

Orthotic Management of CMT, Charcot-Marie-Tooth

Ankle foot orthoses, AFOs, can help compensate for muscle weakness and accommodate related structural deformities in patients with Charcot-Marie-Tooth disease, but practitioners are constantly looking for ways to improve suboptimal … READ MORE

AFO wear and care FAQs

About your child’s new AFOs Your child should wear their Ankle-Foot Orthotics (AFOs) during the day with their shoes. Walking barefoot after a bath or in the evening will do no harm. Your child may feel uncomfortable wearing the … READ MORE

Personalize your orthotics

Custom orthotics with colour and pattern make a positive statement. This is undoubtedly the most important factor for kids and, well, bigger kids. It’s often first on the list. Lots of variety in stock. Click a pattern for a … READ MORE

AFOs and interfaces: The important role of socks

Interface use has long been the subject of study and clinical emphasis in prosthetics, but too little attention has been given to the role of interfaces—padded socks in particular—in protecting the skin and soft tissues from … READ MORE

Wear and care instructions for your brace

Children should wear their AFOs during the day, just as they would their shoes. While walking barefoot after a bath or in the evening can do no harm, you may consider having the child wear them at night, even while sleeping, for … READ MORE

How can I tell when my child is outgrowing their AFO?

Early signs your child is outgrowing their AFO include complaints of pain or red marks appearing where they haven’t been seen before. Other signs include toes extending over the front edge of the AFO. Your orthotist can assess if … READ MORE

A schedule for wearing your brace

Gradually increase the amount of time per day you wear your brace. Generally, it takes about a week until you can wear your brace full-time or up to the length of a normal school day. Little Princess with CP The following program … READ MORE

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